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Powered-assisted partial turbinectomy versus mometasone furoate nasal spray for relief of nasal blockage in chronic or idiopathic rhinosinusitis.

AbstractCONCLUSION:
Power-assisted turbinectomy is a safe and reliable alternative for patients with nasal blockage if nasal corticosteroid spray therapy is not suitable.
OBJECTIVE:
Powered-assisted partial turbinectomy was compared to the use of a corticosteroid nasal spray for relief of nasal obstruction in chronic or idiopathic rhinosinusitis.
METHODS:
Patients were randomized to either power-assisted partial turbinectomy or daily use of mometasone furoate nasal spray for 6 months. Evaluation by peak nasal inspiratory flow (PNIF) and grading of symptoms by use of visual analog scale was done after 3 and 6 months. Grading of symptoms was also done by use of a questionnaire approximately 30 months after the last visit.
RESULTS:
PNIF scores improved for all patients, although significantly only for patients on mometasone spray. Patients' self-reported symptoms decreased more for operated patients. Side effects were few and mild in both groups.
AuthorsTomas Norlander, Mats Lindén
JournalActa oto-laryngologica (Acta Otolaryngol) Vol. 131 Issue 12 Pg. 1286-92 (Dec 2011) ISSN: 1651-2251 [Electronic] England
PMID21905959 (Publication Type: Journal Article, Randomized Controlled Trial)
Chemical References
  • Anti-Inflammatory Agents
  • Nasal Sprays
  • Pregnadienediols
  • Mometasone Furoate
Topics
  • Adolescent
  • Adult
  • Aged
  • Anti-Inflammatory Agents (therapeutic use)
  • Chronic Disease
  • Female
  • Humans
  • Inspiratory Capacity
  • Male
  • Middle Aged
  • Mometasone Furoate
  • Mouth Breathing
  • Multivariate Analysis
  • Nasal Obstruction (etiology, therapy)
  • Nasal Sprays
  • Pregnadienediols (therapeutic use)
  • Quality of Life
  • Rhinitis (complications, therapy)
  • Severity of Illness Index
  • Sinusitis (complications, therapy)
  • Smell
  • Turbinates (surgery)
  • Young Adult

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