Effect of local desmopressin administration on quality of the surgical field during endoscopic sinus surgery

Authors

  • Youssef Youssef Tishreen University
  • Ala'a Dalila Tishreen University

Abstract

Background : Functional endoscopic sinus surgery became the most acceptable and performed technique in the last two decades especially for patients with chronic rhinosinusitis with or without nasal polyps , and Bleeding during functional endoscopic sinus surgery always been a challenge for the quality of surgical field for surgeons. This study aimed to evaluate the effect of local nasal desmopressin premedication on the quality of surgical field in functional endoscopic sinus surgery. 

Methods : This study was conducted on 60 patients with chronic rhinosinusitis who were candidate for endoscopic sinus surgery. They were assigned to two groups of 30 patients . One group ( the desmopressin ) received a single puff of local desmopressin (10 μg) in each side of nasal cavity 30 min before the surgery and the other ( the control ) received normal saline instead. the quality of the surgical field were determined in 15, 30, 60 and 90 min during the surgery (scoring by BOEZAART grading system). All data were analyzed.

Results : The quality of the surgical field in the desmopressin group was better than it in the control group with p value < 0.001 in all cutoff points (15, 30, 60, and 90 min during the surgery ) and Surgeons were more satisfied with the surgical field in the desmopressin group than control group . No side effects were observed using local desmopressin.

Conclusions : Premedication with local desmopressin can reduce bleeding effectively and raise the quality of the surgical field during functional endoscopic sinus surgery.

 

Author Biographies

Youssef Youssef , Tishreen University

Professor , Department of Otorhinolaryngology, Faculty of Medicine

Ala'a Dalila, Tishreen University

Postgraduate student , Department of Otorhinolaryngology, Faculty of Medicine

Downloads

Published

2021-10-28

How to Cite

1.
يوسف ي, دليله ع. Effect of local desmopressin administration on quality of the surgical field during endoscopic sinus surgery. Tuj-hlth [Internet]. 2021Oct.28 [cited 2024Nov.24];43(5). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/11014

Issue

Vol. 43 No. 5 (2021): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)

1 2 3 > >>