Laser and topical mitomycin C for management of nasal synechia after FESS: a preliminary report |
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| Authors: | Ahmed?Hesham Ahmed?Fathi Mahmoud?Attia Sherif?Safwat Email author" target="_blank">Ahmed?HeshamEmail author |
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| Institution: | (1) Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt;(2) Laser Institute of Enhanced Laser Sciences, Cairo University, Cairo, Egypt;(3) Magrabi Eye and Ear Hospital, P.O. Box 513, 112 Muscat, Sultanate of Oman; |
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| Abstract: | The objective of the study is to assess the role of diode laser coupled with topical mitomycin C (MMC) in the management of
synechia after endoscopic sinus surgery. Twenty-five patients with recurrent sinusitis due to synechia between the middle
turbinate and lateral nasal wall after endoscopic sinus surgery were included in this study. Diode laser was used to divide
the synechia and MMC was applied topically in the area of the middle meatus for 5 min. Patients were followed for 6 months
to assess symptoms improvement, recurrence of synechia and CT scan changes. Most of our patients reported improvement of their
symptoms, recurrent synechia occurred in 15% of the patients with significant improvement of the CT scan findings. In conclusion,
the diode laser with topical MMC is an outpatient procedure which is simple, safe and effective in managing postoperative
nasal synechia. |
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