Efficacy of intranasal corticosteroids-gelatin sponge in the treatment of nasal adhesion after nasal endoscopic sinus surgery
10.16066/j.1672-7002.2017.02.012
- VernacularTitle:鼻用激素-明胶海绵治疗鼻内镜术后鼻腔粘连
- Author:
Baozhen LUO
1
;
Bobei CHEN
;
Haijie XIANG
;
Saiyu HUANG
;
Xuejun LIU
;
Fanli LIU
Author Information
1. 浙江大学国际医院树兰(杭州)医院耳鼻咽喉头颈外科
- Keywords:
Tissue Adhesions;
Endoscopy;
Gelatin Sponge,Absorbable;
mometasone furoate aqueous nasal spray
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2017;24(2):95-98
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To compare the effect of intranasal corticosteroids-gelatin sponge and saline-gelatin sponge in the treatment of nasal adhesion.METHODS A total of 208 noses(170 patients) with nasal adhesions after receiving the endoscopic sinus surgeries from July,2012 to December,2015 were selected.All the cases were divided randomly into two groups:the treatment group and the control group.Both groups received separation treatments of the nasal adhesions.The intranasal corticosteroidsgelatin sponges were used as the separation material for the treatment group,while saline-gelatin sponges for the control group.The severity score and the time of treatment were evaluated as the indicators for curative efficacy of the treatment in each case.The differences of efficacy between two groups were analysed statistically.RESULTS The severity scores of the two groups after the treatment were both substantially lower than those before the treatment;The after-treatment severity scores of the treatment group were significantly lower than those of the control group;the times of treatment in the treatment group were substantially lower than those of the control group.The differences stayed for 3 months,and they became insignificant after 3 months.CONCLUSION The intranasal corticosteroids-gelatin sponge can be a quicker and more effective treatment of nasal adhesion in comparison with saline-gelatin sponge.