Effectiveness of keigairengyoto in patients with chronic rhinosinusitis after endoscopic sinus surgery

Author:

Ikemiyagi Hidetaka1,Hatakeyama Hiromitsu1ORCID,Isono Yasuhiro1,Kuwahara Tatsu1,Oki Yamato1,Ninomiya Hiroaki1,Yaguchi Ayaka1,Fukui Kenta1,Oridate Nobuhiko2

Affiliation:

1. Department of Otolaryngology Yokohama City University Medical Center Yokohama Japan

2. Department of Otorhinolaryngology – Head and Neck Surgery Yokohama City University, School of Medicine Yokohama Japan

Abstract

AbstractAimThis study sought to investigate the efficacy of keigairengyoto (KRT, TJ‐50), a Japanese traditional medicine, in the regulation of bacterial infections and treatment of chronic rhinosinusitis.MethodsPatients undergoing endoscopic sinus surgery (ESS) were randomized into two groups: one receiving low‐dose macrolide (n = 13) and the other concurrent KRT (n = 9) for 12 weeks. They were evaluated by Sino‐Nasal Outcome Test‐22 (SNOT‐22), an olfactory survey based on a visual analog scale and bacteria survey. The type of bacteria and number of colony‐forming units were examined 12 weeks after the ESS.ResultsBoth groups showed improvement in the total SNOT‐22 score and olfactory survey. The increase in the number of bacteria was clearly suppressed in the KRT group as compared with the non‐KRT group.ConclusionKRT appears to be a promising agent for the regulation of bacterial growth during postoperative treatment for chronic sinusitis.

Publisher

Wiley

Subject

Environmental Engineering

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