An Outcome Analysis of Endoscopic Sinus Surgery in Chronic Sinusitis with Chronic Rhinitis Non-responsive to Medical Therapy
Article Sidebar
Main Article Content
Abstract
Introduction
Chronic sinusitis with chronic rhinitis affect the patients’ quality of life significantly. Aim of this study is to assess the outcome of Endoscopic Sinus Surgery (ESS) in terms of Quality of Life (QoL) in patient with Chronic Sinusitis with Chronic Rhinitis (CSCR), non-responsive to medical therapy.
Materials and Methods
Prospective study was conducted among 75 patients of CSCR non responsive to medical therapy in the age group of 15 to 80 years over a period of 18 months (January 2018 to June 2019). The subjects were randomly grouped into two, namely Group 1- CSCR with Polyp and Group 2- CSCR without Polyp. Subjects were asked to complete SNOT-22 score and Visual analogue scale (VAS) and conventional medical treatment was given for 2 weeks. Those failed to respond as per EPOS guideline were subjected to ESS and followed up at 6 weeks and 12 weeks, re-assessed by SNOT-22 questionnaire and VAS. Data was analyzed by using Paired t- test.
Results
Statistically significant (p-value <0.05) improvement in symptom score assessing QoL after Endoscopic sinus surgery.
Conclusion
Patients with CRS non- responsive to medical treatment, the decision for surgery should be guided by their pre-operative QoL impairment, as measured by SNOT-22 and VAS.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Tomasser P, Zele TV, Zhag N, Novo CP, Bruaene NV, Gevaert P, Bachert C. Pathophysiology of chronic rhinosinusitis. Upper Airway Research Laboratory, Dept of Otolaryngology 2011; vol-8: pp 115-20
Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012.Rhinol Suppl. 2012; 23: 1-298
ICD-10 Second Edition Volume 2 – World Health Organization, p15
Soler ZM, Smith TL. Quality of Life Outcomes After Functional Endoscopic Sinus Surgery Otolaryngologic Clinics of North America 2010; 43(3), 605-12
Schalek P. Rhinosinusitis- Its impact on quality of life, Peculiar aspect of Rhinosinusitis.2011. ISBN: 978-953-307-763-5
Chowdary VS, Vinaykumar EC, Rao JJ, Rao R, et al. A study on Serum IgE and Eosinophils in respiratory allergy patients. Indian Journal of Allergy Asthma Immunol. 2003; 17(1): 21-4
Lund VJ, Mackay IS. Outcome assessment of endoscopic sinus surgery. J R Soc Med. 1994; 87: 70-72
Bachert C, Pawankar R, Zhang L, Bunnag C, et al. ICON: chronic rhinosinusitis. World Allergy Organization Journal 2014, 7:25
Hastan D, Fokkens WJ, Bachert C, et al. Chronic rhinosinusitis in Europe—An underestimated disease. A GA(2)LEN study. Allergy 2011; 66:1216-23
Baumann I, Blumenstock G, Zalaman IM, et al. Impact of gender, age, and comorbidities on quality of life in patients with chronic rhinosinusitis. Rhinology 2007; 45:268-72
Anand VK. Epidemiology and economic impact of rhinosinusitis. Ann Otol Rhinol Laryngol Suppl. 2004; 193:3-5
Min YG, Jung HW, Kim HS, et al. Prevalence and risk factors of chronic sinusitis in Korea: Results of a nationwide survey. Eur Arch Otorhinolaryngol. 1996; 253:435-9
Fadda GL, Rosso S, Aversa S, Petrelli A, et al. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital. 2012; 32(4):244-51
Kaygusuz A, Haksever M, Akduman D, Aslan S, Sayar Z. Sinonasal anatomical variations: their relationship with chronic rhinosinusitis and effect on the severity of disease-a computerized tomography assisted anatomical and clinical study. Indian J Otolaryngol Head Neck Surg. 2014; 66(3):260-6
Pullarat AN, Kottayil S, Raj G, Basheer NK. A comparative analysis of CT scan versus diagnostic nasal endoscopy in chronic rhino sinusitis. Int J Otorhinolaryngol Head Neck Surg. 2018; 4:930-4
Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP. Psychometric validity of the 22-item Sinonasal Outcome Test. Clinical Otolaryngology 2009; 34, 447-54
Alobid I, Sprekelsen MB, Mullol J. Chronic rhinosinusitis and nasal polyps: the role of generic and specific questionnaires on assessing its impact on patients’ quality of life. Allergy 2008: 63: 1267-79
Hopkins C, Browne JP, Slack R, Lund V, Brown P. The Lund-Mackay staging system for chronic rhinosinusitis: How is it used and what does it predict? Otolaryngol Head Neck Surg. 2007; 137:555-61
Sharma V, Rajbhandari S, Sathian B. Functional Endoscopic Sinus Surgery :comparison in a tertiary care Hospital. American Journal of Public Health Research 2015; 3(5A): 44-47
Johnson PS, Hopkins C, Ohlsson B, Ahlner-Elmqvist M. The effect of endoscopic sinus surgery on quality of life and absenteeism in patients with chronic rhinosinuitis - a multi-centre study. Rhinology 2017; 55:251-61
DeConde AS, Mace JC, Ashby S, Smith TL, Orlandi RR, Alt JA. Characterization of facial pain associated with chronic rhinosinusitis using validated pain evaluation instruments. Int Forum Allergy Rhinol. 2015; 5.