Rhinosinusitis Clinical Trial
Official title:
Comparison of the Efficacy and Complication of Gentamicin and Normal Saline Nasal Irrigation in Chronic Rhinosinusitis and Recurrent Sinusitis : a Double Blind Randomized Control Trial
Topical antibiotic therapy in patients with refractory sinusitis has been shown to improve symptoms, quality of life, and mucosal aspect. In pediatrics allergy clinic at Siriraj hospital since 2006 use Gentamicin nasal irrigation for chronic rhinosinusitis.There have been no prospective studies in gentamicin irrigation in chronic rhinosinusitis.
Chronic rhinosinusitis (CRS) is characterized by symptoms > 12 weeks.Two or more symptoms one
of which should be either nasal blockage /obstruction/congestion or nasal discharge
(anterior/posterior nasal drip): facial pain/pressure reduction or loss of smell).
Mainstay of treatment are medical and surgical treatment ( ATB, adenoidectomy, ESS)
Adjunctive treatment : normal saline nasal irrigation, nasal corticosteroids, nasal
decongestants, mucolytics. Nasal lavage with Mupirocin represent an effective and well
tolerated alternative treatment of surgically recalcitrant chronic rhinosinusitis. Gentamicin
irrigation should be helpful in chronic rhinosinusitis.
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