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Minimally invasive surgery under local anaesthesia for chronic rhinosinusitis with nasal polyps: our experience in older adults

Published online by Cambridge University Press:  12 February 2020

M Casale ,
A Costantino ,
L Sabatino ,
A Luchena ,
A Moffa ,
M Cassano ,
V Rinaldi  and
P M Baptista
M Casale
Affiliation:
Department of Otolaryngology, Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
A Costantino*
Affiliation:
Department of Otolaryngology, Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
L Sabatino
Affiliation:
Department of Otolaryngology, Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
A Luchena
Affiliation:
Department of Otolaryngology, Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
A Moffa
Affiliation:
Department of Otolaryngology, Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy Department of Otolaryngology, University of Foggia, Italy
M Cassano
Affiliation:
Department of Otolaryngology, University of Foggia, Italy
V Rinaldi
Affiliation:
Department of Otolaryngology, Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
P M Baptista
Affiliation:
Department of Otolaryngology, University Clinic of Navarra, Pamplona, Spain
*
Author for correspondence: Dr Andrea Costantino, Department of Otolaryngology, Integrated Therapies in Otolaryngology, School of Medicine, Campus Bio-Medico University, Via Alvaro del Portillo 21, 00128Rome, Italy E-mail: andrea.costantino94@gmail.com Fax: +39 06 2254 1520
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Abstract

Objective

This paper aims to report our experience with a minimally invasive surgical procedure for the treatment of chronic rhinosinusitis with nasal polyps, performed in a day-surgery setting under local anaesthesia.

Methods

A retrospective study of 30 patients with chronic rhinosinusitis with nasal polyps was conducted. Sino-Nasal Outcome Test 22 and modified Lund–Kennedy scores were collected. Intra- and post-operative pain was evaluated using a 10-point visual analogue scale.

Results

The mean Sino-Nasal Outcome Test 22 score decreased from 41.8 ± 15.8 pre-operatively to 13.3 ± 9.5 post-operatively (p < 0.001). Accordingly, the mean endoscopic score decreased from 6.8 ± 1.8 to 0.2 ± 0.7 (p < 0.001). The mean intra-operative pain score was 2.9 ± 3.2, and 29 patients (96.7 per cent) reported no pain in the post-operative period (visual analogue scale score = 0).

Conclusion

Our study confirms that minimally invasive surgery represents a safe, repeatable procedure that results in remarkable subjective and objective improvement, without intra- and post-operative pain or discomfort.

Keywords

SurgeryElderlyNasal PolypsSinusitisAnesthesia
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 2 , February 2020 , pp. 145 - 149
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr A Costantino takes responsibility for the integrity of the content of the paper

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