xRead - Nasal Obstruction (September 2024) Full Articles

20426984, 2021, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/alr.22741 by Stanford University, Wiley Online Library on [01/07/2024]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

580

International consensus statement on rhinosinusitis

TABLE XII-15 Evidence for mucosal preservation vs removal Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Jankowski 1996 2003 3 Prospective, controlled Preoperative steroids followed by nasalization Nasalization only VAS for smell at 1, 3, 6, 9, 12 months after surgery Nasalization and topical steroids leads to sustained improvement in VAS Jankowski 1996 2003 3 Prospective controlled 7 day steroid course only Nasalization only VAS prior to intervention and post intervention at multiple time points Nasalization had long term improvement in obstruction scores, rhinorrhea, sneezing Alsharif 1999 2019 4 Prospective

compared to oral steroid group

hyposmia preop trend show improvement postop.

Nasalization significantly better at 5 years in all 3 outcome measures

Endoscopic scores Reboot procedure yields lower rate of polyp

recurrence in CRSwNP

hyposmia preop trend show improvement postop

Patients with profound

Patients with profound

Sniffin stick smell test preop

Sniffin stick smell test postop

Sniffin stick smell test preop

Sniffin stick smell test postop QoL measures PostopCT

Polyp recurrence rate

Full Reboot with DRAF III CRSwNP pre- and post-nasalization

post-nasalization

Nasalization group

Ethmoidectomy group

Mucosal sparing ESS Partial Reboot

CRSwNP pre- and

controlled cohort study

cohort study

controlled cohort study

controlled cohort study

Eluecque 1997 2015 4 Prospective

Sonnet 1998 2017 4 Prospective

Jankowski 1780 2006 4 Retrospective