J Neurol Surg B Skull Base 2020; 81(S 01): S1-S272
DOI: 10.1055/s-0040-1702708
Poster Presentations
Georg Thieme Verlag KG Stuttgart · New York

Utility of Postoperative Nasal Steroid Irrigations in Sinonasal Tumor Patients

Theodore C. Lin
1   Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Cameron P. Heyd
2   Lake Erie College of Osteopathic Medicine, Bradenton, Florida, United States
,
Sylvia Horne
3   State University of New York Downstate Medical Center, Brooklyn, New York, United States
,
Auddie M. Sweis
1   Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Tran B. Locke
1   Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Heather Ungerer
1   Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
George Gardner
1   Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
James N. Palmer
1   Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Nithin D. Adappa
1   Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
› Author Affiliations
Further Information

Publication History

Publication Date:
05 February 2020 (online)

Also available at
 
 

    Introduction: Postoperative care for endoscopic sinus surgery (ESS) often includes nasal saline and/or steroid irrigations to effectively control symptoms. Though topical corticosteroid use has been well characterized for managing inflammatory sinus diseases, their role in managing symptoms after ESS for sinonasal tumors is unclear. We seek to quantify the impact of postoperative steroid irrigations on the quality of life in patients with sinonasal tumors who have undergone ESS.

    Methods: All patients who underwent surgical resection of a sinonasal tumor at this institution from 2000 to 2019 were included in the study. The electronic medical record was reviewed for patient factors, postoperative steroid irrigation use, and 22-item Sino-nasal Outcome Test (SNOT 22) scores and unpaired t-tests were performed.

    Results: 101 patients were assessed (64% males) and divided into (1) no steroid irrigation (NSI) and (2) steroid irrigation (SI) cohorts. The groups were similar in number (NSI n = 44, SI n = 57) and baseline preop SNOT 22 scores did not differ significantly (NSI: 28.8 ± 23.7, SI: 23.5 ± 20.2; p = 0.2784). 3-, 6-, 12-, 18-, and 24-month post-op SNOT 22 scores did not significantly differ between groups (Table 1), though the steroid group showed a greater improvement in SNOT 22 scores compared with the NSI cohort.

    Conclusions: Though corticosteroid irrigations are a routine part for managing inflammatory sinus disease, their role in postoperative management after ESS for sinonasal tumors is unclear. Further studies should be performed to investigate the costs and benefits of steroid irrigations in this patient population.

    Table 1

    Postoperative SNOT 22 scores (mean ± SD) in patients with or without steroid irrigations

    Snot 22 scores

    No steroid irrigation

    Steroid irrigation

    p

    Pre-op

    28.8 ± 23.7

    23.5 ± 20.2

    0.2784

    3 months post-op

    16.7 ± 16.6

    12.1 ± 12.1

    0.2403

    6 months post-op

    18.7 ± 18.4

    12.6 ± 13.3

    0.1511

    12 months post-op

    16.9 ± 20.8

    11.3 ± 13.8

    0.2809

    18 months post-op

    18.4 ± 18.3

    14.2 ± 16.0

    0.4505

    24 months post-op

    16.7 ± 18.0

    10.2 ± 11.0

    0.1421

    #

    No conflict of interest has been declared by the author(s).