23
Cost
Benefit-Harm
Assessment Policy Level
Minimal Preponderance of benefit
over harm
Recommendation: Use of
nasal saline irrigation
In-office procedure with
cost
Preponderance of benefit
over harm
Recommendation:
Postoperative debridement
Moderate Preponderance of benefit
over harm
Strong Recommendation:
Topical corticosteroids
Moderate to high Balance of benefit and
harm
Option: Oral antibiotics
Minimal Preponderance of harm
over benefit
Recommendation against:
Topical decongestants
Minimal Balance of benefit and
harm
Option: Systemic
corticosteroids
Moderate to high Balance of benefit and
harm
Recommendation against:
Mitomycin C
Costs associated with
all packing materials.
Absorbable materials
are more costly than
nonabsorbable packing
Balance of risks and
benefits
Option: Although
evidence does exist
suggesting packing may
reduce adhesion formation,
it is limited and has not
been compared to studies
employing early and
frequent debridement
Variable depending on
stents and medication
Preponderance of benefit
over harm
Option: Corticosteroid-
eluting stents can
be considered in
the postoperative
ethmoidectomy cavity
