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The Effectiveness of Budesonide Nasal Irrigation After Endoscopic Sinus Surgery in Chronic Rhinosinusitis With Asthma

Title
The Effectiveness of Budesonide Nasal Irrigation After Endoscopic Sinus Surgery in Chronic Rhinosinusitis With Asthma
Author
조석현
Keywords
Nasal Lavage; Budesonide; Sinusitis; Asthma; Nasal Polyp
Issue Date
2017-05
Publisher
KOREAN SOC OTORHINOLARYNGOL
Citation
CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, v. 10, no. 1, page. 91-96
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.
URI
https://www.e-ceo.org/journal/view.php?doi=10.21053/ceo.2016.00220https://repository.hanyang.ac.kr/handle/20.500.11754/114147
ISSN
1976-8710; 2005-0720
DOI
10.21053/ceo.2016.00220
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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