ORIGINAL ARTICLE |
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Year : 2016 | Volume
: 29
| Issue : 3 | Page : 510-514 |
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Comparative study between different surgical treatment modalities of refractory chronic rhinosinusitis in children
Ahmed Ragab1, Adel Tharwat1, Heba Abo El-Naga1, Reda Omar2
1 Otorhinolaryngology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt 2 Otorhinolaryngology Department, Ashmoon Hospital, Ashmoon, Egypt
Correspondence Address:
Reda Omar Otorhinolaryngology Department, Ashmoon Hospital, Ashmoon, 32811 Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/1110-2098.198689
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Objectives
The aim of the present study is to compare randomly the effect (symptoms and CT improvement according to results of the postoperative mean differences of total CT Lund Mackay score) of adenoidectomy, adenoidectomy with middle meatus (MM) wash, and adenoidectomy with endoscopic sinus surgery (ESS) in the treatment of chronic rhinosinusitis in children.
Background
Rhinosinusitis is a common disease observed in pediatric patients. Different modalities of treatment can be used in the management of chronic rhinosinusitis, but the best plan to treat the disease is not known.
Materials and methods
Fifty-five patients were enrolled randomly in three treatment groups: group I (adenoidectomy), group II (adenoidectomy with MM wash), and group III (ESS and adenoidectomy). Patients were assessed preoperatively and 6 months postoperatively regarding visual analogue scale for sinonasal symptoms and CT Lund-Mackay score.
Results
There were no significant differences between the groups preoperatively (P > 0.05). All groups had postoperative improvement regarding visual analogue scale for sinonasal symptoms and CT Lund-Mackay score (P < 0.001). The mean differences between the preoperative and postoperative total visual analogue scale for sinonasal symptoms and CT Lund-Mackay scores were higher in group III than in group II (P = 0.04 and 0.05) and group I (P < 0.001 and P < 0.001), respectively. In addition, group II had better symptoms and CT scores than group I (P = 0.03 and 0.01).
Conclusion
ESS and adenoidectomy had better symptoms and CT results improvements than adenoidectomy with or without MM wash. |
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