{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T16:32:00Z","timestamp":1780590720821,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T00:00:00Z","timestamp":1574121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>A randomized controlled trial was held to compare nonabsorbable packs to steroid\u2010eluting absorbable stents as middle meatal spacers after endoscopic sinus surgery in patients with chronic rhinosinusitis (CRS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>CRS patients were randomly assigned to receive either nonabsorbable Merocel packs wrapped in non\u2010latex glove material (packing type A) or Propel steroid eluting stents (packing type B). Twenty\u2010two\u2013item Sino\u2010Nasal Outcome Test (SNOT\u201022) scores were collected preoperatively and postoperatively during the initial 4 debridements up to 3 months. Recording of the nasal endoscopy was also collected during all postoperative visits. In addition, Lund\u2010Kennedy scores and middle turbinate lateralization scores, using a new visual analogue scale, were compared between the 2 types of packing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty CRS patients were prospectively enrolled in this institutional review board (IRB)\u2010approved study. Patients with packing type A had significantly lower middle turbinate lateralization scores at their first (\u223c10 days) postoperative visit (<jats:italic>p<\/jats:italic> = 0.02 and <jats:italic>p<\/jats:italic> = 0.04, for left and right sides, respectively). This difference disappeared by later postoperative visits (from 20 days to 3 months). Overall, patients receiving packing type A had significant lower SNOT\u201022 scores at 20 days postsurgery (<jats:italic>p<\/jats:italic> = 0.05). This difference also disappeared at 1 and 3 months postoperation. There were no statistically significant differences in Lund\u2010Kennedy scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this study, nonabsorbable packing materials showed significant superior middle meatal spacing capacities as evidenced by greater middle turbinate medialization capability at the first postoperative visit. Additionally, patients with this type of packing saw improvements in their SNOT\u201022 scores at the 20\u2010day postoperative visit. This study showed that there was no significant improvement in postoperative outcomes with drug\u2010eluting stents when compared to nonabsorbable packing.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.22492","type":"journal-article","created":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T16:12:10Z","timestamp":1574179930000},"page":"328-333","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Comparison of steroid\u2010releasing stents vs nonabsorbable packing as middle meatal spacers"],"prefix":"10.1002","volume":"10","author":[{"given":"Jordan W.","family":"Rawl","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Medical Branch  Galveston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"McQuitty","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch School of Medicine  Galveston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mashfee H.","family":"Khan","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch School of Medicine  Galveston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara K.","family":"Reichert","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Medical Branch  Galveston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong\u2010Fang","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Community Health University of Texas Medical Branch  Galveston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad R.","family":"Chaaban","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Medical Branch  Galveston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21258"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000701"},{"key":"e_1_2_7_4_1","volume-title":"FastStats \u2013 Statistics by Topic","author":"National Center for Health Statistics. 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