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Systematic review of topical vasoconstrictors in endoscopic sinus surgery
Objective: The objective of this study is to systematically review the literature and examine the safety for the use of topical vasoconstrictors in endoscopic sinus surgery. Study Design: Systematic review clinical trials. Method: A systematic literature search was performed in MEDLINE, EMBASE, The...
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| Published in: | The Laryngoscope 2011-02, Vol.121 (2), p.422-432 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c4876-4a65d3a416cf1a6b2545c92546b44e8b4ec901a2cd8ed5f6b2388474e751bfe73 |
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| cites | cdi_FETCH-LOGICAL-c4876-4a65d3a416cf1a6b2545c92546b44e8b4ec901a2cd8ed5f6b2388474e751bfe73 |
| container_end_page | 432 |
| container_issue | 2 |
| container_start_page | 422 |
| container_title | The Laryngoscope |
| container_volume | 121 |
| creator | Higgins, Thomas S. Hwang, Peter H. Kingdom, Todd T. Orlandi, Richard R. Stammberger, Heinz Han, Joseph K. |
| description | Objective:
The objective of this study is to systematically review the literature and examine the safety for the use of topical vasoconstrictors in endoscopic sinus surgery.
Study Design:
Systematic review clinical trials.
Method:
A systematic literature search was performed in MEDLINE, EMBASE, The Cochrane Library, and National Guideline Clearinghouse, and references in the selected articles.
Results:
The search criteria captured 42 manuscripts with relevant titles. A systematic review on the topical use of phenylephrine was found; however, no other systematic review, meta‐analyses, or clinical guidelines were identified. Six randomized clinical trials or comparative studies, as well as multiple case reports and review articles were also identified. The literature supports the safety of oxymetazoline and epinephrine when used judiciously in carefully selected patients undergoing endoscopic sinonasal surgery; however, topical phenylephrine is not recommended because of its risk profile.
Conclusion:
In sinus or nasal surgery, topical vasoconstrictors should be used in a manner that minimizes the risk of cardiovascular morbidity. |
| doi_str_mv | 10.1002/lary.21286 |
| format | article |
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The objective of this study is to systematically review the literature and examine the safety for the use of topical vasoconstrictors in endoscopic sinus surgery.
Study Design:
Systematic review clinical trials.
Method:
A systematic literature search was performed in MEDLINE, EMBASE, The Cochrane Library, and National Guideline Clearinghouse, and references in the selected articles.
Results:
The search criteria captured 42 manuscripts with relevant titles. A systematic review on the topical use of phenylephrine was found; however, no other systematic review, meta‐analyses, or clinical guidelines were identified. Six randomized clinical trials or comparative studies, as well as multiple case reports and review articles were also identified. The literature supports the safety of oxymetazoline and epinephrine when used judiciously in carefully selected patients undergoing endoscopic sinonasal surgery; however, topical phenylephrine is not recommended because of its risk profile.
Conclusion:
In sinus or nasal surgery, topical vasoconstrictors should be used in a manner that minimizes the risk of cardiovascular morbidity.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.21286</identifier><identifier>PMID: 21271600</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Administration, Topical ; Biological and medical sciences ; Clinical Trials as Topic ; cocaine ; Complication ; endoscopic surgery ; Endoscopy ; epinephrine/adrenaline ; Humans ; Level of Evidence: Level 1 ; Medical sciences ; nasal ; Otorhinolaryngologic Surgical Procedures - methods ; Otorhinolaryngology. Stomatology ; oxymetazoline ; Paranasal Sinuses - surgery ; phenylephedrine ; phenylephrine ; Phenylephrine - administration & dosage ; Phenylephrine - adverse effects ; sinus ; topical ; vasoconstrictor ; Vasoconstrictor Agents - administration & dosage ; xylometazoline</subject><ispartof>The Laryngoscope, 2011-02, Vol.121 (2), p.422-432</ispartof><rights>Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4876-4a65d3a416cf1a6b2545c92546b44e8b4ec901a2cd8ed5f6b2388474e751bfe73</citedby><cites>FETCH-LOGICAL-c4876-4a65d3a416cf1a6b2545c92546b44e8b4ec901a2cd8ed5f6b2388474e751bfe73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23885519$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21271600$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Higgins, Thomas S.</creatorcontrib><creatorcontrib>Hwang, Peter H.</creatorcontrib><creatorcontrib>Kingdom, Todd T.</creatorcontrib><creatorcontrib>Orlandi, Richard R.</creatorcontrib><creatorcontrib>Stammberger, Heinz</creatorcontrib><creatorcontrib>Han, Joseph K.</creatorcontrib><title>Systematic review of topical vasoconstrictors in endoscopic sinus surgery</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objective:
The objective of this study is to systematically review the literature and examine the safety for the use of topical vasoconstrictors in endoscopic sinus surgery.
Study Design:
Systematic review clinical trials.
Method:
A systematic literature search was performed in MEDLINE, EMBASE, The Cochrane Library, and National Guideline Clearinghouse, and references in the selected articles.
Results:
The search criteria captured 42 manuscripts with relevant titles. A systematic review on the topical use of phenylephrine was found; however, no other systematic review, meta‐analyses, or clinical guidelines were identified. Six randomized clinical trials or comparative studies, as well as multiple case reports and review articles were also identified. The literature supports the safety of oxymetazoline and epinephrine when used judiciously in carefully selected patients undergoing endoscopic sinonasal surgery; however, topical phenylephrine is not recommended because of its risk profile.
Conclusion:
In sinus or nasal surgery, topical vasoconstrictors should be used in a manner that minimizes the risk of cardiovascular morbidity.</description><subject>Administration, Topical</subject><subject>Biological and medical sciences</subject><subject>Clinical Trials as Topic</subject><subject>cocaine</subject><subject>Complication</subject><subject>endoscopic surgery</subject><subject>Endoscopy</subject><subject>epinephrine/adrenaline</subject><subject>Humans</subject><subject>Level of Evidence: Level 1</subject><subject>Medical sciences</subject><subject>nasal</subject><subject>Otorhinolaryngologic Surgical Procedures - methods</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>oxymetazoline</subject><subject>Paranasal Sinuses - surgery</subject><subject>phenylephedrine</subject><subject>phenylephrine</subject><subject>Phenylephrine - administration & dosage</subject><subject>Phenylephrine - adverse effects</subject><subject>sinus</subject><subject>topical</subject><subject>vasoconstrictor</subject><subject>Vasoconstrictor Agents - administration & dosage</subject><subject>xylometazoline</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp90c9P2zAUB3BrGoLy47I_YMoFISGl2IntOEeERgEVkNimsV0sx3mZDGnc-SWF_ve4tMBtF_vgz3vP_pqQL4yOGaXZSWvCcpyxTMlPZMREzlJeluIzGcXDPFUiu98hu4gPlLIiF3Sb7ERcMEnpiFx-X2IPM9M7mwRYOHhKfJP0fu6saZOFQW99h31wtvcBE9cl0NUe7Qok6LoBExzCXwjLfbLVmBbhYLPvkZ_n336cXaTT28nl2ek0tVwVMuVGijo3nEnbMCOrTHBhy7jKinNQFQdbUmYyWyuoRRNBrhQvOBSCVQ0U-R45WvedB_9vAOz1zKGFtjUd-AG14irPGJUrebyWNnjEAI2eBzeLYWlG9So5vUpOvyYX8ddN26GaQf1O36KK4HADDMZsmmA66_DDxWsKwcro2No9uRaW_xmpp6d3v9-Gp-saFz_j-b3GhEcd31EI_etmoq-u7-mfiRBa5i_dnZXf</recordid><startdate>201102</startdate><enddate>201102</enddate><creator>Higgins, Thomas S.</creator><creator>Hwang, Peter H.</creator><creator>Kingdom, Todd T.</creator><creator>Orlandi, Richard R.</creator><creator>Stammberger, Heinz</creator><creator>Han, Joseph K.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201102</creationdate><title>Systematic review of topical vasoconstrictors in endoscopic sinus surgery</title><author>Higgins, Thomas S. ; Hwang, Peter H. ; Kingdom, Todd T. ; Orlandi, Richard R. ; Stammberger, Heinz ; Han, Joseph K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4876-4a65d3a416cf1a6b2545c92546b44e8b4ec901a2cd8ed5f6b2388474e751bfe73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Administration, Topical</topic><topic>Biological and medical sciences</topic><topic>Clinical Trials as Topic</topic><topic>cocaine</topic><topic>Complication</topic><topic>endoscopic surgery</topic><topic>Endoscopy</topic><topic>epinephrine/adrenaline</topic><topic>Humans</topic><topic>Level of Evidence: Level 1</topic><topic>Medical sciences</topic><topic>nasal</topic><topic>Otorhinolaryngologic Surgical Procedures - methods</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>oxymetazoline</topic><topic>Paranasal Sinuses - surgery</topic><topic>phenylephedrine</topic><topic>phenylephrine</topic><topic>Phenylephrine - administration & dosage</topic><topic>Phenylephrine - adverse effects</topic><topic>sinus</topic><topic>topical</topic><topic>vasoconstrictor</topic><topic>Vasoconstrictor Agents - administration & dosage</topic><topic>xylometazoline</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Higgins, Thomas S.</creatorcontrib><creatorcontrib>Hwang, Peter H.</creatorcontrib><creatorcontrib>Kingdom, Todd T.</creatorcontrib><creatorcontrib>Orlandi, Richard R.</creatorcontrib><creatorcontrib>Stammberger, Heinz</creatorcontrib><creatorcontrib>Han, Joseph K.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Higgins, Thomas S.</au><au>Hwang, Peter H.</au><au>Kingdom, Todd T.</au><au>Orlandi, Richard R.</au><au>Stammberger, Heinz</au><au>Han, Joseph K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic review of topical vasoconstrictors in endoscopic sinus surgery</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2011-02</date><risdate>2011</risdate><volume>121</volume><issue>2</issue><spage>422</spage><epage>432</epage><pages>422-432</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objective:
The objective of this study is to systematically review the literature and examine the safety for the use of topical vasoconstrictors in endoscopic sinus surgery.
Study Design:
Systematic review clinical trials.
Method:
A systematic literature search was performed in MEDLINE, EMBASE, The Cochrane Library, and National Guideline Clearinghouse, and references in the selected articles.
Results:
The search criteria captured 42 manuscripts with relevant titles. A systematic review on the topical use of phenylephrine was found; however, no other systematic review, meta‐analyses, or clinical guidelines were identified. Six randomized clinical trials or comparative studies, as well as multiple case reports and review articles were also identified. The literature supports the safety of oxymetazoline and epinephrine when used judiciously in carefully selected patients undergoing endoscopic sinonasal surgery; however, topical phenylephrine is not recommended because of its risk profile.
Conclusion:
In sinus or nasal surgery, topical vasoconstrictors should be used in a manner that minimizes the risk of cardiovascular morbidity.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21271600</pmid><doi>10.1002/lary.21286</doi><tpages>11</tpages></addata></record> |
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| identifier | ISSN: 0023-852X |
| ispartof | The Laryngoscope, 2011-02, Vol.121 (2), p.422-432 |
| issn | 0023-852X 1531-4995 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_848321067 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Administration, Topical Biological and medical sciences Clinical Trials as Topic cocaine Complication endoscopic surgery Endoscopy epinephrine/adrenaline Humans Level of Evidence: Level 1 Medical sciences nasal Otorhinolaryngologic Surgical Procedures - methods Otorhinolaryngology. Stomatology oxymetazoline Paranasal Sinuses - surgery phenylephedrine phenylephrine Phenylephrine - administration & dosage Phenylephrine - adverse effects sinus topical vasoconstrictor Vasoconstrictor Agents - administration & dosage xylometazoline |
| title | Systematic review of topical vasoconstrictors in endoscopic sinus surgery |
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