Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-27T09:31:23.231Z Has data issue: false hasContentIssue false
  • English
  • Français

Do antral washouts have a place in the current management of chronic sinusitis?

Published online by Cambridge University Press:  29 June 2007

Y. T. Pang  and
D. J. Willatt
Y. T. Pang*
Affiliation:
Department of Otolaryngology, Salford Royal Hospital NHS Trust (University of Manchester School of Medicine) Eccles Old Road, Salford, UK
D. J. Willatt
Affiliation:
Department of Otolaryngology, Salford Royal Hospital NHS Trust (University of Manchester School of Medicine) Eccles Old Road, Salford, UK
*
Address for correspondence: Mr Y. T. Pang, Department of Otolaryngology, National University Hospital, 5 Lower Kent Ridge Road, Singapore 0511. Fax: (65) 775 3820
Get access Rights & Permissions [Opens in a new window]

Abstract

Antral washouts have been widely used in the management of chronic sinusitis. With the advent of modern antibiotics and powerful topical nasal steroids, we sought to establish if a role remains for this procedure.

One hundred and fourteen patients with chronic sinusitis were randomised into two groups. Patients in Group A received antral washouts followed by antibiotics and topical nasal steroids. Patients in the Group B received antibiotics and topical nasal steroids alone. In each group 51.6 percent and 50 per cent of patients respectively improved with treatment. The outcome of treatment is also not influenced by endoscopic abnormality. The difference was not statistically significant (p = 0.86). The study indicates that half of patients with chronic sinusitis will improve with medical treatment but the addition of antral washout confers no additional benefits.

Keywords

SinusitisMaxillary sinus, surgeryEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 10 , October 1996 , pp. 926 - 928
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the 15th European Rhinologic Congress in Copenhagen, June 19–23 1994.

References

Fairbanks, D. N. F. (1993) Bacteriology and antibiotics. Otolaryngologic Clinics of North America 26: 549–559.Google ScholarPubMed
Johnson, J. T. (1992) Infections. In Otolaryngology, Head and Neck Surgery, 2nd Edition, Vol 1, Mosby Year Book, StLouis, Missouri, pp 929–940.Google Scholar
Kelson, W. H. (1915) Diseases of the Throat Nose and Ear. Oxford Medical Publications, Oxford, pp 751.Google Scholar
Kennedy, D. W., Zinreich, J., Rosenbaun, A. E., Johns, M. E. (1985) FESS: Theory and diagnostic evaluation. Archives of Otolaryngology, Head and Neck Surgery 111: 576–582.CrossRefGoogle Scholar
Kennedy, D. W., Zinreich, S. J., Johns, M. E. (1987) Functional endoscopic sinus surgery. In The Principles and Practice of Rhinology. (Goldman, J., ed.), John Wiley and Sons, Inc., New York, pp 879–902.Google Scholar
McBride, P. (1908) In Diseases of the Throat, Nose and Ear. 3rd Edition, Young J. Pentland, London, pp 416.Google Scholar
Messerklinger, W. (1967) On the drainage of normal frontal sinus of man. Acta Otolaryngologica (Stockholm) 63: 176–181.CrossRefGoogle ScholarPubMed
Moss, A. J., Parsons, V. L. (1986) Current estimates from the National Health Interview Survey, United States-1985. Hyattsville, MD: National Centre for Health Statistics, 1986: 66–7. DHHS Publication No. (PHS)86–1588. (Vital and Health Statistics, Series 10; No. 160).Google Scholar
National Disease and Therapeutic Index. Plymouth Meeting (1988–1989), PA:IMS, Inc. pp 487–8.Google Scholar
Stammberger, H. (1986) Endoscopic endonasal surgery: concepts in treatment of recurring rhinosinusitis, Part II. Surgical techniques. Otolaryngology-Head and Neck Surgery 94: 147–156.CrossRefGoogle Scholar
Stevenson, R. S., Guthrie, D. (1949) In A History of Oto-Laryngology. E. and S. Livingstone Ltd, Edinburgh, pp 88–91.Google Scholar
Wright, D. (1979) Chronic sinusitis. In Scott Brown's Diseases of the Ear, Nose and Throat, 4th Edition, Vol 3. (Ballantyre, J., Groves, J., eds.) Butterworths, London, pp 290.Google Scholar
Zinreich, J. (1993) Imaging of inflammatory sinus disease. Otolaryngologic Clinics of North America 26: 535–547.CrossRefGoogle ScholarPubMed