Effect of hot saline irrigation on the operative field during endoscopic sinus surgery: a randomized controlled trial

Background Control of bleeding is very important during endoscopic sinus surgery. Saline heated up to 50 °C causes dilatation of vessels and edema without nasal mucosa necrosis. It also promotes the clotting cascade so helps in having a bloodless procedure. Methods and materials This randomized cont...

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Published in:European archives of oto-rhino-laryngology 2025, Vol.282 (1), p.235-240
Main Authors: Altaf, Jawairia, Ashfaq, Ahmed Hasan, Riaz, Nida, Arshad, Muhammad, Ayub, Nayyer, Rehman, Abdur, Maqbool, Shahzaib
Format: Article
Language:English
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Summary:Background Control of bleeding is very important during endoscopic sinus surgery. Saline heated up to 50 °C causes dilatation of vessels and edema without nasal mucosa necrosis. It also promotes the clotting cascade so helps in having a bloodless procedure. Methods and materials This randomized controlled trial was conducted on 60 patients divided into two groups (30 each). Group A was the interventional group in which patients were irrigated with saline of 50 °C during surgery. Group B was the control group where room-temperature saline was used. The operative field was assessed using the Boezaart score, duration of surgery, and bleeding in ml. Results The Boezaart score in group A came out to be 2.23 ± 0.72 whereas it was 3.43 ± 0.72 in group B. Most of the patients who were in the interventional group had their surgery completed within 60 min with comparatively less bleeding (mean bleeding = 221.83 ml). Patients of the control group had increased duration of surgery mostly and bleeding (mean = 265.67 ml). Our study showed a strong correlation amongst the Boezaart score, duration of surgery, and bleeding in ml with a p value of 
ISSN:0937-4477
1434-4726
1434-4726
DOI:10.1007/s00405-024-09005-0