EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY
Chronic rhinosinusitis (CRS) is a common problem worldwide that results in significant impairment of quality of life. Endoscopic surgery aims at maintaining physiological function and anatomical structure. This study aimed to assess the outcome after functional endoscopic sinus surgery (FESS) for ch...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
university of basrah
2010-12-01
|
| Series: | Basrah Journal of Surgery |
| Subjects: | |
| Online Access: | https://bjsrg.uobasrah.edu.iq/article_55446_c1128fd1d200f555a654a2b8e5a53485.pdf |
| _version_ | 1818139538268094464 |
|---|---|
| author | Hiwa A Abdulkareem |
| author_facet | Hiwa A Abdulkareem |
| author_sort | Hiwa A Abdulkareem |
| collection | DOAJ |
| description | Chronic rhinosinusitis (CRS) is a common problem worldwide that results in significant impairment of quality
of life. Endoscopic surgery aims at maintaining physiological function and anatomical structure.
This study aimed to assess the outcome after functional endoscopic sinus surgery (FESS) for chronic
rhinosinusitis with or without nasal polyps using symptom scoring and endoscopic assessment.
Thirty patients having chronic rhinosinusitis CRS with or without nasal polyps underwent endoscopic sinus
surgery in Otolaryngology dept. / Sulaimaniya Teaching Hospital from May 2008 to April 2009 after failure of
medical treatment to resolve the condition for more than 12 weeks. Preoperative symptoms and radiologic
findings were scored as well as the extent of surgery. Post operative endoscopic findings and symptoms
outcome were evaluated.
The common presenting symptoms in order of frequency were nasal obstruction, facial pressure or pain,
purulent nasal or post nasal secretions, headache, hyposmia, Fatigue, cough, and halitosis. All symptom's
scores significantly reduced (t-test P value < 0.000), with exception of cough (t- test P value = 0.023).
Halitosis showed no significant change (t-test P value = 0.103). Patients who had the lowest radiological
scores underwent the least extensive surgery.
In conclusion, most CRS symptoms can be expected to improve significantly after ESS and correlates with
postoperative endoscopic examination of the nasal cavities. Lund-Mackay radiologic scoring can be used as
a predictor of symptom outcome although it correlates weakly with the severity of symptoms preoperatively. |
| first_indexed | 2024-12-11T10:29:41Z |
| format | Article |
| id | doaj.art-c228e5bc974245339b53548b81a6d3c0 |
| institution | Directory Open Access Journal |
| issn | 1683-3589 2409-501X |
| language | English |
| last_indexed | 2024-12-11T10:29:41Z |
| publishDate | 2010-12-01 |
| publisher | university of basrah |
| record_format | Article |
| series | Basrah Journal of Surgery |
| spelling | doaj.art-c228e5bc974245339b53548b81a6d3c02022-12-22T01:10:59Zenguniversity of basrahBasrah Journal of Surgery1683-35892409-501X2010-12-01162687710.33762/bsurg.2010.5544655446EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERYHiwa A AbdulkareemChronic rhinosinusitis (CRS) is a common problem worldwide that results in significant impairment of quality of life. Endoscopic surgery aims at maintaining physiological function and anatomical structure. This study aimed to assess the outcome after functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis with or without nasal polyps using symptom scoring and endoscopic assessment. Thirty patients having chronic rhinosinusitis CRS with or without nasal polyps underwent endoscopic sinus surgery in Otolaryngology dept. / Sulaimaniya Teaching Hospital from May 2008 to April 2009 after failure of medical treatment to resolve the condition for more than 12 weeks. Preoperative symptoms and radiologic findings were scored as well as the extent of surgery. Post operative endoscopic findings and symptoms outcome were evaluated. The common presenting symptoms in order of frequency were nasal obstruction, facial pressure or pain, purulent nasal or post nasal secretions, headache, hyposmia, Fatigue, cough, and halitosis. All symptom's scores significantly reduced (t-test P value < 0.000), with exception of cough (t- test P value = 0.023). Halitosis showed no significant change (t-test P value = 0.103). Patients who had the lowest radiological scores underwent the least extensive surgery. In conclusion, most CRS symptoms can be expected to improve significantly after ESS and correlates with postoperative endoscopic examination of the nasal cavities. Lund-Mackay radiologic scoring can be used as a predictor of symptom outcome although it correlates weakly with the severity of symptoms preoperatively.https://bjsrg.uobasrah.edu.iq/article_55446_c1128fd1d200f555a654a2b8e5a53485.pdfevaluation of patient |
| spellingShingle | Hiwa A Abdulkareem EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY Basrah Journal of Surgery evaluation of patient |
| title | EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY |
| title_full | EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY |
| title_fullStr | EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY |
| title_full_unstemmed | EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY |
| title_short | EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY |
| title_sort | evaluation of patient s outcome after endoscopic sinus surgery |
| topic | evaluation of patient |
| url | https://bjsrg.uobasrah.edu.iq/article_55446_c1128fd1d200f555a654a2b8e5a53485.pdf |
| work_keys_str_mv | AT hiwaaabdulkareem evaluationofpatientsoutcomeafterendoscopicsinussurgery |