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Doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted

INTRODUCTION: Septoplasty and endoscopic sinus surgery are very often concurrently performed operations in otolaryngology practice. The most common complication of endoscopic sinus surgery is lateralization of the middle turbinate. In our practice intranasal stenting is done routinely with Doyle sil...

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Autor principal: Dal, Secil Bahar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422461/
https://www.ncbi.nlm.nih.gov/pubmed/32888892
http://dx.doi.org/10.1016/j.bjorl.2020.07.005
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author Dal, Secil Bahar
author_facet Dal, Secil Bahar
author_sort Dal, Secil Bahar
collection PubMed
description INTRODUCTION: Septoplasty and endoscopic sinus surgery are very often concurrently performed operations in otolaryngology practice. The most common complication of endoscopic sinus surgery is lateralization of the middle turbinate. In our practice intranasal stenting is done routinely with Doyle silicone splints. OBJECTIVE: Retrospectively, we aimed to review the postoperative period and to document efficacy of endoscopy-assisted Doyle silicone splint application on prevention of middle turbinate lateralization. METHODS: Patients who had failed medical therapy and who underwent elective primary endoscopic sinus surgery for chronic rhinosinusitis with septal deviation requiring septoplasty were included to the study. Doyle silicone splints were inserted to all patients at the end of the operation with nasal speculum or with endoscopic assistance. Groups were compared for position of the middle turbinate at the end of the postoperative first month regarding lateralization and for pain score recorded on the second postoperative day. RESULTS: In the Doyle silicone splints applied with nasal speculum group, there were 46 patients with a total of 80 operated sides. In the endoscopy assisted group, there were 54 patients with a total of 88 operated sides. At the 1 month follow-up, the mean of middle turbinate position scores was 1.62 in the speculum-assisted group and 1.80 in the endoscopy-assisted group, the difference between two groups was found to be statistically significant. Mean of postoperative second day pain scores were worse in patients with the Doyle silicone splints applied with endoscopic assistance. This difference was found statistically significant. CONCLUSION: In our study, after concomitant endoscopic sinus surgery and septoplasty, less middle turbinate lateralization was observed when the Doyle silicone splints were inserted with endoscopic guidance. The surgical techniques or methods of sinus packing as well as nasal packing may have an impact on middle turbinate lateralization after concurrent septoplasty and endoscopic sinus surgery.
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spelling pubmed-94224612022-08-31 Doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted Dal, Secil Bahar Braz J Otorhinolaryngol Original Article INTRODUCTION: Septoplasty and endoscopic sinus surgery are very often concurrently performed operations in otolaryngology practice. The most common complication of endoscopic sinus surgery is lateralization of the middle turbinate. In our practice intranasal stenting is done routinely with Doyle silicone splints. OBJECTIVE: Retrospectively, we aimed to review the postoperative period and to document efficacy of endoscopy-assisted Doyle silicone splint application on prevention of middle turbinate lateralization. METHODS: Patients who had failed medical therapy and who underwent elective primary endoscopic sinus surgery for chronic rhinosinusitis with septal deviation requiring septoplasty were included to the study. Doyle silicone splints were inserted to all patients at the end of the operation with nasal speculum or with endoscopic assistance. Groups were compared for position of the middle turbinate at the end of the postoperative first month regarding lateralization and for pain score recorded on the second postoperative day. RESULTS: In the Doyle silicone splints applied with nasal speculum group, there were 46 patients with a total of 80 operated sides. In the endoscopy assisted group, there were 54 patients with a total of 88 operated sides. At the 1 month follow-up, the mean of middle turbinate position scores was 1.62 in the speculum-assisted group and 1.80 in the endoscopy-assisted group, the difference between two groups was found to be statistically significant. Mean of postoperative second day pain scores were worse in patients with the Doyle silicone splints applied with endoscopic assistance. This difference was found statistically significant. CONCLUSION: In our study, after concomitant endoscopic sinus surgery and septoplasty, less middle turbinate lateralization was observed when the Doyle silicone splints were inserted with endoscopic guidance. The surgical techniques or methods of sinus packing as well as nasal packing may have an impact on middle turbinate lateralization after concurrent septoplasty and endoscopic sinus surgery. Elsevier 2020-08-19 /pmc/articles/PMC9422461/ /pubmed/32888892 http://dx.doi.org/10.1016/j.bjorl.2020.07.005 Text en © 2020 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Dal, Secil Bahar
Doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted
title Doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted
title_full Doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted
title_fullStr Doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted
title_full_unstemmed Doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted
title_short Doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted
title_sort doyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422461/
https://www.ncbi.nlm.nih.gov/pubmed/32888892
http://dx.doi.org/10.1016/j.bjorl.2020.07.005
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