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KMID : 0900220120190020119
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대한비과학회지
2012 Volume.19 No. 2 p.119 ~ p.122
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Use of Triamcinolone-Impregnated Nasal Packing Following Endoscopic Sinus Surgery
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Jin Kwang-Ho
Choi Jeong-Seok
Kim Young-Hyun
Kang Sung-Ho
Kim Bo-Hyung
Yu Myeong-Sang
Lim Dae-Jun
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Abstract
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Objectives:To investigate the effectiveness of steroid-impregnated absorbable nasal dressing on wound healing and surgical outcomes after endoscopic sinus surgery (ESS).
Materials and Methods: Chronic rhinosinusitis patients with nasal polyps who were to undergo bilateral ESS were recruited and randomized to receive triamcinolone- impregnated bioresorbable dressing (Nasopore?; Polyganics, Groningen, Netherlands) in one nasal cavity and saline-impregnated dressing contralaterally. Postoperative healing assessments of edema, crusting, secretions, and scarring were done at postoperative days 7, 14, and 21 and at 1 and 3 months using validated Lund-Kennedy scores.
Results:Analysis of the 20 enrolled patients who completed observation showed no significant difference in Lund-Kennedy scores between the preoperative cavity scores. There was, however, a statistically significant difference in Lund-Kennedy scores of the treatment and control groups at days 7 and 14 (P =0.005 and P =0.0039, respectively) , and a significant difference in Lund-Kennedy scores was also detected between the groups at the 3-month time point (P =0.042).
Conclusion:The results of the data analysis suggest a significant improvement in early postoperative healing and improved healing for up to 3 months postoperatively in nasal cavities receiving triamcinolone-impregnated absorbable nasal packing following ESS.
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KEYWORD
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Rhinosinusitis, Endoscopic Surgery, Triamcinolone
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