Postoperative Care After Endoscopic Sinus Surgery

Thaler, Erica R.

doi:10.1001/archotol.128.10.1204

Cited by 29 publications

(18 citation statements)

References 13 publications

(7 reference statements)

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“…Many surgeons document excellent long‐term results after sinus surgery and attribute this partly to weekly debridement and careful postoperative management 9 . However, despite weekly debridement until the nasal cavity was healed, 18% of the patients in the study from Senior et al required subsequent surgery 3 .…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Debridement After Endoscopic Sinus Surgery

Bugten

Nordgård²,

Steinsvåg

2006

The Laryngoscope

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Section: Discussionmentioning

confidence: 99%

“…Debridement of the nasal cavity is by many surgeons considered critical for an optimal outcome after FESS. However, the scientific data on its effects are limited 9 . The purpose of this study was to evaluate the effects of debridement of the nasal cavity 6 and 12 days after FESS in a randomized, partly blinded, controlled clinical trial.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Debridement After Endoscopic Sinus Surgery

Bugten

Nordgård²,

Steinsvåg

2006

The Laryngoscope

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“…Currently, functional endoscopic sinus surgery (FESS) is universally considered the gold standard treatment for chronic rhinosinusitis, with and without polyps, after medical therapy failure. Whereas the surgical procedure is well known and standardized, nasal packing and postoperative care are still a matter for debate . Although some authors advocate the use of nasal packing, others state that it should be withheld in the majority of patients .…”

Section: Introductionmentioning

confidence: 99%

Comparison of three different polyvinyl alcohol packs following functional endoscopic Nasal surgery

et al. 2014

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“…Functional endoscopic sinus surgery (FESS) has become a standard surgical modality for treating chronic rhinosinusitis (CRS) [1]. Recently, it has been emphasized that postoperative care is very important in the outcome of FESS [2].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Jia Wei Cang Er San on the Postoperative Bacteriology of Chronic Rhinosinusitis: A Randomized, Placebo-Controlled, Double-Blind Study

Jiang¹,

Liang²,

Wu³

et al. 2013

OJMM

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Background: Antibiotics have been used routinely for postoperative care in patients with chronic rhinosinusitis (CRS). However, increased bacterial growth was found after antibiotic treatment. In traditional Chinese medicine, Jia Wei Cang Er San has been used to treat CRS. This study was to investigate the influence of Jia Wei Cang Er San on the postoperative bacteriology of CRS. Methods: Ninety-seven CRS patients who underwent functional endoscopic sinus surgery (FESS) were included. They were randomly divided into 3 groups. In the group of Chinese herbal medicine (CHM), patients were given a capsule of Jia Wei Cang Er San tid for 8 weeks and a placebo capsule for amoxicillin q8h for 4 weeks after FESS. In the amoxicillin group, patients were given a capsule of amoxicillin 250 mg q8h for 4 weeks and a placebo capsule for Jia Wei Cang Er San tid for 8 weeks. In the placebo group, patients were given both placebo capsules. Bacterial cultures were performed from bilateral middle meati before FESS, and 8 and 12 weeks after FESS. Results: In the CHM group, bacteria grew in 21 (46%) of 46 specimens pre-operatively, in 23 (50%) specimens 8 weeks and in 17 (37%) specimens 12 weeks after surgery. In the amoxicillin group, bacteria grew in 15 (28%) of 54 specimens pre-operatively, in 30 (56%) specimens 8 weeks and in 32 (59%) specimens 12 weeks after surgery. In the placebo group, bacteria were found in 13 (34%) of 38 specimens pre-operatively, in 16 (42%) specimens 8 weeks and in 12 (32%) specimens 12 weeks after surgery. The rates of bacterial growth did not change by Jia Wei Cang Er San 8 or 12 weeks after surgery, but increased significantly by amoxicillin 8 and 12 weeks after surgery. Conclusion: Our study showed that Jia Wei Cang Er San did not induce bacterial growth after FESS as amoxicillin.

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Postoperative Care After Endoscopic Sinus Surgery

Cited by 29 publications

References 13 publications

The Effects of Debridement After Endoscopic Sinus Surgery

The Effects of Debridement After Endoscopic Sinus Surgery

Comparison of three different polyvinyl alcohol packs following functional endoscopic Nasal surgery

The Influence of Jia Wei Cang Er San on the Postoperative Bacteriology of Chronic Rhinosinusitis: A Randomized, Placebo-Controlled, Double-Blind Study

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