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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Postoperative Polyp Scale (POPS): Development of a New Sinonasal Polyp Grading Scale.

Arthur W Wu1,2, Akaber M Halawi1,3, Elisa A Illing1,4

  • 1Snot Force Alliance, Inc., Louisville, Kentucky, USA.

The Laryngoscope
|March 3, 2023
PubMed
Summary

A new grading scale, the Postoperative Polyp Scale (POPS), accurately assesses nasal polyp recurrence after surgery. This reliable tool aids in evaluating treatments for chronic rhinosinusitis with nasal polyps.

Keywords:
chronic rhinosinusitisendoscopic gradingendoscopic sinus surgerynasal polypsoutcomes

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Medical Device Development

Background:

  • Current endoscopic grading scales inadequately assess postoperative nasal polyposis.
  • Accurate assessment of polyp recurrence is crucial for managing chronic rhinosinusitis with nasal polyps (CRSwNP).

Purpose of the Study:

  • To develop and validate a novel endoscopic grading system, the Postoperative Polyp Scale (POPS).
  • To improve the characterization of polyp recurrence in postoperative paranasal sinus cavities.

Main Methods:

  • A modified Delphi method involving 13 otolaryngologists, rhinologists, and allergists established the POPS.
  • Fellowship-trained rhinologists reviewed 50 postoperative endoscopy videos from CRSwNP patients using the POPS.
  • Test-retest and inter-rater reliability were assessed for the POPS.

Main Results:

  • The POPS demonstrated good inter-rater reliability (Kappa = 0.49-0.50).
  • Excellent test-retest reliability was observed (Kappa = 0.80).

Conclusions:

  • The POPS is a reliable and objective endoscopic grading scale for postoperative polyp recurrence.
  • This novel scale can aid in measuring the efficacy of medical and surgical interventions for CRSwNP.