Long-term outcomes of endoscopic sinus surgery for chronic rhinosinusitis with and without nasal polyps |
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| Authors: | Juliana Gama Mascarenhas Viviane Maria Guerreiro da Fonseca Vitor Guo Chen Caroline Harumi Itamoto Camila Atallah Pontes da Silva Luis Carlos Gregório Eduardo Macoto Kosugi |
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| Affiliation: | 1. MD graduated at UFG (Second-year ENT resident physician at UNIFESP-EPM).;2. MD, ENT, graduated at UNIFESP-EPM (Pediatric ENT Fellow at UNIFESP-EPM).;3. Rhinology Fellow at UNIFESP-EPM (Rhinology Fellow at UNIFESP-EPM).;4. Rhinology Fellow at UNIFESP-EPM (Assisting Physician in the Rhinology Service - Skull Base - at UNIFESP-EPM).;5. PhD in Medicine at UNIFESP-EPM (Head of the ENT and HNS at UNIFESP-EPM).;6. PhD in Sciences at UNIFESP-EPM (Coordinator of the Rhinology Fellowship Program and Head Preceptor of the ENT Residency Program at UNIFESP-EPM). Rhinology Division - Department of Otorhinolaryngology and Head and Neck Surgery UNIFESP - EPM (Paulista School of Medicine - Federal University of São Paulo). |
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| Abstract: | Chronic rhinosinusitis (CRS) significantly affects patient quality of life. Medical and surgical treatments aim to clinically manage the condition.ObjectiveTo assess the long-term quality of life and clinical management of CRS in patients submitted to endoscopic sinus surgery.MethodThis prospective cross-sectional cohort study enrolled 38 patients and looked into the follow-up data of subjects diagnosed with CRS before surgery, three months after surgery, and at least two years after surgery. The Sinonasal Outcome Test 22 (SNOT-22) was used to assess response to treatment and long-term clinical management of the disease.ResultsSignificant improvements in the SNOT-22 scores were seen between the preoperative (61.3) and postoperative assessments with three (16.9) and 24 (32.3) months. No statistically significant differences were seen when patients with polyps were compared to polyp-free subjects. Few patients were controlled in both groups, and 7.89% of the subjects had revision surgery during the study.ConclusionEndoscopic sinus surgery significantly improved the quality of life of patients with chronic rhinosinusitis. Clinical control of the condition was acceptable, with few patients requiring re-operation within two years of the first surgery. |
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| Keywords: | nasal polyps natural orifice endoscopic surgery quality of life sinusitis treatment outcome |
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