comparison of results of frontal sinus surgery with direct injection of cortisone and foam gel containing cortisone

Abstract

Chronic rhinosinusitis (CRS) is an inflammatory disease of the nasal cavity and paranasal sinuses. The most common treatment for this disease is endoscopic sinus surgery (ESS). The postoperative management of chronic rhinosinusitis (CRS) after endoscopic sinus surgery (ESS) has traditionally utilized corticosteroid therapies in topical formulations. Corticosteroids have been shown to facilitate early mucosalization, reduce edema, and decrease the rate of bacterial recovery, thereby improving clinical healing and thus surgical outcomes. The selection of an effective packing method to prevent postoperative complications and recurrence following Endoscopic Sinus Surgery remains ambiguous at present. Therefore, the aim of the present study was compare the effectiveness of nasal packing following endoscopic sinus surgery with topical injection of triamcinolone and foam gel containing triamcinolone. Methods: Patients who referred to Sina Hospital in 1400 due to chronic rhinosinusitis were included in the study and were randomly divided into one of two groups: the group receiving foam gel containing triamcinolone after ESS and the group receiving topical injection of triamcinolone after ESS. The patients were followed up for 1 month, 3 months, and 6 months postoperatively for edema and complications. Relevant information was recorded in a checklist and the results were analyzed by SPSS software version 22. Results: Patients did not differ significantly in terms of demographic characteristics. There was no difference in average endoscopic scores between the two groups at 1 month, 3 months, and 6 months (P = 0.01). the amount of bleeding was significantly lower in the triamcinolone-impregnated gelfom group. Nasal obstruction, olfactory problem, headache and facial pain were less in the triamcinolone-impregnated gelfom group than in the triamcinolone injection group, which was not statistically significant.