Outcome predictors post functional endoscopic sinus surgery: A prospective observational study
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 2
Abstract
Objective: Functional endoscopic sinus surgery (FESS) is a common procedure used to treat recalcitrant chronic rhinosinusitis. We aimed to determine factors associated with favourable outcomes post sinus surgery. Methods: Forty patients diagnosed with medically refractive chronic rhinosinusitis were evaluated with preoperative CT scans of Paranasal sinuses, diagnostic nasal endoscopies and patient reported symptom scores using the SNOT-20 system. All patients underwent FESS and symptom outcomes were evaluated at 6 months postoperatively using the SNOT-20 scale. Results: Females comprised 21 out of the forty patients. 16 patients had chronic rhinosinusitis with polyposis. 11 patients had history of associated atopy. 91.6% of non atopic patients showed improvement in postoperative SNOT scores compared to 75% of atopic individuals. Conclusion: FESS improves quality of life postoperatively by decreasing SNOT scores. Atopy plays a major role in determining outcomes. Patients with limited sinonasal disease do better postoperatively as opposed to patients with pansinusitis and sinusitis associated with polyposis.
Authors and Affiliations
P Thirunavukarasu
Keywords
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