Professional paper
Nasal irrigation with Sterimar solution after transsphenoidal surgery of tumors in sellar region
Živko Gnjidić
; Clinics for neurosurgery, CHC Sisters of mercy, Zagreb
Marko Grgić
; Clinics for otorinolaringology, CHC Sisters of mercy, Zagreb
Petra Turčić
; Department of pharmacology, Faculty of Pharmacology and biochemistry, University of Zagreb
Maša Malenica
; Clinics for pediatrics, CHC Sisters of mercy, Zagreb
Darko Stipić
; Clinics for neurosurgery, CHC Sisters of mercy, Zagreb
Abstract
Aim: In this research we are comparing the results of nasal packing with Sterimar
solution to the results obtained with saline lavage or no local packing after transsphenoidal
pituitary surgery. Patients and methods: This investigation was based on subjective assessment
among 90 patients operated for transnasal transsphenoidal pituitary surgery. The patients
were divided into 3 groups according to type of postoperative nasal care and follow
up was 30 days. The first group used saline solution, the second group used isotonic sea water
(Sterimar spray) and the third group did not use and nasal irrigation postoperatively. Results:
Statistically significant improvement in decreased anterior and posterior nasal secretion
was observed in Sterimar group of patients between day 10. And 15. Resulting in
improved nasal breathing and quality of life in that period. Discussion and conclusion: Most
patients had an improvement of the monitored feature during the period od 30 days. This
improvement was most pronounced in the group of patients which have used Sterimar solution
who had a statistically significant decrease of anterior and posterior nasal secretion.ijih st
Keywords
iatrogenic consequences; nasal irrigation; postoperative care; quality of life; sea water; septum deviation; transsphenoidal surgery
Hrčak ID:
70142
URI
Publication date:
1.6.2011.
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