Article Type
Article
Abstract
Introduction: Adenoidectomy is one of the most frequent surgeries conducted in children along with tonsillectomy. The persistence of nasal obstruction and recurrent infection symptoms following adenoidectomy was reported in the range of 19–26% in the literature. In a recent survey of otolaryngologists in the United Kingdom, 38.8% recognized that the need for revision adenoidectomy is a problem. This study aims at evaluation of the value of using intranasal steroids to prevent recurrence of adenoid and related symptoms after adenoidectomy. This is to judge whether the use of intranasal steroids may obtain successful results in children to avoid surgery for adenoid recurrence.
Material and Methods: Sixty children after adenoidectomy were divided randomly into 2 groups. Group I received postoperative intranasal steroid and group II received postoperative intranasal saline spray. Both medications were administered for 8 weeks postoperatively. Patients were followed up for 6 months using the nasopharyngeal lateral X-rays and reporting the degree of the symptoms. Results: The intranasal steroid group recurrence as evident by lateral X-ray nasopharynx was found in 1 case (3.3%) and for intranasal saline group recurrence was found in 7 cases (23.3%) (P-value= 0.05). The intranasal steroid group had significantly lower score after 6 months as regards nasal obstruction, nasal discharge, snoring, nasal tone and recurrent infection than the intranasal saline group.
Conclusion: This study has demonstrated that the use of steroid nasal spray following adenoidectomy significantly reduces the rate of adenoid regrowth and the recurrence of nasal symp.
Recommended Citation
Galal Zeid N, El Fouly ME, Azooz KO,
et al.
Impact factor of using local steroid nasal spray in the prevention of recurrent nasal symptoms and adenoid regrowth after adenoidectomy.
Pan Arab J. Rhinol.
2018;
8 : -.
Available at:
https://pajr.researchcommons.org/journal/vol8/iss1/4
