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Effectiveness of extensive sinus surgery with post-operative medical management for chronic rhinosinusitis

Published online by Cambridge University Press:  20 February 2017

A J Wood ,
L Zhou ,
S Wilkinson  and
R G Douglas
A J Wood
Affiliation:
Department of Surgery, University of Auckland, Auckland, New Zealand
L Zhou
Affiliation:
Waitemata District Health Board, Auckland, New Zealand
S Wilkinson
Affiliation:
Department of Surgery, University of Auckland, Auckland, New Zealand
R G Douglas*
Affiliation:
Department of Surgery, University of Auckland, Auckland, New Zealand
*
Address for correspondence: Dr Richard Douglas, Department of Surgery, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand Fax: +64 9 377 9656 E-mail: richard.douglas@auckland.ac.nz
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Abstract

Objective:

To prospectively assess treatment outcomes of chronic rhinosinusitis patients undergoing functional endoscopic sinus surgery and post-operative medical treatment over a prolonged follow-up period.

Methods:

Patients undergoing functional endoscopic sinus surgery in the tertiary referral practice of a single surgeon were studied prospectively. Symptoms were scored by patients pre-operatively and over a minimum follow-up period of 12 months.

Results:

The study comprised 200 non-consecutive patients. The median pre-operative symptom score was 16 (out of a maximum of 25) (95 per cent confidence interval = 15 to 17). Symptom scores reduced to a median of 7 (95 per cent confidence interval = 6 to 8) after 12 months of follow up (p < 0.0001). The median symptom score improved for all symptoms and across all patient subgroups.

Conclusion:

Extensive functional endoscopic sinus surgery offers significant and durable symptom improvement in patients with chronic rhinosinusitis refractory to medical treatment. This improvement extends to all patient subgroups. Prolonged medical therapy is recommended after functional endoscopic sinus surgery.

Keywords

AdultChronic DiseaseFollow-Up StudiesHumansNasal PolypsProspective StudiesSinusitisTreatment Outcome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Supplement S2: ASOHNS Supplement , July 2017 , pp. S19 - S24
Copyright
Copyright © JLO (1984) Limited 2017 

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