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Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments)

OBJECTIVE: To compare mucociliary clearance time and quality of life in patients who underwent sinus surgery using conventional and powered instruments, and in patients who were treated nonsurgically. METHODS: A total of 151 patients with chronic rhinosinusitis were included. Fifty-four patients wer...

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Autores principales: Behera, Samarendra, Mohindra, Satyawati, Patro, Sourabha K., Gupta, Ashok K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: OceanSide Publications, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5244265/
https://www.ncbi.nlm.nih.gov/pubmed/28107141
http://dx.doi.org/10.2500/ar.2016.7.0169
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author Behera, Samarendra
Mohindra, Satyawati
Patro, Sourabha K.
Gupta, Ashok K.
author_facet Behera, Samarendra
Mohindra, Satyawati
Patro, Sourabha K.
Gupta, Ashok K.
author_sort Behera, Samarendra
collection PubMed
description OBJECTIVE: To compare mucociliary clearance time and quality of life in patients who underwent sinus surgery using conventional and powered instruments, and in patients who were treated nonsurgically. METHODS: A total of 151 patients with chronic rhinosinusitis were included. Fifty-four patients were treated conservatively, 48 patients were managed surgically by using conventional instruments and 49 patients were managed by using a microdebrider. Kupferberg nasal endoscopy grades, 20-item Sino-Nasal Outcome Test scores, Lund-Mackay scores, and mucociliary clearance time were analyzed. RESULTS: On comparison among the groups, it was found that there was a significant difference between group A (nonsurgically treated) compared with group B (surgery by conventional means) or group C (surgery with microdebrider) in nasal endoscopic grades, Lund-Mackay scores, 20-item Sino-Nasal Outcome Test scores, and mucociliary clearance time. However, in comparison between groups B and C, there was no statistically significant difference. CONCLUSION: Mucociliary clearance time tended to recover after starting treatment for chronic rhinosinusitis both after conservative treatment and after surgical treatment. Surgery provided better improvement in different objective scores in chronic rhinosinusitis. There exists no statistical difference in parameters independent of the instrument used for surgery.
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spelling pubmed-52442652017-01-23 Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments) Behera, Samarendra Mohindra, Satyawati Patro, Sourabha K. Gupta, Ashok K. Allergy Rhinol (Providence) Articles OBJECTIVE: To compare mucociliary clearance time and quality of life in patients who underwent sinus surgery using conventional and powered instruments, and in patients who were treated nonsurgically. METHODS: A total of 151 patients with chronic rhinosinusitis were included. Fifty-four patients were treated conservatively, 48 patients were managed surgically by using conventional instruments and 49 patients were managed by using a microdebrider. Kupferberg nasal endoscopy grades, 20-item Sino-Nasal Outcome Test scores, Lund-Mackay scores, and mucociliary clearance time were analyzed. RESULTS: On comparison among the groups, it was found that there was a significant difference between group A (nonsurgically treated) compared with group B (surgery by conventional means) or group C (surgery with microdebrider) in nasal endoscopic grades, Lund-Mackay scores, 20-item Sino-Nasal Outcome Test scores, and mucociliary clearance time. However, in comparison between groups B and C, there was no statistically significant difference. CONCLUSION: Mucociliary clearance time tended to recover after starting treatment for chronic rhinosinusitis both after conservative treatment and after surgical treatment. Surgery provided better improvement in different objective scores in chronic rhinosinusitis. There exists no statistical difference in parameters independent of the instrument used for surgery. OceanSide Publications, Inc. 2016 /pmc/articles/PMC5244265/ /pubmed/28107141 http://dx.doi.org/10.2500/ar.2016.7.0169 Text en Copyright © 2016, OceanSide Publications, Inc., U.S.A. This publication is provided under the terms of the Creative Commons Public License ("CCPL" or "License"), in attribution 3.0 unported (Attribution Non-Commercial No Derivatives (CC BY-NC-ND)), further described at: http://creativecommons.org/licenses/by-nc-nd/3.0/legalcode. The work is protected by copyright and/or other applicable law. Any use of the work other then as authorized under this license or copyright law is prohibited.
spellingShingle Articles
Behera, Samarendra
Mohindra, Satyawati
Patro, Sourabha K.
Gupta, Ashok K.
Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments)
title Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments)
title_full Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments)
title_fullStr Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments)
title_full_unstemmed Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments)
title_short Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments)
title_sort comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and without powered instruments)
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5244265/
https://www.ncbi.nlm.nih.gov/pubmed/28107141
http://dx.doi.org/10.2500/ar.2016.7.0169
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