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The effect of different nasal irrigation solutions following septoplasty and concha radiofrequency: a prospective randomized study / Efeito de diferentes soluções para irrigação nasal após septoplastia e radiofrequência das conchas nasais: estudo prospectivo e randomizado
Kurtaran, Hanifi; Ugur, K Serife; Yilmaz, Ceyda Sel; Kaya, Mesut; Yuksel, Alper; Ark, Nebil; Gunduz, Mehmet.
  • Kurtaran, Hanifi; Turgut Ozal University. Faculty of Medicine. Department of Otorhinolaryngology Head and Neck Surgery. Ankara. TR
  • Ugur, K Serife; Turgut Ozal University. Faculty of Medicine. Department of Otorhinolaryngology Head and Neck Surgery. Ankara. TR
  • Yilmaz, Ceyda Sel; Turgut Ozal University. Faculty of Medicine. Department of Otorhinolaryngology Head and Neck Surgery. Ankara. TR
  • Kaya, Mesut; Turgut Ozal University. Faculty of Medicine. Department of Otorhinolaryngology Head and Neck Surgery. Ankara. TR
  • Yuksel, Alper; Turgut Ozal University. Faculty of Medicine. Department of Otorhinolaryngology Head and Neck Surgery. Ankara. TR
  • Ark, Nebil; Turgut Ozal University. Faculty of Medicine. Department of Otorhinolaryngology Head and Neck Surgery. Ankara. TR
  • Gunduz, Mehmet; Turgut Ozal University. Faculty of Medicine. Department of Otorhinolaryngology Head and Neck Surgery. Ankara. TR
Braz. j. otorhinolaryngol. (Impr.) ; 84(2): 185-190, Mar.-Apr. 2018. tab
Article in English | LILACS | ID: biblio-889377
ABSTRACT
Abstract Introduction Nasal irrigation solutions are widely used following endonasal surgery. These irrigation solutions remove infective debris and crusts, reducing the probability of synechia formation, and accelerate mucosal healing. Objective The aim of the present study was to compare the effects of nasal irrigation solutions with different contents following septoplasty and concha radiofrequency. Methods The present study was a prospective, randomized, controlled simple blind study of 120 patients who underwent septoplasty and bilateral concha radiofrequency. Patients were divided into four groups according to the nasal irrigation solution used tap water, buffered isotonic saline, saline with xylitol, and hypertonic sea water. Patients were examined on the 7th and 15th postoperative days. A saccharine test was applied to determine mucociliary activity preoperatively and on the 7th and 15th postoperative days. Patients were asked about drying and obstruction using a 10 cm visual analog scale. In addition, patients were examined to determine the crusting score. Results There was no significant difference found in the preoperative and 7th and 15th postoperative days' mucociliary clearance times among the four groups. The crusting score was found to be significantly lower in the hypertonic sea water group (p < 0.001). Drying and obstruction on the 7th and 15th postoperative days were found to be significantly more comfortable in the hypertonic sea water group (p < 0.001). Conclusion Hypertonic sea water is the recommended irrigation solution, as it is associated with less crusting, drying, and obstruction in the nose for the postoperative period following septoplasty and concha radiofrequency.
RESUMO
Resumo Introdução Soluções para irrigação nasal são amplamente usadas após cirurgias endonasais. Essas soluções removem os resíduos e crostas, reduzem a probabilidade de formação de sinéquias e aceleram a cicatrização da mucosa. Objetivo O objetivo do presente estudo foi comparar os efeitos das soluçoes para irrigaçao nasal com diferentes conteudos apos septoplastia e turbinoplastia com radiofrequencia. Método O presente estudo foi um estudo cego simples, randomizado, controlado e prospectivo de 120 pacientes submetidos a septoplastia e turbinoplastia bilateral com radiofrequencia. Os pacientes foram divididos em quatro grupos de acordo com a soluçao nasal utilizada agua da torneira, soluçao salina isotonica tamponada, soluçao salina com xilitol e agua do mar hipertonica. Os pacientes foram examinados no 7° e 15° dias do pos-operatorio. O teste de sacarina foi utilizado para determinar a atividade mucociliar pre-operatoria e no 7° e 15° dias do pos-operatorio. Os pacientes foram questionados sobre a sensaçao de secura e obstruçao nasais utilizando uma escala visual analógica de 10 cm. Alem disso, os pacientes foram examinados para determinar o escore em relaçao a crostas. Resultados Não houve diferença significativa entre o pré-operatório e o sétimo e 15° dias do pós-operatório dos tempos de clearance mucociliar entre os quatro grupos. Verificou-se que o escore em relação a crostas foi significativamente menor no grupo que usou água do mar hipertônica (p < 0,001). As sensações de secura e obstrução nasais no sétimo e 15° dias do pós-operatório mostraram-se significativamente mais confortáveis no grupo água do mar hipertônica (p < 0,001). Conclusão A água de mar hipertônica é a solução de irrigação recomendada, pois está associada a menor incidência de crostas, secura e obstrução nasais no pós-operatório de cirurgia de septoplastia e das conchas nasais com radiofrequência.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Rhinoplasty / Mucociliary Clearance / Nasal Lavage / Fresh Water / Nasal Mucosa / Nasal Septum Type of study: Controlled clinical trial / Observational study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2018 Type: Article Affiliation country: Turkey Institution/Affiliation country: Turgut Ozal University/TR

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Full text: Available Index: LILACS (Americas) Main subject: Rhinoplasty / Mucociliary Clearance / Nasal Lavage / Fresh Water / Nasal Mucosa / Nasal Septum Type of study: Controlled clinical trial / Observational study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2018 Type: Article Affiliation country: Turkey Institution/Affiliation country: Turgut Ozal University/TR