Endoscopic Sinus Surgery in Chronic Rhinosinusitis and Nasal Polyposis: A Comparative Study

Abstract

Nasal polyposis are common presentations in patients of chronic rhinosinusitis and are considered to be associated with more severe forms of disease with poor treatment outcome. The presentation and treatment outcome after endoscopic sinus surgery in patients of chronic rhinosinusitis and nasal polyposis have been analysed in this study. A prospective analysis of 90 patients of chronic rhinosinusitis who were classified into two groups depending on presence and absence of nasal polyps was performed in the study. The two groups were evaluated using subjective (patient complaints) and objective (computed tomography scan and endoscopy scores) criteria. Preoperative data were compared with data obtained 12 months post endoscopic sinus surgery. The study included 38 patients of chronic rhinosinusitis and 52 patients of nasal polyps. The patients of nasal polyp group presented with increased severity of symptoms of nasal blockage, nasal discharge and reduced sense of smell as compared to the chronic rhinosinusitis group who had significantly higher presentation of headache and facial pain. The preoperative CT scan revealed significantly higher bilateral disease with increased involvement of multiple sinuses in nasal polyp group. Post endoscopic sinus surgery both the groups showed significant improvement in their symptoms with the nasal polyp group demonstrating reduction in improvement on 1 year follow up. In our study we have found the patients with chronic rhinosinusitis and nasal polyp have varied severity of symptoms with the nasal polyp group having higher nasal symptoms and increased severity as compared to chronic rhinosinusitis group. Though the universal rationale of management by adequate drainage and ventilation of sinus is similar in both groups, there is a reduction in both objective and subjective scores during 1 year follow up in the nasal polyp group.

Quality of Life in Patients with Chronic Rhinosinusitis with Nasal Polyposis Before and After Functional Endoscopic Sinus Surgery: A Study Based on SINO-NASAL OUTCOME TEST

“…The male to female ratio is 1.80:1. Which is in line with other previous studies (15)(16)9). The mean age of the study population was 40.88 ± 16.1 years .…”

“…In the NIKAKHLAGH et al study, the mean age of the population was 39.25 (22.66) (9) and in the study of Akarcay et al, The mean age of the study population was 36 (17). In the study of Satish et al, The mean age of the study population was 36 (16). furthermore, some study demonstrated the mean age of study population was 42 that similar to our study (18)(19)(20).…”

“…NIKAKHLAGH et al (9) followed up patients for six months. In other studies, patients were followed by three months (15)(16)(17). According to chronicity of disease, it seems that more duration time for follow up is needed in next studies.…”

Comparative evaluation of FESS and septoplasty with FESS in cases of DNS with chronic maxillary sinusitis

“…Symptomatology in present study is comparable to that in a study conducted by Kennedy. 15 However Nair S et al concluded that headache and facial pains are commonest presenting symptoms in CRS patients as compared to nasal polyposis patients who present with nasal blockage, nasal discharge and reduced sense of smell. 16 Beside the clinical and radiological findings, the duration of symptoms is very important for diagnosis. In the present study, patients suffered from the disease for a much longer time, i.e.…”

A Correlation Study of Paranasal Sinuses Between Operative Endoscopic Findings in Fess and Preoperative Ct Scan

“…3) Non-closure of the peritoneum reduces the amount of surgical intervention and saves on valuable operating time and cost. 1,2,3,6,13,14,15,16 The objective of this study was to assess the effects of nonclosure and closure of the peritoneum at caesarean section.…”