The Role of Using the Submucosal Conchoplasty Technique for the Management of Concha Bullosa in Decreasing the Postoperative Middle Meatus Synechia Formation After Endoscopic Sinus Surgery: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Endoscopic Sinus Surgery
- Sponsor
- Kafrelsheikh University
- Enrollment
- 56
- Locations
- 1
- Primary Endpoint
- the clinical symptoms before and after the surgery through the Sino-nasal outcome test 22. (SNOT 22)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The study aimed to compare the applicability of the classic lateral lamellectomy versus the submucosal conchoplasty techniques in managing the concha bullosa during and after ESS.
Detailed Description
The study included fifty-six patients with bilateral concha bullosa who were undergoing primary ESS for refractory chronic sinusitis. They were divided into two equal groups randomly. One group had the submucosal conchoplasty technique, and the other group had the lateral lamellectomy technique. The study compared the intraoperative findings including the time required for each technique and the amount of intraoperative bleeding. Furthermore, it compared the postoperative endoscopic outcome of the middle meatus and middle turbinate stability using the LKES and the POSE score. Also, the postoperative olfaction outcome was assessed.
Investigators
Ahmed Waheed Elgendy
lecturer of otolaryngology
Kafrelsheikh University
Eligibility Criteria
Inclusion Criteria
- •patients above 18 years
- •patients diagnosed with chronic sinusitis based on the 2012 European Position Paper on Rhino-sinusitis and Nasal Polyps's criteria (EPOS 2012)
- •patients presented by bilateral concha bullosa
Exclusion Criteria
- •patients below 18 years
- •patients with nasal polyps
- •patients with primary ciliary dyskinesia
- •patients with nasal masses
- •revision cases
Outcomes
Primary Outcomes
the clinical symptoms before and after the surgery through the Sino-nasal outcome test 22. (SNOT 22)
Time Frame: Patients were followed up at the end of six month after surgery ( change from baseline )
The study assessed the clinical symptoms before and after the surgery through the Sino-nasal outcome test 22. (SNOT 22)
Secondary Outcomes
- the time of the technique(during the operation)
- the amount of bleeding(during the operation)