A COMPARATIVE STUDY ON EFFICACY OF STEROID LAVAGE IN RECURRENCE OF SINO NASAL POLYPOSIS

DR. SPANDANA KANDRA; DR.MUHAMMED KHAIS TK

Volume : VIII, Issue : II, February - 2019

A COMPARATIVE STUDY ON EFFICACY OF STEROID LAVAGE IN RECURRENCE OF SINO NASAL POLYPOSIS

Dr. Spandana Kandra, Dr. Muhammed Khais Tk

Abstract :

BACKGROUND: Nasal polyposis is one of the most common chronic airway diseases. It is a non neoplastic inflammatory process of nasal mucosa that eventually leads to the outgrowth of abnormal masses from the mucosa of nasal cavity and paranasal sinuses. OBJECTIVES: 1. To evaluate the effect of steroid lavage in preventing the recurrence of sinonasal polyopsis after surgery. 2. To compare the recurrence of nasal polyps after surgery in patients with giving steroid lavage without giving steroid lavage. METHODS AND METHODOLOGY: Patients presenting to OPD, ENT department were examined for any sino nasal polyps. A complete ENT examination was done to know about extension of polyps. 40 Patients who are diagnosed with sino–nasal polyps were included in this study after taking written informed consent considering inclusion and exclusion criteria. CT PNS was done pre operatively and patients were advised for surgery. After surgery, test patients were treated with sinonasal steroid lavage in post operative visits and control patients were not given. In post operative visits, symptoms and clinical findings were compared clinically and radiologically. The Sinonasal Outcomes Test (SNOT–22) and Lund–Kennedy endoscopy scores were checked before nasal irrigation, 1, 2, and 4 months after irrigation RESULTS: The symptoms improved postoperatively after giving steroid lavage compared to control group, The mean SNOT–22 score improved from 30.8±10.4 before irrigation to 10.2±4.7 after 4 months of irrigation (‘p’ value <0.001). The endoscopy score also improved from 7.4±4.7 before irrigation to 2.2±2.7 after 4 months (P<0.001). (‘p’ value <0.001). CONCLUSION: Nasal irrigation with steroid is an effective postoperative treatment for chronic sinonasal polyps, which recurs frequently, reducing the oral steroid intake post operatively