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lack of recruitment and usable data
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The purpose of this study is to compare the efficacy and outcomes of Chitodex gel plus Kenalog versus Nexfoam plus Kenalog in patients with chronic rhinosinusitis (CRS) undergoing sinus surgery. Both dressings are already known to be beneficial in controlling postoperative bleeding and promote wound healing.
The trial will be single blinded randomized controlled trial and patients recruited will undergo endoscopic sinus surgery as standard of care for treatment of CRS. Specific outcome measures will be objective and subjective outcome scores post surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chitogel | Chitodex gel plus Kenalog inserted into the middle meatus |
| |
| Nexfoam | NexFoam plus Kenalog inserted into the middle meatus |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chitogel | Device | post-operative dressing within standard of care |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Scores on Endoscopy | Outcome measured based on the wound healing in the sinus openings made during surgery. | 12 (±2) weeks post surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Symptom Scores on Patients' Self-Directed Questionnaires | Outcomes measured based on patients' personal symptom assessment. | 12 (±2) weeks post surgery |
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Inclusion Criteria:
Exclusion Criteria:
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SLUCare Otolaryngology Clinic
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| Name | Affiliation | Role |
|---|---|---|
| Joseph D Brunworth, MD | Department of Otolaryngology-Head & Neck Surgery | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Louis University | St Louis | Missouri | 63104 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23322408 | Background | Ngoc Ha T, Valentine R, Moratti S, Robinson S, Hanton L, Wormald PJ. A blinded randomized controlled trial evaluating the efficacy of chitosan gel on ostial stenosis following endoscopic sinus surgery. Int Forum Allergy Rhinol. 2013 Jul;3(7):573-80. doi: 10.1002/alr.21136. Epub 2013 Jan 16. | |
| 19178792 | Background |
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| Nexfoam |
| Device |
post-operative dressing within standard of care |
|
| Le T, Psaltis A, Tan LW, Wormald PJ. The efficacy of topical antibiofilm agents in a sheep model of rhinosinusitis. Am J Rhinol. 2008 Nov-Dec;22(6):560-7. doi: 10.2500/ajr.2008.22.3232. |
| 22865576 | Background | Jervis-Bardy J, Boase S, Psaltis A, Foreman A, Wormald PJ. A randomized trial of mupirocin sinonasal rinses versus saline in surgically recalcitrant staphylococcal chronic rhinosinusitis. Laryngoscope. 2012 Oct;122(10):2148-53. doi: 10.1002/lary.23486. Epub 2012 Aug 2. |