Long‐term impact of functional endoscopic sinus surgery on asthma

Senior, Brent A.; Kennedy, David W.; Tanabodee, Jirayu; Kröger, Hans; Hassab, M.A.; Lanza, Donald C.

doi:10.1016/s0194-5998(99)70127-0

Cited by 121 publications

(52 citation statements)

References 15 publications

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“…They noted a reduction of corticosteroid medication following ESS. Senior et al [22] reported that ESS contributed to symptomatic improvement in bronchial asthma after long-term (mean 6.5 years) observation. However, they did not use any objective assessments such as pulmonary function tests.…”

Section: Discussionmentioning

confidence: 99%

A Clinical Study of Endoscopic Sinus Surgery for Sinusitis in Patients with Bronchial Asthma

Dejima

Hama²,

Miyazaki³

et al. 2005

Int Arch Allergy Immunol

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Background: An association between bronchial asthma and sinusitis has long been suspected. Our aim is to study the clinical features of chronic sinusitis associated with bronchial asthma as two manifestations of one airway disease. Methods: We conducted a prospective analysis of the outcome of 88 patients, with or without bronchial asthma, who underwent endoscopic sinus surgery (ESS) for chronic sinusitis. Patients were divided into two groups by the presence or absence of asthma and were evaluated. One surgeon performed the ESS, and the same postoperative treatment was given to both groups. The postoperative outcomes of symptoms and objective findings related to sinusitis were evaluated numerically, with a maximum score of 2 points for each examination item. Twenty-eight patients with asthma symptoms were assessed before and after surgery, using peak flow (liter/second) and medication scores (according to US Food and Drug Administration) to determine whether bronchial asthma was improved by first-time ESS. Results: The outcomes of ESS were signifi- cantly worse in the asthma group, especially the endonasal findings. Patients suffering from chronic sinusitis and bronchial asthma showed improvement following ESS in terms of their asthma symptoms, peak flow and medication score. Patients with a good ESS result tended to have the greatest improvement in their asthma. Conclusions: We conclude that sinusitis and asthma are closely related to each other, acting as two manifestations of one airway disease. We recommend treating cases of sinusitis complicated by asthma as a single disease of the entire respiratory tract.

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Section: Discussionmentioning

confidence: 99%

A Clinical Study of Endoscopic Sinus Surgery for Sinusitis in Patients with Bronchial Asthma

Dejima

Hama²,

Miyazaki³

et al. 2005

Int Arch Allergy Immunol

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“…To date, studies over the impact of sinusitis on asthma have been mainly about the surgical intervention of sinusitis or done with children patients [28, 29, 30, 31]. In one study, 78% of pediatric patients who suffered from chronic respiratory symptoms more than 3 months and used bronchodilator every day were able to stop the bronchodilator after 2-5 weeks of antibiotic treatment for sinusitis [6].…”

Section: Discussionmentioning

confidence: 99%

The impact of sinusitis on the long-term clinical outcomes of asthma

Kim

Jung

Cho

et al. 2014

Asia Pacific Allergy

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BackgroundUpper respiratory diseases have been linked with lower respiratory diseases. However, the long-term effect of sinusitis on the clinical outcomes of asthma has not been fully evaluated.ObjectiveThe aim of this study was to investigate the impact of sinusitis on the disease progression of asthma.MethodsSeventy-five asthmatic patients confirmed with the methacholine bronchial provocation test or bronchodilator response were included. The study patients underwent paranasal sinus x-ray upon their asthma evaluation and they visited the hospital at least 3 years or longer. We retrospectively reviewed their medical records and compared data according to the presence of comorbid sinusitis.ResultsAmong the 75 asthmatic subjects, 38 subjects (50.7%) had radiologic evidence of sinusitis. Asthmatics with sinusitis had significantly lower forced expiratory volume in 1 second (FEV1; 79.2% vs. 88.2%) and PC20 values (5.2 mg/mL vs. 8.9 mg/mL) compared to asthmatics without sinusitis at the time of diagnosis. This difference in FEV1 disappeared (82.6% vs. 87.2%) in the 3-year follow-up, although FEV1 was more variable (31.7% vs. 23.5%) and worst FEV1 was also significantly lower in patients with sinusitis compared to those without (70.9% vs. 79.0%). There were no significant differences in the number of hospital visits, acute exacerbations, and scores for the asthma control test.ConclusionAlthough sinusitis was associated with lower baseline lung function and higher hyperreactivity, sinusitis was not related with significant deterioration in lung function over 3 years of follow-up. Asthmatics with sinusitis showed more variability in lung function during the follow-up period. Healthcare utilization was not different except antibiotics use.

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“…Senior et al 16 concluded in their study that FESS in 30 patients with CRS and asthma had positive impact in 89.9%, no change was reported in 11.1%, while no patients reported worsening of the subjective measurements for asthma. Regarding objective measurements, 46% reported improvement in bronchodilator inhalers use and 65% reported improvement in oral steroids use.…”

Section: Graph 1: Presentation Of Symptoms In Study and Control Groupmentioning

confidence: 92%

Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis and Polyposis and Asthma

Sonkhya¹,

Sharma²

2014

An International Journal Clinical Rhinology

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There has been an increasing awareness of the inter-relationship between inflammatory disease of the upper and lower airway. Both epidemiological and physiological data suggest that the respiratory tract, from the middle ear mucosa, through the nose and sinuses, and into the pulmonary tree behave as an integerated unit. Recent progress in understanding the biology of airway disease has identified that systemic inflammatory responses play a critical and integerating role in these diseases. The role of sinus surgery in the management of asthma patients has been a matter of debate for many years. We are presenting a well-designed prospective, controlled study in 50 patients with asthma and chronic rhinosinusitis (CRS) with nasal polyposis who were submitted to either functional endoscopic sinus surgery (FESS) or medical therapy.

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Long‐term impact of functional endoscopic sinus surgery on asthma

Cited by 121 publications

References 15 publications

A Clinical Study of Endoscopic Sinus Surgery for Sinusitis in Patients with Bronchial Asthma

A Clinical Study of Endoscopic Sinus Surgery for Sinusitis in Patients with Bronchial Asthma

The impact of sinusitis on the long-term clinical outcomes of asthma

Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis and Polyposis and Asthma

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