Article (Scientific journals)
Postoperative care in endoscopic sinus surgery: a critical review.
Eloy, Philippe; Andrews, Peter; POIRRIER, Anne-Lise
2017In Current Opinion in Otolaryngology and Head and Neck Surgery, 25 (1), p. 35-42
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Keywords :
Chronic rhinosinusitis; Post-operative care
Abstract :
[en] PURPOSE OF REVIEW: Chronic rhinosinusitis with and without nasal polyps is a common disease affecting people all over the world. Functional endoscopic sinus surgery (FESS) has become the gold standard treatment for medically refractive disease. Postoperative care is recommended by international leaders as an important part of the patient's management. This article is a critical review and discussion focusing on postoperative care, which is based on expert opinion, clinical studies, randomized controlled trials and meta-analysis studies. RECENT FINDINGS: Postoperative care including nasal rinsing, topical corticosteroids, antibiotics and avoidance of nasal packing are unanimously considered to be the cornerstone of best practice following FESS. However, the effectiveness of in-office nasal debridement is still under debate. SUMMARY: There is a lack of consensus regarding the necessity of performing in-office nasal debridement and the majority of clinicians carry out their postoperative care according to experience and their own preference. This is often determined by the extent of surgery performed, the severity of the postoperative inflammation, as well as being dependent on the patient's discomfort, the time constraints associated with postoperative care and the costs associated with additional appointments. Ideally, nasal debridement should be performed by the operating surgeon under endoscopic control both gently and atraumatically.
Disciplines :
Otolaryngology
Author, co-author :
Eloy, Philippe
Andrews, Peter
POIRRIER, Anne-Lise  ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Language :
English
Title :
Postoperative care in endoscopic sinus surgery: a critical review.
Publication date :
2017
Journal title :
Current Opinion in Otolaryngology and Head and Neck Surgery
ISSN :
1068-9508
eISSN :
1531-6998
Publisher :
Lippincott Williams & Wilkins, United States - Pennsylvania
Volume :
25
Issue :
1
Pages :
35-42
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 06 January 2017

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