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Effects of endoscopic sinus surgery on nasal spray deposition using dye-based methods for humans and a human silicone sinonasal cavity model.
Am J Otolaryngol. 2021 Nov-Dec; 42(6):103058.AJ

Abstract

OBJECTIVE

We have evaluated that the deposition patterns of corticosteroid nasal spray in the sinonasal cavity of both post-operated human cases, which were further compared with a computed tomography-based sinonasal airway model.

METHODS

Fifty-one patients with chronic rhinosinusitis following an endoscopic sinus surgery were enrolled in this study. Nasal spray mometasone furoate hydrate (Nasonex®) containing 0.1% indigocarmine was applied to the patients' nasal cavities and the sinonasal cavity was observed by endoscopy and video documentation. A single plaster sinonasal model was used to quantify the sinonasal deposition of nasal sprays containing 10% red ink solution using 12 round paper strips.

RESULTS

The predominant areas of the spray deposition of the operated sinonasal cavities were recognized in the ethmoid sinus and the olfactory cleft in the human study. The droplets were mainly deposited in the inferior turbinate followed by the posterior part of the ethmoid sinus, the olfactory cleft, and anterior part of the ethmoid sinus in a sinonasal model.

CONCLUSION

The corticosteroid nasal spray efficiently reached the olfactory cleft and the ethmoid sinus in post-operative conditions, which was demonstrated by post-operated human cases and a computed tomography-based sinonasal airway model.

Authors+Show Affiliations

Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, Japan. Electronic address: ike@juntendo.ac.jp.Department of Mechanical Engineering and Intelligent Systems Graduate School of Informatics and Engineering, The University of Electro-Communications, Tokyo, Japan.Department of Mechanical Engineering and Intelligent Systems Graduate School of Informatics and Engineering, The University of Electro-Communications, Tokyo, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33932624

Citation

Ikeda, Katsuhisa, et al. "Effects of Endoscopic Sinus Surgery On Nasal Spray Deposition Using Dye-based Methods for Humans and a Human Silicone Sinonasal Cavity Model." American Journal of Otolaryngology, vol. 42, no. 6, 2021, p. 103058.
Ikeda K, Harashima T, Koike T. Effects of endoscopic sinus surgery on nasal spray deposition using dye-based methods for humans and a human silicone sinonasal cavity model. Am J Otolaryngol. 2021;42(6):103058.
Ikeda, K., Harashima, T., & Koike, T. (2021). Effects of endoscopic sinus surgery on nasal spray deposition using dye-based methods for humans and a human silicone sinonasal cavity model. American Journal of Otolaryngology, 42(6), 103058. https://doi.org/10.1016/j.amjoto.2021.103058
Ikeda K, Harashima T, Koike T. Effects of Endoscopic Sinus Surgery On Nasal Spray Deposition Using Dye-based Methods for Humans and a Human Silicone Sinonasal Cavity Model. Am J Otolaryngol. 2021 Nov-Dec;42(6):103058. PubMed PMID: 33932624.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of endoscopic sinus surgery on nasal spray deposition using dye-based methods for humans and a human silicone sinonasal cavity model. AU - Ikeda,Katsuhisa, AU - Harashima,Tatsunari, AU - Koike,Takuji, Y1 - 2021/04/16/ PY - 2021/02/07/received PY - 2021/03/24/revised PY - 2021/04/10/accepted PY - 2021/5/2/pubmed PY - 2022/1/14/medline PY - 2021/5/1/entrez KW - Endoscopic sinus surgery KW - Model KW - Nasal cavity KW - Nasal spray KW - Post-operation KW - Rhinosinusitis SP - 103058 EP - 103058 JF - American journal of otolaryngology JO - Am J Otolaryngol VL - 42 IS - 6 N2 - OBJECTIVE: We have evaluated that the deposition patterns of corticosteroid nasal spray in the sinonasal cavity of both post-operated human cases, which were further compared with a computed tomography-based sinonasal airway model. METHODS: Fifty-one patients with chronic rhinosinusitis following an endoscopic sinus surgery were enrolled in this study. Nasal spray mometasone furoate hydrate (Nasonex®) containing 0.1% indigocarmine was applied to the patients' nasal cavities and the sinonasal cavity was observed by endoscopy and video documentation. A single plaster sinonasal model was used to quantify the sinonasal deposition of nasal sprays containing 10% red ink solution using 12 round paper strips. RESULTS: The predominant areas of the spray deposition of the operated sinonasal cavities were recognized in the ethmoid sinus and the olfactory cleft in the human study. The droplets were mainly deposited in the inferior turbinate followed by the posterior part of the ethmoid sinus, the olfactory cleft, and anterior part of the ethmoid sinus in a sinonasal model. CONCLUSION: The corticosteroid nasal spray efficiently reached the olfactory cleft and the ethmoid sinus in post-operative conditions, which was demonstrated by post-operated human cases and a computed tomography-based sinonasal airway model. SN - 1532-818X UR - https://www.unboundmedicine.com/medline/citation/33932624/Effects_of_endoscopic_sinus_surgery_on_nasal_spray_deposition_using_dye_based_methods_for_humans_and_a_human_silicone_sinonasal_cavity_model_ DB - PRIME DP - Unbound Medicine ER -