Effect of Middle Meatal Spacer in Prevention of Post Functional Endoscopic Sinus Surgery Synechiae - A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 2
Abstract
Introduction: Middle meatal (MM) scarring is reported as being one of the most common post-operative complications of endoscopic sinus surgery. The incidence of post-operative synechia ranges between 4% and 27%. The severity of scarring varies widely from mild, significant synechia to clinically obstructive disease requiring further surgical intervention. In an attempt to decrease the frequency of this complication, various surgical techniques and MM stents have been designed and used. Aim: The aim of the study was to study the effect of MM spacer in preventing post-operative complications of endoscopic sinus surgery. Methods: A non-randomized single-center prospective study was conducted at Rajiv Gandhi Government General Hospital, Madras Medical College among 30 patients undergoing endoscopic sinus surgery. Diagnostic nasal endoscopy was done preoperatively to evaluate the anatomy and pathology of the nasal cavity. Polyvinyl acetate a highly absorbent inert material was used to stent the middle meatus, and it was removed on the 6th post-operative day. Diagnostic nasal endoscopy was done postoperatively to look for any synechiae and other complications. All details of the patient were collected using a pro forma, and the data were analyzed. Results: Synechiae were present in only 6% of the study population in the 2nd visit, i.e. 1 week after pack removal. These adhesions too were clinically insignificant during the follow-up period. Hence using the bioinert spacer and retaining it for a week is effective in preventing synechiae and the few synechiae that do occur have been clinically silent. Conclusion: Using the bioinert spacer and retaining it for a week is effective in preventing synechiae and the few synechiae that do occur have been clinically silent.
Authors and Affiliations
K Semmanaselvan
Keywords
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