xRead - Nasal Obstruction (September 2024) Full Articles

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649

Orlandi et al.

Higher success in PCRS patients undergoing ESS in comparison to adenoidectomy Adenoidectomy improves symptoms and QoL in refractory PCRS

BSD is a safe procedure for PCRS. It may be effective and improve QoL. 60% of patients had adjunctive procedures.

Lund-Mackay scores greater than 6, the addition of

maxillary sinus irrigation at

the time of adenoidectomy was found to improve clinical

symptoms of PCRS 1 year post procedure

High tolerance, compliance, and effectiveness of saline irrigation support its use as a

first-line treatment for PCRS.

consensus in the diagnosis and management of PCRS. For pediatric patients with

Brietzke 2341 2014 4 Consensus Statement N/A N/A Evidence based expert panel

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions

Pre and postoperative symptoms

Survey (SN-5), CT scan and nasal endoscopy Technical success and procedure

complication rate, surgical revision rate y!yand changes in

disease-specific QoL.

symptoms and CT score

before and after treatment

severity score, Sinus and Nasal Quality of Life

Pre and postoperative

CT scan and SN-5 scores

Rhinosinusitis symptom

61 children with refractory CRS treated by ESS (n = 31) or adenoidectomy (n = 30)

adenoidectomy alone (n =

38) or adenoidectomy with maxillary sinus wash (n = 22)

Ramadan 2356 2008 4 Retrospective Series 60 children with refractory PCRS treated with

50 children at 4 centers with PCRS treated with BSD

randomized to once-daily irrigation with saline or saline/gentamicin

60 children with refractory PCRS before and after adenoidectomy

Wei 1158 2011 2 RCT 40 children with CRS

non-randomized, cohort Study

multicenter,

uncontrolled,

non-randomized study

non-randomized, uncontrolled,

interventional study

Bettadahalli 2355 2017 4 Prospective

Ramadan 2354 1999 3 Prospective,

Soler 2359 2017 4 Prospective,

TABLE XIII-7 (Continued)