Hostname: page-component-6766d58669-76mfw Total loading time: 0 Render date: 2026-05-23T19:04:32.536Z Has data issue: false hasContentIssue false
  • English
  • Français

Outcome of endoscopic sinus surgery for chronic rhinosinusitis patients: a Canadian experience

Published online by Cambridge University Press:  24 May 2010

Y Al Badaai  and
M Samaha
Y Al Badaai
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Royal Victoria Hospital, McGill University Health Center, Montreal, Quebec, Canada
M Samaha*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Royal Victoria Hospital, McGill University Health Center, Montreal, Quebec, Canada
*
Address for correspondence: Dr Mark Samaha, 687 Pine Ave, E-45, Montreal, Quebec, Canada, H3A 1A1. Fax: +1 (514) 731 5760 E-mail: mark_samaha@mac.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To determine the effect on patients' quality of life of functional endoscopic sinus surgery performed for chronic rhinosinusitis within a tertiary care centre in Montreal, Canada.

Methods:

A prospective cohort study was undertaken. Subjects were consecutive patients with a diagnosis of chronic rhinosinusitis who had failed medical treatment and were undergoing functional endoscopic sinus surgery. Questionnaires assessing general health outcomes (i.e. the second version of the Short Form 12 questionnaire) and disease-specific outcomes (i.e. the Chronic Sinusitis Survey) were completed pre-operatively and a minimum of three months post-operatively.

Results:

A total of 152 patients were enrolled over a seven-month period, of whom 120 completed the post-operative surveys. The most common co-morbidity was asthma (40 per cent). Of the 120 patients with completed questionnaires, 72 per cent reported clinical improvement, 12 per cent reported deterioration and 15 per cent remained unchanged. The average improvement in Chronic Sinusitis Survey score was 17 per cent.

Conclusion:

Patients with chronic rhinosinusitis achieved a significant improvement in disease-specific quality of life after functional endoscopic sinus surgery. There was no significant improvement in general health related quality of life, as measured using the Short Form 12 questionnaire.

Keywords

Chronic RhinosinusitisEndoscopic Sinus SurgeryQuality of Life

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 10 , October 2010 , pp. 1095 - 1099
Copyright
Copyright © JLO (1984) Limited 2010

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.)

Article purchase

Temporarily unavailable

References

1Benninger, MS, Ferguson, BJ, Hadley, JA, Hamilos, DL, Jacobs, M, Kennedy, DW et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg 2003;129 (suppl 3):S1–32CrossRefGoogle ScholarPubMed
2Ray, NF, Baraniuk, JN, Thamer, M, Rinehart, CS, Gergen, PJ, Kaliner, M et al. Health care expenditures for sinusitis in 1996: contributions of asthma, rhinitis, and other airway disorders. J Allergy Clin Immunol 1999;103:408–14CrossRefGoogle ScholarPubMed
3Gliklich, RE, Metson, R. The health impact of chronic sinusitis in patients seeking otolaryngologic care. Otolaryngol Head Neck Surg 1995;113:104–9CrossRefGoogle ScholarPubMed
4Senior, 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
5Khalid, AN, Quraishi, SA, Kennedy, DW. Long-term quality of life measures after functional endoscopic sinus surgery. Am J Rhinol 2004;18:131–6CrossRefGoogle ScholarPubMed
6Bhattacharyya, N. Symptom outcomes after endoscopic sinus surgery for chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg 2004;130:329–33CrossRefGoogle ScholarPubMed
7Smith, TL, Batra, PS, Seiden, AM, Hannley, M. Evidence supporting endoscopic sinus surgery in the management of adult chronic rhinosinusitis: a systematic review. Am J Rhinol 2005;19:537–43CrossRefGoogle ScholarPubMed
8Ware, JE Jr, Kosinski, M, Turner-Bowker, DM, Gandek, B. How to Score Version 2 of the SF-12® Health Survey (With a Supplement Documenting Version 1). Lincoln, Rhode Island: QualityMetric, 2002Google Scholar
9Gliklich, RE, Metson, R. Techniques for outcomes research in chronic sinusitis. Laryngoscope 1995;105:387–90CrossRefGoogle ScholarPubMed
10Gliklich, RE, Metson, R. Effect of sinus surgery on quality of life. Otolaryngol Head Neck Surg 1997;117:12–17CrossRefGoogle ScholarPubMed
11Gliklich, RE, Metson, RA. Comparison of sinus computed tomography staging systems for outcomes research. Am J Rhinology 1994;8:291–7CrossRefGoogle Scholar
12Bhattacharyya, N. Clinical outcomes after endoscopic sinus surgery. Curr Opin Allergy Clin Immunol 2006;6:167–71CrossRefGoogle ScholarPubMed
13Poetker, DM, Smith, TL. Adult chronic rhinosinusitis: surgical outcomes and the role of endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg 2007;15:6–9CrossRefGoogle ScholarPubMed
14Gliklich, R, Hilinski, J. Longitudinal sensitivity of generic and specific health measures in chronic rhinosinusitis. Quality Life Res 1995;4:27–32CrossRefGoogle Scholar
15Durr, DG, Desrosiers, M. Evidence-based endoscopic sinus surgery. J Otolaryngol 2003;32:101–6CrossRefGoogle ScholarPubMed
16Batra, PS, Kern, RC, Tripathi, A, Conley, DB, Ditto, AM, Haines, GK 3rd et al. Outcome analysis of endoscopic sinus surgery in patients with nasal polyps and asthma. Laryngoscope 2003;113:1703–6CrossRefGoogle ScholarPubMed
17Metson, RB, Gliklich, RE. Clinical outcomes in patients with chronic sinusitis. Laryngoscope 2000;110:24–8CrossRefGoogle ScholarPubMed
18Wang, PC, Chu, CC, Liang, SC, Tai, CJ. Cost-utility analysis for endoscopic sinus surgery. Otolaryngol Head Neck Surg 2004;130:31–8CrossRefGoogle ScholarPubMed
19Gandek, B, Ware, JE, Aaronson, NK, Apolone, G, Bjorner, JB, Brazier, JE et al. Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the International Quality of Life Assessment Project. J Clin Epidemiol 1998;51:1171–8CrossRefGoogle Scholar
20Bessette, L, Sangha, O, Kuntz, KM, Keller, RB, Lew, RA, Fossel, AH et al. Comparative responsiveness of generic versus disease-specific and weighted versus unweighted health status measures in carpal tunnel syndrome. Med Care 1998;36:491–502CrossRefGoogle ScholarPubMed