o Chronic rhinosinusitis is one of the most common health issue affected American population. Surgery plays an important role in the patients who failed the medical treatment. The most difficult location to be operated endoscopically is the frontal sinus. Frontal sinus is also found to be one of the most common sinus for residual and recurrence after the operation. Intranasal steroid seems to be one of the most beneficent post-sinus surgery cares. The topical therapy can be delivered by many approaches. According to the standard clinical practice guideline and recommendations, intranasal corticosteroid spray is suggested. The technique proved to have greater distribution than standard intranasal spray is instillation of steroid nose drops. The head position for instillation of steroid nose drops proven to have a greater access to olfactory cleft and frontal area is Vertex-to-floor position.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
King Chulalongkorn Memorial Hospital
Bangkok, Bangkok, Thailand
Srinagarind Hospital
Khon Kaen, Changwat Khon Kaen, Thailand
Total Sinonasal outcome test (SNOT) 20 score (validated Thai version)
Time frame: three months
Video-recorded nasal endoscope scoring: Modified Lund-Mackay Endoscopy Score(MLMES)
Time frame: three months
Rhinological Sinonasal outcome test (SNOT) 20 score (validated Thai version)
Time frame: three months
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