The Effectiveness of Budesonide Nasal Irrigation After Endoscopic Sinus Surgery in Chronic Rhinosinusitis With Asthmaopen access
- Authors
- Kang, Tae Wook; Chung, Jae Ho; Cho, Seok Hyun; Lee, Seung Hwan; Kim, Kyung Rae; Jeong, Jin Hyeok
- Issue Date
- Mar-2017
- Publisher
- KOREAN SOC OTORHINOLARYNGOL
- Keywords
- Nasal Lavage; Budesonide; Sinusitis; Asthma; Nasal Polyp
- Citation
- CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, v.10, no.1, pp.91 - 96
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY
- Volume
- 10
- Number
- 1
- Start Page
- 91
- End Page
- 96
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/152759
- DOI
- 10.21053/ceo.2016.00220
- ISSN
- 1976-8710
- Abstract
- Objectives
Budesonide nasal irrigation was introduced recently for postoperative management of patients with chronic rhinosinusitis. The safety and therapeutic effectiveness of this procedure is becoming accepted by many physicians. The objective of this study was to evaluate the efficacy of postoperative steroid irrigation in patients with chronic rhinosinusitis and asthma.
Methods
This prospective study involved 12 chronic rhinosinusitis patients with nasal polyps and asthma who received oral steroid treatment for recurring or worsening disease. The 22-item Sinonasal Outcomes Test (SNOT-22) and Lund-Kennedy endoscopy scores were checked before nasal budesonide irrigation, and 1, 2, 4, and 6 months after irrigation. We also calculated the total amount of oral steroids and inhaled steroids in the 6 months before irrigation and the 6 months after it.
Results
The mean SNOT-22 score improved from 30.8±14.4 before irrigation to 14.2±8.7 after 6 months of irrigation (P=0.030). The endoscopy score also improved from 7.4±4.7 before irrigation to 2.2±2.7 after 6 months (P<0.001). The total amount of oral steroid was decreased from 397.8±97.6 mg over the 6 months before irrigation to 72.7±99.7 mg over the 6 months after irrigation (P<0.001).
Conclusion
Nasal irrigation with budesonide is an effective postoperative treatment for chronic rhinosinusitis with asthma, which recurs frequently, reducing the oral steroid intake.
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