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KMID : 0361020220650020093
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 2 p.93 ~ p.100
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A Novel Powered Nasal Irrigation After Endoscopic Sinus Surgery in Patients With Chronic Rhinosinusitis: A Preliminary Study
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Lee Ki-Il
Kim Jong-Yeup
Son Su-Min
Kim Seung-Ho
Kim Myeong-Hee
Nam Eun-Woo
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Abstract
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Background and Objectives We aimed to compare the efficacy of a novel powered irrigationsystem with that of the manual bottle-squeeze method for postoperative healing after endoscopicsinonasal surgery (ESS).
Subjects and Method In this prospective randomized clinical trial, 29 patients were enrolledfor nasal irrigation (NI) with either NOSSHA® (Womens Care Co., Ltd.) powered irrigationsystem (NOSSHA® group, n=14) or manual irrigation (control group, n=15). Objectivefindings were evaluated using the modified Lund-Kennedy scores. Subjective outcomes wereassessed using the total nasal endoscopic score (TNES), total nasal symptom score (TNSS),visual analog scale (VAS), and quality of life (QOL) questionnaires in each group at baseline,and 1, 2, 4, 6, and 8 weeks after ESS. We compared the postoperative changes between bothgroups.
Results The mean TNES of patients were significantly higher in the NOSSHA® group thanin the control group (p=0.015); however, the improvement in TNES was achieved 2 weeksearlier in the NOSSHA® group. The improvement in TNES (p<0.001) and TNSS (p<0.001)was statistically significant in both groups. The improvement in QOL was statistically significantin the NOSSHA® (p<0.001) and control group (p=0.007). The improvement in the TNSSand QOL was earlier in the NOSSHA® group by 4 and 7 weeks, respectively; no early improvementoccurred in the NOSSHA® group for the VAS score.
Conclusion We validated the usefulness of postoperative NI using a powered device, whichmay be useful for patients who cannot tolerate manual NI.
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KEYWORD
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Device, Electricity, Sinusitis, Surgery, Therapy
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