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The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study()

INTRODUCTION: Nasal irrigation solutions are widely used following endonasal surgery. These irrigation solutions remove infective debris and crusts, reducing the probability of synechia formation, and accelerate mucosal healing. OBJECTIVE: The aim of the present study was to compare the effects of n...

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Autores principales: Kurtaran, Hanifi, Ugur, K. Serife, Yilmaz, Ceyda Sel, Kaya, Mesut, Yuksel, Alper, Ark, Nebil, Gunduz, Mehmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449243/
https://www.ncbi.nlm.nih.gov/pubmed/28325622
http://dx.doi.org/10.1016/j.bjorl.2017.01.005
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author Kurtaran, Hanifi
Ugur, K. Serife
Yilmaz, Ceyda Sel
Kaya, Mesut
Yuksel, Alper
Ark, Nebil
Gunduz, Mehmet
author_facet Kurtaran, Hanifi
Ugur, K. Serife
Yilmaz, Ceyda Sel
Kaya, Mesut
Yuksel, Alper
Ark, Nebil
Gunduz, Mehmet
author_sort Kurtaran, Hanifi
collection PubMed
description INTRODUCTION: Nasal irrigation solutions are widely used following endonasal surgery. These irrigation solutions remove infective debris and crusts, reducing the probability of synechia formation, and accelerate mucosal healing. OBJECTIVE: The aim of the present study was to compare the effects of nasal irrigation solutions with different contents following septoplasty and concha radiofrequency. METHODS: The present study was a prospective, randomized, controlled simple blind study of 120 patients who underwent septoplasty and bilateral concha radiofrequency. Patients were divided into four groups according to the nasal irrigation solution used: tap water, buffered isotonic saline, saline with xylitol, and hypertonic sea water. Patients were examined on the 7th and 15th postoperative days. A saccharine test was applied to determine mucociliary activity preoperatively and on the 7th and 15th postoperative days. Patients were asked about drying and obstruction using a 10 cm visual analog scale. In addition, patients were examined to determine the crusting score. RESULTS: There was no significant difference found in the preoperative and 7th and 15th postoperative days’ mucociliary clearance times among the four groups. The crusting score was found to be significantly lower in the hypertonic sea water group (p < 0.001). Drying and obstruction on the 7th and 15th postoperative days were found to be significantly more comfortable in the hypertonic sea water group (p < 0.001). CONCLUSION: Hypertonic sea water is the recommended irrigation solution, as it is associated with less crusting, drying, and obstruction in the nose for the postoperative period following septoplasty and concha radiofrequency.
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spelling pubmed-94492432022-09-09 The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study() Kurtaran, Hanifi Ugur, K. Serife Yilmaz, Ceyda Sel Kaya, Mesut Yuksel, Alper Ark, Nebil Gunduz, Mehmet Braz J Otorhinolaryngol Original Article INTRODUCTION: Nasal irrigation solutions are widely used following endonasal surgery. These irrigation solutions remove infective debris and crusts, reducing the probability of synechia formation, and accelerate mucosal healing. OBJECTIVE: The aim of the present study was to compare the effects of nasal irrigation solutions with different contents following septoplasty and concha radiofrequency. METHODS: The present study was a prospective, randomized, controlled simple blind study of 120 patients who underwent septoplasty and bilateral concha radiofrequency. Patients were divided into four groups according to the nasal irrigation solution used: tap water, buffered isotonic saline, saline with xylitol, and hypertonic sea water. Patients were examined on the 7th and 15th postoperative days. A saccharine test was applied to determine mucociliary activity preoperatively and on the 7th and 15th postoperative days. Patients were asked about drying and obstruction using a 10 cm visual analog scale. In addition, patients were examined to determine the crusting score. RESULTS: There was no significant difference found in the preoperative and 7th and 15th postoperative days’ mucociliary clearance times among the four groups. The crusting score was found to be significantly lower in the hypertonic sea water group (p < 0.001). Drying and obstruction on the 7th and 15th postoperative days were found to be significantly more comfortable in the hypertonic sea water group (p < 0.001). CONCLUSION: Hypertonic sea water is the recommended irrigation solution, as it is associated with less crusting, drying, and obstruction in the nose for the postoperative period following septoplasty and concha radiofrequency. Elsevier 2017-02-22 /pmc/articles/PMC9449243/ /pubmed/28325622 http://dx.doi.org/10.1016/j.bjorl.2017.01.005 Text en © 2017 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
Kurtaran, Hanifi
Ugur, K. Serife
Yilmaz, Ceyda Sel
Kaya, Mesut
Yuksel, Alper
Ark, Nebil
Gunduz, Mehmet
The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study()
title The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study()
title_full The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study()
title_fullStr The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study()
title_full_unstemmed The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study()
title_short The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study()
title_sort effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449243/
https://www.ncbi.nlm.nih.gov/pubmed/28325622
http://dx.doi.org/10.1016/j.bjorl.2017.01.005
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