Chronic Rhinosinusitis
Conditions
Keywords
Chronic Rhinosinusitis, Endoscopic sinus surgery, Sinufoam, Dexamethasone, For patients with Chronic Rhinosinusitis without nasal polyps, Focus: Define the postoperative sinonasal mucosal healing status of 2 Sinufoam mixtures
Brief summary
Dexamethasone added to sinufoam, which is placed in the ethmoid cavity at the completion of endoscopic sinus surgery, will improve sinonasal mucosal healing.
Detailed description
Sinufoam is an FDA approved mixture, which is placed in the ethmoid cavity at the completion of an endoscopic sinus surgery procedure. Sinufoam prevents scarring and promotes healing of the sinonasal mucosa. Sinufoam is commonly mixed with saline, which enables it to be liquefied and gently placed into the ethmoid cavity. Recent practice of adding Dexamethasone to the sinufoam mixture has been hypothesized to promote healing by reducing chronic inflammation associated with CRS. Using topical dexamethasone mixed into the Sinufoam solution may improve patient care by preventing the systemic effects associated with post-operative systemic steroid use.
Interventions
4cc of Dexamethasone and 4cc of Saline mixed with Sinufoam
8cc of Saline mixed with Sinufoam
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>18 years old * Chronic Rhinosinusitis without nasal polyps --- defined according to the AAO guidelines * Elective Bilateral sinus surgery requiring at a minimum of an Uncinectomy, Maxillary Antrostomy, and Anterior Ethmoidectomy.
Exclusion criteria
* Uncorrectable coagulopathy * Emergency procedure * Unavailable for standard post operative follow-up * Sinonasal neoplasm resections * Excessive intra-operative bleeding requiring nasal packing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sinonasal mucosal healing | 1 month |
Secondary
| Measure | Time frame |
|---|---|
| Sinonasal quality of life (SNOT-22) | 1 month |
Countries
Canada