PMID- 27363407 OWN - NLM STAT- MEDLINE DCOM- 20170411 LR - 20181202 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 273 IP - 12 DP - 2016 Dec TI - Effects of triamcinolone-impregnated nasal dressing on subjective and objective outcomes following endoscopic sinus surgery. PG - 4351-4357 LID - 10.1007/s00405-016-4185-0 [doi] AB - The aim of this study was to compare the effects of triamcinolone (TA)- and saline-soaked biodegradable nasal dressing on subjective symptoms, wound healing and improvement of olfactory dysfunction in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP) after undergoing endoscopic sinus surgery (ESS). The study was a prospective, randomized, double-blinded, placebo-controlled study. A total of 80 patients undergoing bilateral ESS for CRSwNP were enrolled and randomly assigned to two groups. Nasal dressing was impregnated with normal saline in the control group, while patients received triamcinolone-impregnated dressing in the TA group. Sino-Nasal Outcome Test 20 (SNOT-20) and Korean Version of the Sniffin' Stick (KVSS) II test were used to assess the patients' condition preoperatively and at postoperative 1 and 3 months. Lund-Kennedy (L-K) and perioperative sinus endoscopy (POSE) scores were assessed on postoperative months 1, 2, and 3. There were significant differences between the control group and the TA group in terms of postoperative L-K scores and POSE scores at 1 and 2 months. The postoperative endoscopic scores were significantly decreased in the TA group compared to the control at 1 month. Olfactory functions were significantly improved at postoperative 3 months (p = 0.0099) compared to the preoperative score in the TA group. Significant improvement in the olfactory functions among anosmic and hyposmic patients at postoperative 1 month (p = 0.0475) and 3 months (p = 0.0019) compared to their preoperative olfactory function score was observed only in the TA group. TA-impregnated dressing had a significant advantage over saline-soaked dressing with regard to postoperative wound healing and improvement of olfactory function. FAU - Xu, Jun AU - Xu J AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon, 35015, Korea. AD - Yanbian University Hospital, Yanji, Jilin, China. FAU - Park, Sung Je AU - Park SJ AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon, 35015, Korea. FAU - Park, Hee Sung AU - Park HS AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon, 35015, Korea. FAU - Han, Ruining AU - Han R AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon, 35015, Korea. AD - Yanbian University Hospital, Yanji, Jilin, China. FAU - Rha, Ki-Sang AU - Rha KS AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon, 35015, Korea. FAU - Kim, Yong Min AU - Kim YM AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon, 35015, Korea. entkym@cnu.ac.kr. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20160630 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 RN - 0 (Anti-Inflammatory Agents) RN - 1ZK20VI6TY (Triamcinolone) SB - IM MH - Absorbable Implants MH - Adult MH - Aged MH - Anti-Inflammatory Agents/administration & dosage/*pharmacology MH - *Bandages MH - Chronic Disease MH - Double-Blind Method MH - Endoscopy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nasal Polyps/*surgery MH - Paranasal Sinuses/surgery MH - Prospective Studies MH - Quality of Life MH - Rhinitis/*surgery MH - Sinusitis/*surgery MH - Smell MH - Treatment Outcome MH - Triamcinolone/administration & dosage/*pharmacology MH - Wound Healing OTO - NOTNLM OT - Nasal dressings OT - Nasal polyps OT - Olfactory OT - Triamcinolone EDAT- 2016/07/02 06:00 MHDA- 2017/04/12 06:00 CRDT- 2016/07/02 06:00 PHST- 2016/01/22 00:00 [received] PHST- 2016/06/27 00:00 [accepted] PHST- 2016/07/02 06:00 [pubmed] PHST- 2017/04/12 06:00 [medline] PHST- 2016/07/02 06:00 [entrez] AID - 10.1007/s00405-016-4185-0 [pii] AID - 10.1007/s00405-016-4185-0 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2016 Dec;273(12):4351-4357. doi: 10.1007/s00405-016-4185-0. Epub 2016 Jun 30.