The Effectiveness of Budesonide Nasal Irrigation After Endoscopic Sinus Surgery in Chronic Rhinosinusitis With Asthma.
- Author:
Tae Wook KANG
1
;
Jae Ho CHUNG
;
Seok Hyun CHO
;
Seung Hwan LEE
;
Kyung Rae KIM
;
Jin Hyeok JEONG
Author Information
- Publication Type:Original Article
- Keywords: Nasal Lavage; Budesonide; Sinusitis; Asthma; Nasal Polyp
- MeSH: Asthma*; Budesonide*; Endoscopy; Humans; Nasal Lavage*; Nasal Polyps; Prospective Studies; Sinusitis; Steroids
- From:Clinical and Experimental Otorhinolaryngology 2017;10(1):91-96
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVES: Budesonide nasal irrigation was introduced recently for postoperative management of patients with chronic rhinosinusitis. The safety and therapeutic effectiveness of this procedure is becoming accepted by many physicians. The objective of this study was to evaluate the efficacy of postoperative steroid irrigation in patients with chronic rhinosinusitis and asthma. METHODS: This prospective study involved 12 chronic rhinosinusitis patients with nasal polyps and asthma who received oral steroid treatment for recurring or worsening disease. The 22-item Sinonasal Outcomes Test (SNOT-22) and Lund-Kennedy endoscopy scores were checked before nasal budesonide irrigation, and 1, 2, 4, and 6 months after irrigation. We also calculated the total amount of oral steroids and inhaled steroids in the 6 months before irrigation and the 6 months after it. RESULTS: The mean SNOT-22 score improved from 30.8±14.4 before irrigation to 14.2±8.7 after 6 months of irrigation (P=0.030). The endoscopy score also improved from 7.4±4.7 before irrigation to 2.2±2.7 after 6 months (P<0.001). The total amount of oral steroid was decreased from 397.8±97.6 mg over the 6 months before irrigation to 72.7±99.7 mg over the 6 months after irrigation (P<0.001). CONCLUSION: Nasal irrigation with budesonide is an effective postoperative treatment for chronic rhinosinusitis with asthma, which recurs frequently, reducing the oral steroid intake.
