Effects of Adrenaline Infiltration on Surgical Field of View in Endoscopic Sinus Surgery

Effects of Adrenaline Infiltration on Surgical Field of View in Endoscopic Sinus Surgery

In endoscopic sinus surgery a clear surgical field of view is a very important aspect for good surgical outcome. This study is to evaluate the preoperative preparation to acquire best surgical field of view by comparing between the use of topical adrenaline and the use of combination of topical adrenaline with infiltration of 1% lidocaine with adrenaline in patients scheduled for endoscopic sinus surgery for rhinosinusitis.

Inclusion Criteria:

• Diagnosed with recurrent acute or chronic rhinosinusitis recalcitrant to medical treatment and scheduled for endoscopic sinus surgery

Exclusion Criteria:

• Patients who have asymetrical disease on the two sides (Lund Mackay score difference more than 2)
• Patients who have endoscopic sinus surgery for treatment of tumor or disease other than sinusitis
• Patients with underlying uncontrolled hypertension
• Patients with bleeding disorder or are unable to discontinue antiplatelet or anticoagulant before the surgery
• Patients who are allergic to adrenaline or to xylocaine