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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
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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

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Footnotes

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

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