MedPath

Early Saline Irrigation to Decrease Post-operative Endoscopic Debridement

Not Applicable
Completed
Conditions
Chronic Rhinosinusitis
Interventions
Other: Early saline irrigation
Other: Routine Irrigation
Registration Number
NCT01943370
Lead Sponsor
University of Alberta
Brief Summary

Nasal saline is a common treatment adjunct in the post-operative setting for endoscopic sinus surgery. However, the ideal timing and quantity of irrigation in the early post-operative period remains unknown. Proposed benefits of early, large volume irrigation include removal and softening of crusts, resulting in improved mucociliary clearance. The potential benefit of early large volume saline irrigation on post-operative day three to ease or reduce the need for early post-operative debridement has not been studied.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • Adult patients
  • Diagnosis of CRS with or without polyposis
  • Undergoing bilateral endoscopic sinus surgery
  • Availability of pre-operative CT paranasal sinuses
Exclusion Criteria

Patients with diagnosis of:

  • Primary ciliary dyskinesia
  • Immunodeficiency
  • Cystic fibrosis

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Late or Routine Saline IrrigationEarly saline irrigationRoutine initiation of saline irrigation
Early saline irrigationEarly saline irrigationInitiation of early saline irrigation
Late or Routine Saline IrrigationRoutine IrrigationRoutine initiation of saline irrigation
Primary Outcome Measures
NameTimeMethod
PainEarly post-operative (Day 10)

Pain and discomfort during early post-operative debridement on post-operative day 10

Secondary Outcome Measures
NameTimeMethod
Endoscopic appearanceEarly (post-operative day 10)

Early post-operative POSE score on post-operative day 10

Late endoscopic appearance at 6 months6 months

Late post-operative endoscopic POSE score at 6 months

© Copyright 2025. All Rights Reserved by MedPath