The role of budesonide intrapolyp injection in the management of type 2 chronic rhinosinusitis with nasal polyps : a randomised clinical trial

PROBLEM: To assess the efficacy of budesonide intrapolyp injection in chronic rhinosinusitis with nasal polyps.

METHOD: Ninety patients were divided into three groups; group A was given oral prednisolone, group B was given budesonide intrapolyp injection weekly for five consecutive weeks and group C was given budesonide as nasal irrigation for one month. Patients were assessed using Sino-Nasal Outcome Test 22 score, total nasal polyp score, serum immunoglobulin E, absolute eosinophilic count, and morning cortisol level before treatment, one week and three months after completing their treatment.

RESULTS: Total nasal polyp score decreased significantly in all groups compared to those at baseline. Reduction in the oral and injection groups was greater than the wash group (p2 = 0.004), (p3 < 0.001), and the same trend concerning Sino-Nasal Outcome Test 22 score (p2 < 0.001), (p3 < 0.001).

CONCLUSION: Budesonide is an effective agent used in intrapolyp injection with no documented systemic or visual side effects that has comparable results with oral steroids.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:138

Enthalten in:

The Journal of laryngology and otology - 138(2024), 4 vom: 02. März, Seite 416-424

Sprache:

Englisch

Beteiligte Personen:

Elzayat, Saad [VerfasserIn]
Elgendy, Ahmed [VerfasserIn]
Lasheen, Hesham [VerfasserIn]
El-Deeb, Mohamed E [VerfasserIn]
Aouf, Mohammad Mahmoud [VerfasserIn]
Gehad, Ibrahim [VerfasserIn]

Links:

Volltext

Themen:

51333-22-3
9PHQ9Y1OLM
Budesonide
Corticosteroids
Journal Article
Nasal obstruction
Nasal polyps
Prednisolone
Randomized Controlled Trial
Sinusitis
Steroids

Anmerkungen:

Date Completed 20.03.2024

Date Revised 20.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1017/S0022215123001688

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362776148