Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists

Objective: The aim of this study was to evaluate clinical practice patterns of preoperative and postoperative medical therapies immediately surrounding sinus surgery for chronic rhinosinusitis (CRS) by Chinese otolaryngologists. Methods: Two anonymous web-based surveys of preoperative and postoperat...

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Autores principales:	Zhen-Xiao Huang, Yun-Xia Li, Yu-Bin Wu, Hai-Cheng Liu, Bing Zhou
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2018
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/8cd99b9ea36543efa96ec54ffdbdb598
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spelling	oai:doaj.org-article:8cd99b9ea36543efa96ec54ffdbdb5982021-12-02T12:52:03ZPreoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists2095-881110.1016/j.wjorl.2018.06.001https://doaj.org/article/8cd99b9ea36543efa96ec54ffdbdb5982018-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117301129https://doaj.org/toc/2095-8811Objective: The aim of this study was to evaluate clinical practice patterns of preoperative and postoperative medical therapies immediately surrounding sinus surgery for chronic rhinosinusitis (CRS) by Chinese otolaryngologists. Methods: Two anonymous web-based surveys of preoperative and postoperative medical therapies were performed. These surveys assessed the frequency of prescription of oral corticosteroids, intranasal corticosteroid sprays, oral antibiotics, nasal saline irrigation, oral antihistamines, nasal antihistamines, anti-leukotriene agents, topical decongestants and oral mucolytics. Results: A total of 304 (17.5%) preoperative and 143 (23.5%) postoperative questionnaires were completed and returned. Seventy-eight percent, 63% and 56% of respondents used preoperative intranasal corticosteroid sprays, oral antibiotics and oral mucolytics “always or often”, respectively. Ninety-four percent, 93%, 72% and 69% of respondents used postoperative intranasal corticosteroid sprays, nasal saline irrigation, oral antibiotics and oral mucolytics “always or often”, respectively. Oral antihistamines, nasal antihistamines, anti-leukotrienes and topical decongestants were not commonly used preoperatively or postoperatively. Conclusions: Our study demonstrated that current practice patterns of preoperative medical therapies among otolaryngologists are not uniformly based on evidence-based outcomes research. Postoperative oral antibiotics, intranasal corticosteroid sprays, nasal saline irrigation and oral mucolytics are commonly used by a majority of Chinese otolaryngologist for CRS. Practice patterns of postoperative medical therapy reflect recent guidelines. Keywords: Chronic rhinosinusitis, Preoperative, Postoperative, Medical therapy, SurveyZhen-Xiao HuangYun-Xia LiYu-Bin WuHai-Cheng LiuBing ZhouKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 4, Iss 4, Pp 258-262 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Zhen-Xiao Huang Yun-Xia Li Yu-Bin Wu Hai-Cheng Liu Bing Zhou Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists
description	Objective: The aim of this study was to evaluate clinical practice patterns of preoperative and postoperative medical therapies immediately surrounding sinus surgery for chronic rhinosinusitis (CRS) by Chinese otolaryngologists. Methods: Two anonymous web-based surveys of preoperative and postoperative medical therapies were performed. These surveys assessed the frequency of prescription of oral corticosteroids, intranasal corticosteroid sprays, oral antibiotics, nasal saline irrigation, oral antihistamines, nasal antihistamines, anti-leukotriene agents, topical decongestants and oral mucolytics. Results: A total of 304 (17.5%) preoperative and 143 (23.5%) postoperative questionnaires were completed and returned. Seventy-eight percent, 63% and 56% of respondents used preoperative intranasal corticosteroid sprays, oral antibiotics and oral mucolytics “always or often”, respectively. Ninety-four percent, 93%, 72% and 69% of respondents used postoperative intranasal corticosteroid sprays, nasal saline irrigation, oral antibiotics and oral mucolytics “always or often”, respectively. Oral antihistamines, nasal antihistamines, anti-leukotrienes and topical decongestants were not commonly used preoperatively or postoperatively. Conclusions: Our study demonstrated that current practice patterns of preoperative medical therapies among otolaryngologists are not uniformly based on evidence-based outcomes research. Postoperative oral antibiotics, intranasal corticosteroid sprays, nasal saline irrigation and oral mucolytics are commonly used by a majority of Chinese otolaryngologist for CRS. Practice patterns of postoperative medical therapy reflect recent guidelines. Keywords: Chronic rhinosinusitis, Preoperative, Postoperative, Medical therapy, Survey
format	article
author	Zhen-Xiao Huang Yun-Xia Li Yu-Bin Wu Hai-Cheng Liu Bing Zhou
author_facet	Zhen-Xiao Huang Yun-Xia Li Yu-Bin Wu Hai-Cheng Liu Bing Zhou
author_sort	Zhen-Xiao Huang
title	Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists
title_short	Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists
title_full	Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists
title_fullStr	Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists
title_full_unstemmed	Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists
title_sort	preoperative and postoperative medical therapies for chronic rhinosinusitis: national surveys among chinese otolaryngologists
publisher	KeAi Communications Co., Ltd.
publishDate	2018
url	https://doaj.org/article/8cd99b9ea36543efa96ec54ffdbdb598
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Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists

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