Skip to main content Accessibility help
×
Home
Hostname: page-component-7bb4899584-k8jgk Total loading time: 0.408 Render date: 2023-01-27T01:59:38.486Z Has data issue: true Feature Flags: { "useRatesEcommerce": false } hasContentIssue true

Predictors of disease progression after endoscopic sinus surgery in patients with chronic rhinosinusitis

Published online by Cambridge University Press:  20 June 2019

K Tsuzuki*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan
K Hashimoto
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan
K Okazaki
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan
H Nishikawa
Affiliation:
Center for Clinical Research and Education, Hyogo College of Medicine, Nishinomiya, Japan
M Sakagami
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan
*
Author for correspondence: Dr Kenzo Tsuzuki, Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo 663-8501, Japan E-mail: kenzo@hyo-med.ac.jp Fax: +81 798 41 8976

Abstract

Objective

This study aimed to determine the predictors of disease progression after functional endoscopic sinus surgery in patients with chronic rhinosinusitis.

Method

A total of 281 adult chronic rhinosinusitis patients who underwent primary bilateral functional endoscopic sinus surgery between 2007 and 2017 and had at least 12 months of follow-up endoscopic evaluation were examined. Patients were divided into eosinophilic (n = 205) and non-eosinophilic chronic rhinosinusitis groups (n = 76). In order to determine adverse factors, post-operative endoscopic appearance scores were analysed in relation to the pre- and intra-operative findings using multiple regression analyses.

Results

The post-operative course of eosinophilic cases deteriorated over time, like the early period for non-eosinophilic cases. Frontal sinus polyps recurred early in eosinophilic chronic rhinosinusitis. Multivariate analyses indicated young adulthood, asthma, high computed tomography score and frontal sinus polyps as significant adverse predictors.

Conclusion

Early, appropriate estimation of sinonasal conditions appears to be crucial for successful surgical management of chronic rhinosinusitis.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr K Tsuzuki takes responsibility for the integrity of the content of the paper

References

1Fokkens, 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;23:1298Google ScholarPubMed
2Rosenfeld, RM, Andes, D, Bhattacharyya, N, Cheung, D, Eisenberg, S, Ganiats, TG et al. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg 2007;137(suppl 3):S131CrossRefGoogle ScholarPubMed
3Hummel, T, Whitcroft, KL, Andrews, P, Altundag, A, Cinghi, C, Costanzo, RM et al. Position paper on olfactory dysfunction. Rhinol Suppl 2017;54(suppl26):130Google ScholarPubMed
4Haruna, S, Otori, N, Yanagi, K, Moriyama, H. Eosinophilic sinusitis [in Japanese]. Oto-Rhino-Laryngol Tokyo 2001;44:195201Google Scholar
5Shin, SH, Ye, MK, Kim, JK, Cho, CH. Histological characteristics of chronic rhinosinusitis with nasal polyps: recent 10-year experience of a single center in Daegu, Korea. Am J Rhinol Allergy 2014;28:95–8CrossRefGoogle ScholarPubMed
6Borish, L, Rosenwasser, L, Steinke, JW. Fungi in chronic hyperplastic eosinophilic sinusitis: reasonable doubt. Clin Rev Allergy Immunol 2006;30:195204CrossRefGoogle ScholarPubMed
7Shah, SA, Ishinaga, H, Takeuchi, K. Pathogenesis of eosinophilic chronic rhinosinusitis. J Inflamm (Lond) 2016;13:11CrossRefGoogle ScholarPubMed
8Lopez, AF, Begley, CG, Williamson, DJ, Warren, DJ, Vadas, MA, Sanderson, CJ. Murine eosinophil differentiation factor. An eosinophil-specific colony-stimulating factor with activity for human cells. J Exp Med 1986;163:1085–99CrossRefGoogle ScholarPubMed
9Otto, BA, Wenzel, SE. The role of cytokines in chronic rhinosinusitis with nasal polyps. Curr Opin Otolaryngol Head Neck Surg 2008;16:270–4CrossRefGoogle ScholarPubMed
10Ishitoya, J, Sakuma, Y, Tsukuda, M. Eosinophilic chronic rhinosinusitis in Japan. Allergol Int 2010;59:239–45CrossRefGoogle Scholar
11Tokunaga, T, Sakashita, M, Haruna, T, Asaka, D, Takeno, S, Ikeda, H et al. Novel scoring system and algorithm for classifying chronic rhinosinusitis: the JESREC study. Allergy 2015;70:9951003CrossRefGoogle ScholarPubMed
12Ikeda, K, Shiozawa, A, Ono, N, Kusunoki, T, Hirotsu, M, Homma, H et al. Subclassification of chronic rhinosinusitis with nasal polyp based on eosinophil and neutrophil. Laryngoscope 2013;123:19CrossRefGoogle ScholarPubMed
13Sakuma, Y, Ishitoya, J, Komatsu, M, Shiono, O, Hirama, M, Yamashita, Y et al. New clinical diagnostic criteria for eosinophilic chronic rhinosinusitis. Auris Nasus Larynx 2011;38:583–8CrossRefGoogle ScholarPubMed
14Senior, BA, Kennedy, DW, Tanabodee, J, Kroger, H, Hassab, M, Lanza, D. Long-term results of functional endoscopic sinus surgery. Laryngoscope 1998;108:151–7CrossRefGoogle ScholarPubMed
15Rudmik, L, Smith, TL. Evidence-based practice: postoperative care in endoscopic sinus surgery. Otolaryngol Clin North Am 2012;45:1019–32CrossRefGoogle ScholarPubMed
16Tsuzuki, K, Hashimoto, K, Okazaki, K, Sakagami, M. Post-operative course prediction during endoscopic sinus surgery in patients with chronic rhinosinusitis. J Laryngol Otol 2018;132:408–17CrossRefGoogle ScholarPubMed
17Tsuzuki, K, Hinohira, Y, Takebayashi, H, Kojima, Y, Yukitatsu, Y, Daimon, T et al. Novel endoscopic scoring system after sinus surgery. Auris Nasus Larynx 2014;41:450–4CrossRefGoogle ScholarPubMed
18Lund, VJ, Mackay, IS. Staging in rhinosinusitis. Rhinology 1993;31:183–4Google Scholar
19Takebayashi, H, Tsuzuki, K, Oka, H, Fukazawa, K, Daimon, T, Sakagami, M. Clinical availability of a self-administered odor questionnaire for patients with olfactory disorders. Auris Nasus Larynx 2011;38:6572CrossRefGoogle ScholarPubMed
20Lund, VJ, Kennedy, DW. Quantification for staging sinusitis. The staging and therapy group. Ann Otol Rhinol Laryngol Suppl 1995;167:1721CrossRefGoogle ScholarPubMed
21Kobayashi, Y, Asako, M, Ooka, H, Kanda, A, Tomoda, K, Yasuba, H. Residual exhaled nitric oxide elevation in asthmatics is associated with eosinophilic chronic rhinosinusitis. J Asthma 2015;52:1060–4CrossRefGoogle ScholarPubMed
22Yoshida, K, Takabayashi, T, Imoto, Y, Sakashita, M, Narita, N, Fujieda, S. Reduced nasal nitric oxide levels in patients with eosinophilic chronic rhinosinusitis. Allergol Int 2019;68:225–32CrossRefGoogle ScholarPubMed
23Larsen, K, Tos, M. The estimated incidence of symptomatic nasal polyps. Acta Otolaryngol 2002;122:179–82CrossRefGoogle ScholarPubMed
24Szucs, E, Ravandi, S, Goossens, A, Beel, M, Clement, PA. Eosinophilia in the ethmoid mucosa and its relationship to the severity of inflammation in chronic rhinosinusitis. Am J Rhinol 2002;16:131–4CrossRefGoogle ScholarPubMed
25Saito, T, Tsuzuki, K, Yukitatsu, Y, Sakagami, M. Correlation between olfactory acuity and sinonasal radiological findings in adult patients with chronic rhinosinusitis. Auris Nasus Larynx 2016;43:422–8CrossRefGoogle ScholarPubMed
26Hashimoto, K, Tsuzuki, K, Okazaki, K, Sakagami, M. Influence of opacification in the frontal recess on frontal sinusitis. J Laryngol Otol 2017;131:620–6CrossRefGoogle ScholarPubMed
27Kuhn, FA. Chronic frontal sinusitis: the endoscopic frontal recess approach. Oper Tech Otolayngol Head Neck Surg 1996;7:222–29CrossRefGoogle Scholar
28Okushi, T, Mori, E, Nakayama, T, Asaka, D, Matsuwaki, Y, Ota, K et al. Impact of residual ethmoid cells on postoperative course after endoscopic sinus surgery for chronic rhinosinusitis. Auris Nasus Larynx 2012;39:484–9CrossRefGoogle ScholarPubMed
29Simmen, D, Raghavan, U, Briner, HR, Manestar, M, Schuknecht, B, Groscurth, P et al. The surgeon's view of the anterior ethmoid artery. Clin Otolaryngol 2006;31:187–91Google ScholarPubMed
30Yang, YX, Lu, QK, Liao, JC, Dang, RS. Morphological characteristics of the anterior ethmoidal artery in ethmoid roof and endoscopic localization. Skull Base 2009;19:311–17CrossRefGoogle ScholarPubMed
31Kim, KS, Kim, HU, Chung, IH, Lee, JG, Park, IY, Yoon, JH. Surgical anatomy of the nasofrontal duct: anatomical and computed tomographic analysis. Laryngoscope 2001;111:603–8CrossRefGoogle ScholarPubMed
10
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Predictors of disease progression after endoscopic sinus surgery in patients with chronic rhinosinusitis
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Predictors of disease progression after endoscopic sinus surgery in patients with chronic rhinosinusitis
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Predictors of disease progression after endoscopic sinus surgery in patients with chronic rhinosinusitis
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *