KBB-Forum 2007 , Cilt 6, Sayı 2

IMPACT OF MICRODEBRIDER IN SURGICAL TREATMENT OF NASAL POLYPOSIS IN TERMS OF HEALTH RELATED QUALITY OF LIFE AND OBJECTIVE FINDINGS: A COMPERATIVE RANDOMIZED SINGLE BLINDED CLINICAL STUDY

Kürşat CEYLAN, MD; Ünal BAYIZ, MD; Zeynep KIZILKAYA, MD; Özcan LALE, MD; Hatice EMİR, MD; İlhan ÜNLÜ, MD; Ahmet YAVANOĞLU, MD; Erdal SAMİM, MD
Ministry of Health Ankara Training and Research Hospital, E.N.T. Department, Ankara, Turkey Background: A prospective randomized single-blinded clinical study to compare the outcomes of a total of 97 patients in two groups with nasal polyposis treated surgically with traditional instruments and powered instruments.

Methods: Prospective randomized single-blinded clinical study in a tertiary care center with 97 patients evaluated in two groups undergoing endoscopic sinus surgery for nasal polyposis. Medical Outcomes Study Short Form (SF-36)-general health status survey was used for quality of life assessment and Lund-Mackay radiologic and endoscopic scoring and acoustic rhinometric nasal volume measurements were used for objective evaluation between randomly allocated study and control groups in a single-blinded manner. The comparison was performed between the results preoperatively and 6-months postoperatively. Paired-t test was used for comparison of preoperative and postoperative results in each group. ANOVA test was used for inter-groups differences.

Results: Endoscopic, tomographic and acoustic rhinometric findings and self reported health status survey scores were improved postoperatively in both groups. However, there was an exception in radiologic scores for the forceps group; there was not any statistically significant difference between the preoperative and postoperative radiologic scores for both sides. When two groups were compared postoperatively there was no statistically significant difference. Both techniques showed no major complications.

Conclusion: Emphasizing on the identical results with objective and subjective outcomes measures between through cutting traditional instruments and microdebrider, this study stands as complementary to the previous papers stating satisfactory outcomes, minimal morbidities and improved surgeon and patient comfort with powered instruments in the treatment of nasal polyposis. Keywords : Microdebrider, nasal polyposis