Chronic Panrhinosinusitis Without Nasal Polyps: Long‐Term Outcome after Functional Endoscopic Sinus Surgery

Abstract

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.

Functional endoscopic sinus surgery—A retrospective analysis of 115 children and adolescents with chronic rhinosinusitis

“…The results of FESS due to CRS in children have been shown in several studies [18,21,24,38]. Most of the reported outcomes are based on the levels of symptomatic relief and do not include objective measures such as nasal endoscopy or CT scans.…”

The Effect of Endoscopic Sinus Surgery on Quality of Life: A Prospective Clinical Study

“…Toros et al [19] found a significant correlation between endoscopy score and total patient reported symptoms (on a visual analog scale: 0-10cm) preoperatively and 12 months postoperatively in 86 patients with and without polyps. Likewise, Giger et al [20] reported that the percentage of subjective symptom improvement correlated significantly with postoperative endoscopy findings in the ethmoidal cavities of 77 patients with CRS who did not have nasal polyposis.…”

Rhinosinusitis - Its Impact on Quality of Life

“…A varying degree of correlation has been shown between improvement of sinonasal symptoms and results from endoscopic examinations after ESS (Giger et al, 2004;Wright & Agrawal, 2007).…”