title: Powered-assisted partial turbinectomy versus mometasone furoate nasal spray for relief of nasal blockage in chronic or idiopathic rhinosinusitis.
abstract: CONCLUSIONS
  Power-assisted turbinectomy is a safe and reliable alternative for patients with nasal blockage if nasal corticosteroid spray therapy is not suitable.
  
  
  OBJECTIVE
  Powered-assisted partial turbinectomy was compared to the use of a corticosteroid nasal spray for relief of nasal obstruction in chronic or idiopathic rhinosinusitis.
  
  
  METHODS
  Patients were randomized to either power-assisted partial turbinectomy or daily use of mometasone furoate nasal spray for 6 months. Evaluation by peak nasal inspiratory flow (PNIF) and grading of symptoms by use of visual analog scale was done after 3 and 6 months. Grading of symptoms was also done by use of a questionnaire approximately 30 months after the last visit.
  
  
  RESULTS
  PNIF scores improved for all patients, although significantly only for patients on mometasone spray. Patients' self-reported symptoms decreased more for operated patients. Side effects were few and mild in both groups.
authors: Department of Ear, Nose and Throat Disease, Falun Hospital, Sweden. tomas.norlander@ltdalarna.se
authors: Tomas
authors: T
authors: Norlander
authors: Mats
authors: M
authors: Lindén
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007320:Inspiratory Capacity; D008297:Male; D008875:Middle Aged; D000068656:Mometasone Furoate; D009058:Mouth Breathing; D015999:Multivariate Analysis; D015508:Nasal Obstruction / Q000209:etiology / Q000628:therapy*; D059085:Nasal Sprays; D011244:Pregnadienediols / Q000627:therapeutic use*; D011788:Quality of Life; D012220:Rhinitis / Q000150:complications / Q000628:therapy; D012720:Severity of Illness Index; D012852:Sinusitis / Q000150:complications / Q000628:therapy; D012903:Smell; D014420:Turbinates / Q000601:surgery*; D055815:Young Adult
chemical_list: D000893:Anti-Inflammatory Agents; D059085:Nasal Sprays; D011244:Pregnadienediols; D000068656:Mometasone Furoate