Evaluation of Quality of Life in Patients After Endoscopic Sinus Surgery
Endoscopic Sinus Surgery
DOI:
https://doi.org/10.5281/zenodo.21268971Keywords:
Paranasal Sinuses, Nasal Surgical Procedures, Rhinitis + Sinusitis, Quality of LifeAbstract
Objective: This study aimed to determine the effects of endoscopic sinus surgery (ESS) on postoperative sleep, nasal breathing, and smell and taste changes in patients operated on for nasal polyps and chronic rhinosinusitis, using the Sino-Nasal Outcome Test (SNOT-22).
Methods: The treatment and follow-up of 42 patients who underwent ESS between 1 January 2018 and 31 December 2019 in an otorhinolaryngology clinic were reviewed.
Results: The mean age of the participants was 38.29 ± 12.35 years (range 18–69). The SNOT-22 questionnaire was administered preoperatively and at the third postoperative month. Preoperative paranasal computed tomography findings were scored using the Lund-Mackay (LM) system. The mean preoperative SNOT-22 score was 52.61 ± 13.19, and the mean preoperative LM score was 9.4 ± 5.8.
Conclusion: Our study showed that ESS is an effective surgical method in the treatment of nasal polyps and chronic rhinosinusitis. Significant improvement was seen in all components of SNOT-22 after surgery. Patient-reported measures such as SNOT-22 are useful tools for detecting changes in symptoms.
References
Fokkens WJ, Lund VJ, Mullol J, et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012;50(1):1-12. doi:10.4193/Rhino12.000
Hancı D, Altun H, Şahin E, Altıntoprak N, Cingi C. Turkish translation, cross-cultural adaptation and validation of the SinoNasal Outcome Test (SNOT)-22. ENT Updates. 2015;5(2):51-57.
Lund VJ, Mackay IS. Staging in rhinosinusitis. Rhinology. 1993;31(4):183-184.
DeConde AS, Bodner TE, Mace JC, Smith TL. Response shift in quality of life after endoscopic sinus surgery for chronic rhinosinusitis. JAMA Otolaryngol Head Neck Surg. 2014;140(8):712-719. doi:10.1001/jamaoto.2014.1045
Kennedy DW. Prognostic factors, outcomes and staging in ethmoid sinus surgery. Laryngoscope. 1992;102(12 Pt 2 Suppl 57):1-18.
Meltzer EO, Hamilos DL, Hadley JA, et al. Rhinosinusitis: establishing definitions for clinical research and patient care. Otolaryngol Head Neck Surg. 2004;131(6 Suppl):S1-S62. doi:10.1016/j.otohns.2004.09.067
Lange B, Thilsing T, Al-kalemji A, Baelum J, Martinussen T, Kjeldsen A. The Sino-Nasal Outcome Test 22 validated for Danish patients. Dan Med Bull. 2011;58(2):A4235.
Marambaia PP, Lima MG, Santos KP, Gomes Ade M, de Sousa MM, Marques ME. Evaluation of the quality of life of patients with chronic rhinosinusitis by means of the SNOT-22 questionnaire. Braz J Otorhinolaryngol. 2013;79(1):54-58. doi:10.5935/1808-8694.20130010
Lachanas VA, Tsea M, Tsiouvaka S, Hajiioannou JK, Skoulakis CE, Bizakis JG. The Sino-Nasal Outcome Test (SNOT)-22: validation for Greek patients. Eur Arch Otorhinolaryngol. 2014;271(10):2723-2728. doi:10.1007/s00405-014-2969-7
de Dorlodot C, Horoi M, Lefebvre P, et al. French adaptation and validation of the Sino-Nasal Outcome Test-22: a prospective cohort study on quality of life among 422 subjects. Clin Otolaryngol. 2015;40(1):29-35. doi:10.1111/coa.12315
Blackwell DL, Lucas JW, Clarke TC. Summary health statistics for U.S. adults: National Health Interview Survey, 2012. Vital Health Stat 10. 2014;(260):1-161.
Hastan D, Fokkens WJ, Bachert C, et al. Chronic rhinosinusitis in Europe—an underestimated disease. A GA²LEN study. Allergy. 2011;66(9):1216-1223. doi:10.1111/j.1398-9995.2011.02646.x
Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, et al. Clinical practice guideline (update): adult sinusitis. Otolaryngol Head Neck Surg. 2015;152(2 Suppl):S1-S39. doi:10.1177/0194599815572097
Smith TL, Litvack JR, Hwang PH, et al. Determinants of outcomes of sinus surgery: a multi-institutional prospective cohort study. Otolaryngol Head Neck Surg. 2010;142(1):55-63. doi:10.1016/j.otohns.2009.10.009
Rudmik L, Hopkins C, Peters A, Smith TL, Schlosser RJ, Soler ZM. Patient-reported outcome measures for adult chronic rhinosinusitis: a systematic review and quality assessment. J Allergy Clin Immunol. 2015;136(6):1532-1540.e2. doi:10.1016/j.jaci.2015.10.012
Benninger MS, Sindwani R, Holy CE, Hopkins C. Impact of medically recalcitrant chronic rhinosinusitis on incidence of asthma. Int Forum Allergy Rhinol. 2016;6(2):124-129. doi:10.1002/alr.21652
Younger J, Gandhi V, Hubbard E, Mackey S. Development of the Stanford Expectations of Treatment Scale (SETS): a tool for measuring patient outcome expectancy in clinical trials. Clin Trials. 2012;9(6):767-776. doi:10.1177/1740774512465064
Soler ZM, Jones R, Le P, et al. Sino-Nasal Outcome Test-22 outcomes after sinus surgery: a systematic review and meta-analysis. Laryngoscope. 2018;128(3):581-592. doi:10.1002/lary.27008
Beswick DM, Mace JC, Chowdhury NI, et al. Comparison of surgical outcomes between patients with unilateral and bilateral chronic rhinosinusitis. Int Forum Allergy Rhinol. 2017;7(12):1162-1169. doi:10.1002/alr.22020
Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP. Psychometric validity of the 22-item Sinonasal Outcome Test. Clin Otolaryngol. 2009;34(5):447-454. doi:10.1111/j.1749-4486.2009.01995.x
Lal D, Hopkins C, Divekar RD. SNOT-22-based clusters in chronic rhinosinusitis without nasal polyposis exhibit distinct endotypic and prognostic differences. Int Forum Allergy Rhinol. 2018;8(7):797-805. doi:10.1002/alr.22101
Mattos JL, Rudmik L, Schlosser RJ, et al. Symptom importance, patient expectations, and satisfaction in chronic rhinosinusitis. Int Forum Allergy Rhinol. 2019;9(6):593-600. doi:10.1002/alr.22309
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(4):555-561. doi:10.1016/j.otohns.2007.02.004
Chen JJ, Chen DL, Chen CJ. The Lund-Mackay score for adult head and neck computed tomography. J Radiol Sci. 2011;36(4):203-208.
Brooks SG, Trope M, Blasetti M, et al. Preoperative Lund-Mackay computed tomography score is associated with preoperative symptom severity and predicts quality-of-life outcome trajectories after sinus surgery. Int Forum Allergy Rhinol. 2018;8(6):668-675. doi:10.1002/alr.22109
Lal D, Rounds AB, Divekar R. Gender-specific differences in chronic rhinosinusitis patients electing endoscopic sinus surgery. Int Forum Allergy Rhinol. 2016;6(3):278-286. doi:10.1002/alr.21667
Gregurić T, Trkulja V, Baudoin T, Grgić MV, Šmigovec I, Kalogjera L. Association between computed tomography findings and clinical symptoms in chronic rhinosinusitis with and without nasal polyps. Eur Arch Otorhinolaryngol. 2017;274(5):2165-2173. doi:10.1007/s00405-016-4446-y
Stewart MG, Johnson RF. Chronic sinusitis: symptoms versus CT scan findings. Curr Opin Otolaryngol Head Neck Surg. 2004;12(1):27-29. doi:10.1097/00020840-200402000-00008
Sedaghat AR, Gray ST, Caradonna SD, Caradonna DS. Clustering of chronic rhinosinusitis symptomatology reveals novel associations with objective clinical and demographic characteristics. Am J Rhinol Allergy. 2015;29(2):100-105. doi:10.2500/ajra.2015.29.4140
Dejaco D, Riedl D, Huber A, et al. The SNOT-22 factorial structure in European patients with chronic rhinosinusitis: new clinical insights. Eur Arch Otorhinolaryngol. 2019;276(5):1355-1365. doi:10.1007/s00405-019-05320-z
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