Chronic panrhinosinusitis without nasal polyps: long-term outcome after functional endoscopic sinus surgery.
- Giger R Department of Otolarygology-Head and Neck Surgery, Hospital of La Chaux-de-Fonds, Switzerland. gigerro@hotmail.com
- Dulguerov P
- Quinodoz D
- Leuba D
- Landis BN
- Lacroix JS
- Friedrich JP
- 2004-10-07
Published in:
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. - 2004
Adolescent
Adult
Aged
Child
Chronic Disease
Endoscopy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Patient Satisfaction
Reoperation
Sinusitis
Tomography, X-Ray Computed
Treatment Outcome
English
OBJECTIVE
The goal of this study was to evaluate the long-term outcome after functional endoscopic sinus surgery (FESS) for chronic panrhinosinusitis without nasal polyps by using symptom scoring and an endoscopic outcome evaluation.
STUDY DESIGN
Seventy-seven patients with chronic panrhinosinusitis without nasal polyps (Kennedy computed tomography [CT] scan stages I to III) were followed up for at least 3 years after FESS. Preoperative evaluation included a CT scan and an immunoallergologic evaluation. Three years after FESS, all patients were interviewed and scored endoscopically.
RESULTS
Ninety-two percent of the patients showed a marked global improvement after FESS. The endoscopic control showed normal findings in 54% of all ethmoidal cavities. The postoperative endoscopic score correlated significantly with the subjective satisfaction ratings (P < 0.001). The preoperative CT staging proposed by Kennedy was predictive for necessity of revision surgery in 15% of the patients.
CONCLUSIONS
Our data suggest that FESS for chronic panrhinosinusitis without nasal polyps has a good long-term outcome on subjective symptoms and endoscopic findings.
SIGNIFICANCE
According to this study, subjective improvement correlates significantly with the postoperative endoscopic findings in the ethmoidal cavities of patients with chronic panrhinosinusitis without polyps at a long-term follow-up.
The goal of this study was to evaluate the long-term outcome after functional endoscopic sinus surgery (FESS) for chronic panrhinosinusitis without nasal polyps by using symptom scoring and an endoscopic outcome evaluation.
STUDY DESIGN
Seventy-seven patients with chronic panrhinosinusitis without nasal polyps (Kennedy computed tomography [CT] scan stages I to III) were followed up for at least 3 years after FESS. Preoperative evaluation included a CT scan and an immunoallergologic evaluation. Three years after FESS, all patients were interviewed and scored endoscopically.
RESULTS
Ninety-two percent of the patients showed a marked global improvement after FESS. The endoscopic control showed normal findings in 54% of all ethmoidal cavities. The postoperative endoscopic score correlated significantly with the subjective satisfaction ratings (P < 0.001). The preoperative CT staging proposed by Kennedy was predictive for necessity of revision surgery in 15% of the patients.
CONCLUSIONS
Our data suggest that FESS for chronic panrhinosinusitis without nasal polyps has a good long-term outcome on subjective symptoms and endoscopic findings.
SIGNIFICANCE
According to this study, subjective improvement correlates significantly with the postoperative endoscopic findings in the ethmoidal cavities of patients with chronic panrhinosinusitis without polyps at a long-term follow-up.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1016/j.otohns.2004.03.030
- PMID 15467632
- Persistent URL
- https://sonar.rero.ch/global/documents/170943
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