Chronic Sinusitis Clinical Trial
Official title:
Comparison of Two Steroid Nasal Implants Following Endoscopic Sinus Surgery for Chronic Rhinosinusitis
The purpose of this study is to learn whether there is a difference in postoperative (after surgery) endoscopic appearance of the sinus cavities (the way that the sinuses look through a camera) between sinuses that receive one of two types of resorbable steroid eluting sinus packing (a sponge-like material which dissolves within several days while releasing a steroid): 1) Propel Implant or 2) Nasopore soaked with triamcinolone at the time of endoscopic sinus surgery (ESS) for chronic rhinosinusitis.
1. The Propel 'implant' is composed of small, flexible tubes which dissolve while releasing
Mometasone which is one type of steroid. This application has been approved for use by
the FDA.
2. Nasopore soaked with triamcinolone. This "packing' is a sponge-like material which
dissolves while releasing triamcinolone, which is another type of steroid. Triamcinolone
has been approved for use topically elsewhere on the body, although the specific use of
Triamcinolone in the sinuses has not been approved by the FDA.
Both of these procedures are currently used regularly by Dr. Pearlman in practice at the
conclusion of ESS for treatment of chronic rhinosinusitis. As standard of care, treatment is
determined intraoperatively (during surgery), at the discretion of the surgeon. In this
study, each subject will have both treatments (one in each cavity). The 'experimental' aspect
relates to directly comparing the two procedures.
This research study is being done because there is currently a lack of consensus regarding
the optimal nasal packing regimen. There have been no comparison studies and practice
patterns vary widely. Our study looks to compare the Propel implant to Nasopore packing
soaked in Triamcinolone.
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