None listed
Conditions
Brief summary
Currently functional endoscopic sinus surgery is a treatment offered to patients with chronic sinus disease. This involved opening channels in the sinuses to allow better ventilation and drainage. This can be achieved by either opening channels between all sinuses or only a select few. There is limited evidence to suggest if once is superior to the other and current standard of practice varies between specialists. There is limited evidence to suggest that opening all channels is better than opening a select few. A randomised controlled trial offers the same standard of care to patients with sinus disease but compare outcomes in two techniques - opening all channels versus opening a select few. This study will compare outcomes between the two methods by measuring patient satisfaction, evaluation with imaging and specialised endoscopy and rates of revision surgery.
Interventions
Patients with chronic rhinosinusitis undergo sinus surgery to improve ventilation and drainage of paranasal sinuses (frontal, ethmoid, sphenoid, maxillary sinuses). Limited evidence exists to compare a conservative approach (i.e. operating on select sinuses) or a non-conservative approach (i.e. operating on all paranasal sinuses).
This study compares the two methods - full functional endoscopic sinus surgery (FESS) versus selective (mini) sinus surgery in patients with Chronic rhinosinusitis.
Patients with chronic rhinosinusitis undergo sinus surgery to improve ventilation and drainage of paranasal sinuses (frontal, ethmoid, sphenoid, maxillary sinuses). Limited evidence exists to compare a conservative approach (i.e. operating on select sinuses) or a non-conservative approach (i.e. operating on all paranasal sinuses). This study compares the two methods - full functional endoscopic sinus surgery (FESS) versus selective (mini) sinus surgery in patients with Chronic rhinosinusitis. Patients will be randomised to receive either full FESS or mini FESS. Outcomes including symptoms scores and revision rates will be studied and compared. Patients will be recruited from one expert surgeons rooms/clinics who will consent and perform the operation. Normal sinus surgery takes approximately 60 minutes to 2 hours. Patients will be fasted 6 hours before the operation as it routine. After their operation they are usually discharged from hospital the same day. They will be followed up in the rooms of the primary surgeon for at least 1 year.
Sponsors
Yuresh Naidoo
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patients over 18 undergoing endoscopic sinus surgery for their condition.
Exclusion criteria
Those who have had previous sinus surgery will be excluded Those who are unable to consent
Outcome results
None listed