Open AccessA Blinded Randomized Controlled Trial on the Efficacy of Postsurgical Debridement of Sinus Cavities on Wound Healing following Endoscopic Sinus Surgery
Author(s) -
Naidoo Yuresh,
Wen David,
Pow Vincent,
Wormald Peter J.
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811416318a237
Subject(s) - medicine , surgery , debridement (dental) , randomized controlled trial , adhesion , sinus (botany) , endoscopy , endoscopic sinus surgery , nose , wound healing , chemistry , botany , organic chemistry , biology , genus
Objective Ascertain whether early debridement, with its related costs and patient discomfort, limits adhesion formation as evaluated by a blinded observer, via video‐endoscopy at 3 months post‐surgery. Method A blinded RCT of patients undergoing primary bilateral sinus surgery at a tertiary referral hospital. One side of the nose was randomized to receive debridement postoperatively. The sinus cavities were videotaped at 3 months, and 2 surgeons blindly evaluated each side. Results No significant difference in the 2 sides was found in terms of adhesion and patency rates. Conclusion Regular and frequent debridement following sinus surgery might not be as crucial as previously thought to prevent adhesion formation and improve wound healing. However, removal of crusting does seem to improve patients perception of malodor and nasal obstruction in the immediate postoperative period.