Acute Recurrent Rhinosinusitis Clinical Trial
Official title:
Debridement After Functional Endoscopic Sinus Surgery
The goal of this study is to increase knowledge about how to treat patients after sinus surgery.
Many surgeons consider the postoperative treatment after sinus surgery as important for the
outcome as the surgery itself. However, postoperative treatment regimes differ considerably
between surgeons. They include non-intervention, frequent in-office endoscopic debridement,
stenting of the middle meatus, saline douching or irrigation of the nose, or combinations of
these measures in various ways. The lack of consensus is unfortunate. It indicates a lack of
knowledge about how to treat these patients optimally after surgery. This is partly due to a
lack of internationally acknowledged randomised, comparative, prospective studies on the
effects of the various postoperative measures and their interactions. Accordingly, some
patients may receive a too intensive postoperative follow up, with unnecessary frequent
visits with the doctor, unnecessary bleeding and inconvenience from unnecessary
debridement/cleaning of the nose, and increased costs due to unnecessary medication.
Conversely, there may be patients that receive too little attention in the postoperative
period, and thus may have a suboptimal result of the operation.
Frequent cleaning/debridement of the nose after sinus surgery is believed to improve the
outcome of functional endoscopic sinus surgery (FESS). However, the scientific data on its
effects are limited. The purpose of this study was to evaluate the effects of cleaning/
debridement of the middle meatus 5-7 days and 12-14 days after sinus surgery in a
randomized, partly blinded, controlled clinical trial.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment