Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2016  |  Volume : 29  |  Issue : 3  |  Page : 510-514

Comparative study between different surgical treatment modalities of refractory chronic rhinosinusitis in children


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
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.198689

Rights and Permissions

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.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed557    
    Printed0    
    Emailed0    
    PDF Downloaded55    
    Comments [Add]    

Recommend this journal