PMID- 28417704
OWN - NLM
STAT- MEDLINE
DCOM- 20170929
LR  - 20180506
IS  - 1097-6817 (Electronic)
IS  - 0194-5998 (Linking)
VI  - 157
IP  - 3
DP  - 2017 Sep
TI  - Effects of Silver Nitrate Cauterization on Middle Turbinate Synechia after 
      Endoscopic Sinus Surgery.
PG  - 515-518
LID - 10.1177/0194599817702875 [doi]
AB  - Objective This study aimed to examine the efficacy of silver nitrate 
      cauterization of the middle turbinate (MT) for hindering postoperative middle 
      meatal synechia formation after endoscopic sinus surgery (ESS). Study Design 
      Prospective, controlled, and single-blinded. Settings Tertiary referral center. 
      Subjects and Methods For this study, 38 patients undergoing bilateral ESS due to 
      nasal polyposis were recruited. Following ESS, silver nitrate cauterization of 
      the lateral side of the left MT was performed in all cases. The noncauterized 
      opposite right sides served as controls. All patients received the standard ESS 
      protocol, intraoperative middle meatal packing, and postoperative management. The 
      main outcome measured was the formation of partial or complete MT synechia at the 
      end of 6-month assessment, performed by a blinded observer. Results At the end of 
      the 6-month follow-up period, MT synechia formation was observed in 7 of the 
      right sides (7 of 38, 18.4%) and none in any left sides. The rate of synechia 
      formation was significantly higher in the controls when compared with the silver 
      nitrate-cauterized sides ( P < .001). Conclusion The results of this study 
      suggest that silver nitrate cauterization of the MT is a practical and efficient 
      method to eliminate middle meatal synechia after ESS.
FAU - Uluyol, Sinan
AU  - Uluyol S
AD  - 1 Department of Otorhinolaryngology, Van Training and Research Hospital, Van, 
      Turkey.
LA  - eng
PT  - Controlled Clinical Trial
PT  - Journal Article
DEP - 20170418
PL  - England
TA  - Otolaryngol Head Neck Surg
JT  - Otolaryngology--head and neck surgery : official journal of American Academy of 
      Otolaryngology-Head and Neck Surgery
JID - 8508176
RN  - 95IT3W8JZE (Silver Nitrate)
SB  - IM
MH  - Adult
MH  - Cautery/*methods
MH  - *Endoscopy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nasal Polyps/*surgery
MH  - Nose Diseases/*surgery
MH  - Paranasal Sinuses/*surgery
MH  - Postoperative Complications/*surgery
MH  - Prospective Studies
MH  - *Silver Nitrate
MH  - Single-Blind Method
MH  - Tissue Adhesions/*surgery
MH  - Treatment Outcome
MH  - Turbinates/*surgery
MH  - Young Adult
OTO - NOTNLM
OT  - nasal polyps
OT  - silver nitrate
OT  - synechia
OT  - turbinate
EDAT- 2017/04/19 06:00
MHDA- 2017/09/30 06:00
CRDT- 2017/04/19 06:00
PHST- 2017/04/19 06:00 [pubmed]
PHST- 2017/09/30 06:00 [medline]
PHST- 2017/04/19 06:00 [entrez]
AID - 10.1177/0194599817702875 [doi]
PST - ppublish
SO  - Otolaryngol Head Neck Surg. 2017 Sep;157(3):515-518. doi: 
      10.1177/0194599817702875. Epub 2017 Apr 18.