The Effect of Maxillary Sinus Irrigation on Early Prognostic Factors after Endoscopic Sinus Surgery: A Preliminary Study

Kim, Seon Tae; Sung, Um Hee; Jung, Joo Hyun; Paik, Ju Young; Woo, Joo Hyun; Eog, Heung; Kang, Il Gyu

doi:10.2500/ajra.2013.27.3967

Cited by 11 publications

(9 citation statements)

References 16 publications

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“…Kim et al . found that maxillary sinus saline irrigation may be effective in the prevention of poor prognostic factors, such as persistent purulent discharge, at the early stages after FESS 15 . A number of authority system reviews have already been published 16 …”

Section: Discussionmentioning

confidence: 99%

The effects of nasal irrigation with various solutions after endoscopic sinus surgery: systematic review and meta-analysis

et al. 2018

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Section: Discussionmentioning

confidence: 99%

The effects of nasal irrigation with various solutions after endoscopic sinus surgery: systematic review and meta-analysis

et al. 2018

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“…At present, nasal irrigation using a saline solution is considered to be effective for preventing purulent rhinorrhea, granulation, and polyp recurrence after ESS. 360 Nasal irrigation with budesonide is also an effective postoperative therapy for patients with NP and asthma as evidenced by decreased DSQOL and Lund-Kennedy scores and reduced intake of oral steroids. 361 Furthermore, 83% of the difficult-to-treat CRS patients exhibited satisfactory alleviation of their subjective symptoms, and 75% of the patients showed improvement in DSQOL and endoscopic scores after 500-mL irrigation with 1 mg budesonide in a saline solution, twice daily for 3 months.…”

Section: Nasal Irrigationmentioning

confidence: 99%

Chinese Society of Allergy and Chinese Society of Otorhinolaryngology-Head and Neck Surgery Guideline for Chronic Rhinosinusitis

Liu

Chen

Cheng

et al. 2020

Allergy Asthma Immunol Res

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The current document is based on a consensus reached by a panel of experts from the Chinese Society of Allergy and the Chinese Society of Otorhinolaryngology-Head and Neck Surgery, Rhinology Group. Chronic rhinosinusitis (CRS) affects approximately 8% of Chinese adults. The inflammatory and remodeling mechanisms of CRS in the Chinese population differ from those observed in the populations of European descent. Recently,

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“…7 However, the sample size was relatively small (n = 15), and the symptom score was slightly worse after irrigation, which conflicts with the findings of other reports. 1,2,[8][9][10][11] In this study, we used a larger sample size and examined the effect of xylitol nasal irrigation on patients who had undergone ESS or septoplasty (or both). We also compared the extent of nasal symptom relief between the saline and xylitol irrigation groups.…”

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confidence: 99%

Effect of Postoperative Xylitol Nasal Irrigation on Patients with Sinonasal Diseases

Kim

Lim

et al. 2018

Otolaryngol.--head neck surg.

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Objective To examine the effect of xylitol nasal irrigation in a large sample size of patients who had undergone nasal surgery. Study Design Double-blinded randomized controlled crossover study. Setting Tertiary referral center. Methods The study included 100 patients with sinonasal disease who underwent endoscopic sinus surgery (ESS), septoplasty, or both concurrently. To identify patients with allergic sensitization, serum-specific immunoglobulin E levels were measured. Nasal symptoms were evaluated with the NOSE (Nasal Obstruction Symptoms Evaluation) and SNOT-20 (Sino-Nasal Outcome Test–20) and via visual analog scale (VAS) scores. Results In the ESS group (n = 34), the general nasal symptom score evaluated by the SNOT-20 showed significantly greater improvement in the xylitol group versus the saline group (P = .022). VAS symptom scores for sneezing (P = .003), headache (P = .02), and facial pain (P = .037) were also more improved in the xylitol group. In the septoplasty group (n = 39), the VAS score for nasal stuffiness showed a significantly greater improvement in the xylitol group when compared with the saline irrigation group (P = .001). Among the patients with allergic sensitization (n = 31), rhinorrhea symptoms improved significantly more in the xylitol group than in the saline group (P = .024). The preference survey showed that more than half of the patients in each surgical group preferred xylitol irrigation. Conclusion We found that xylitol nasal irrigation was useful in postoperative ESS and septoplasty care. For patients with allergic sensitization, rhinorrhea showed greater improvement in the xylitol group than in the saline group.

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The Effect of Maxillary Sinus Irrigation on Early Prognostic Factors after Endoscopic Sinus Surgery: A Preliminary Study

Abstract: Maxillary sinus saline irrigation may be effective in the prevention of poor prognostic factors, such as persistent purulent discharge, at the early stages after ESS.

Cited by 11 publications

References 16 publications

The effects of nasal irrigation with various solutions after endoscopic sinus surgery: systematic review and meta-analysis

The effects of nasal irrigation with various solutions after endoscopic sinus surgery: systematic review and meta-analysis

Chinese Society of Allergy and Chinese Society of Otorhinolaryngology-Head and Neck Surgery Guideline for Chronic Rhinosinusitis

Effect of Postoperative Xylitol Nasal Irrigation on Patients with Sinonasal Diseases

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