TY - JOUR
T1 - Powered irrigation with suction evacuation for chronic rhinosinusitis in the office setting
T2 - A pilot study
AU - Bruni, Margherita
AU - Ryan, Lindsey E.
AU - Tabor, Mark H.
N1 - Publisher Copyright:
© 2018 Vendome Group, LLC.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - Bacterial infections in the form of adherent biofilms are frequently implicated in the pathogenesis and recalcitrance of chronic rhinosinusitis. The Hydrodebrider, a disposable powered irrigation and suction device, has been developed specifically to remove biofilm from the paranasal sinuses. We conducted a prospective study to evaluate the tolerability and efficacy of the Hydrodebrider in the office setting with the use of local anesthesia. Of the original 13 adults we recruited, 10 completed the entire study protocol. All enrolled patients had previously undergone sinus surgery that involved the creation of a maxillary antrostomy large enough to allow placement of a Hydrodebrider device, and the endoscopic findings in all patients were consistent with chronic sinusitis. The standard visual analog scale for pain (range: 0 to 10) was used to measure tolerability. The 20-Item Sino-Nasal Outcome Test (SNOT-20) for symptoms was completed at baseline and at 1 and 8 weeks after the procedure. The mean pain score obtained immediately after the procedure was only 2.3, indicating that the procedure was well tolerated. The mean SNOT-20 score trended toward improvement during the first week, but then returned to near-preprocedure levels at 8 weeks. In conclusion, powered irrigation with suction is a well-tolerated procedure in the office setting and might be a useful short-term adjunct in the management of recalcitrant chronic sinusitis.
AB - Bacterial infections in the form of adherent biofilms are frequently implicated in the pathogenesis and recalcitrance of chronic rhinosinusitis. The Hydrodebrider, a disposable powered irrigation and suction device, has been developed specifically to remove biofilm from the paranasal sinuses. We conducted a prospective study to evaluate the tolerability and efficacy of the Hydrodebrider in the office setting with the use of local anesthesia. Of the original 13 adults we recruited, 10 completed the entire study protocol. All enrolled patients had previously undergone sinus surgery that involved the creation of a maxillary antrostomy large enough to allow placement of a Hydrodebrider device, and the endoscopic findings in all patients were consistent with chronic sinusitis. The standard visual analog scale for pain (range: 0 to 10) was used to measure tolerability. The 20-Item Sino-Nasal Outcome Test (SNOT-20) for symptoms was completed at baseline and at 1 and 8 weeks after the procedure. The mean pain score obtained immediately after the procedure was only 2.3, indicating that the procedure was well tolerated. The mean SNOT-20 score trended toward improvement during the first week, but then returned to near-preprocedure levels at 8 weeks. In conclusion, powered irrigation with suction is a well-tolerated procedure in the office setting and might be a useful short-term adjunct in the management of recalcitrant chronic sinusitis.
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M3 - Article
C2 - 29940690
AN - SCOPUS:85046814028
SN - 0145-5613
VL - 97
SP - E27
JO - Ear, Nose and Throat Journal
JF - Ear, Nose and Throat Journal
IS - 4-5
ER -