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Updated: Mar 23, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Intranasal T-LysYal® as adjunctive therapy for patients after functional endoscopic sinus surgery
M Gelardi1, S Taliente1, M L Fiorella1
1Otolaryngology, Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari Aldo Moro, Bari, Italy.
This study shows that intranasal T-LysYal®, a hyaluronic acid formulation, significantly improves recovery after Functional Endoscopic Sinus Surgery (FESS). Patients using T-LysYal® experienced reduced symptoms and inflammation, with lasting benefits.
Area of Science:
- Otolaryngology
- Biomaterials Science
- Immunology
Background:
- Functional Endoscopic Sinus Surgery (FESS) is a common procedure for upper airway disorders.
- Hyaluronic acid (HA) possesses reparative, anti-inflammatory, and immune-modulating properties.
- A novel intranasal HA formulation, T-LysYal®, combines lysine hyaluronate, thymine, and sodium chloride.
Purpose of the Study:
- To evaluate the efficacy of intranasal T-LysYal® in reducing symptoms, endoscopic features, and nasal cytology post-FESS.
- To compare the effects of T-LysYal® with isotonic saline solution in FESS patients.
Main Methods:
- A randomized study involving 83 patients undergoing FESS.
- Patients received either isotonic saline or intranasal T-LysYal® plus saline for 4 weeks.
- Assessments included symptom severity, endoscopic evaluation, and nasal cytology at baseline, post-treatment, and follow-up.
Main Results:
- Intranasal T-LysYal® significantly reduced symptom severity compared to saline.
- Endoscopic features and inflammatory cell counts were significantly lower in the T-LysYal® group.
- Treatment effects were sustained at the 4-week follow-up.
Conclusions:
- Intranasal T-LysYal® demonstrates significant efficacy in improving patient outcomes after FESS.
- The formulation offers a long-lasting beneficial effect on post-surgical recovery.
- T-LysYal® represents a promising therapeutic option for post-FESS management.
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