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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
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Source of Support: None, Conflict of Interest: None

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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