Cochrane · systematic review · CD011988
Sinonasal debridement versus no debridement for the postoperative care of patients undergoing endoscopic sinus surgery
Tzelnick, S, Alkan, U, Leshno, M, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
ENTAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
4
No studies
2
Included studies
NR
No studies 2 · 33.3%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 66.7%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Sinonasal debridement versus no debridement for the postoperative care of patients undergoing endoscopic sinus surgery
Population: adult patients who underwent primary endoscopic sinus surgery, with a diagnosis of recurrent acute or chronic rhinosinusitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health‐related quality of life (SNOT‐22) (range 0 to 110) Sinonasal debridement vs no debridement | no estimate extracted | 1 study · 58 participants | Low Downgraded: risk of bias, imprecision |
Disease severity, measured by patient‐reported symptom score (VAS) (range 0 to 100) Sinonasal debridement vs no debridement | no estimate extracted | 1 study · 60 participants | Low Downgraded: risk of bias, imprecision |
Significant adverse effects: significant bleeding requiring intervention, severe pain, iatrogenic injury Sinonasal debridement vs no debridement | no estimate extracted | NR | No studies |
Postoperative endoscopic appearance of the sinonasal surgical cavities: Lund‐Kennedy endoscopic score (range 1 to 10) Sinonasal debridement vs no debridement | no estimate extracted | 2 studies · 118 participants | Low Downgraded: risk of bias, imprecision |
Adhesion rate Sinonasal debridement vs no debridement | RR 0.43 [0.28, 0.68] | 4 studies · 152 participants | Low Downgraded: risk of bias, imprecision |
Rate of revision surgeries Sinonasal debridement vs no debridement | no estimate extracted | NR | No studies |