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Voice outcomes after endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyposis
Author(s) -
Hall Christian A.,
Hernandez Stephen C.,
Barry Rachel A.,
Zito Brittany A.,
McWhorter Andrew J.,
Fink Daniel S.,
Barham Henry P.
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27264
Subject(s) - medicine , chronic rhinosinusitis , endoscopic sinus surgery , cohort , otorhinolaryngology , referral , cohort study , surgery , family medicine
Objectives/Hypothesis The purpose of this study was to assess voice outcomes after endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP). Study Design Individual cohort study. Methods A study was performed of patients with CRSwNP who underwent ESS from July 2015 to May 2016 at a tertiary referral medical center. The main outcome measures were subjective improvement in patient‐reported outcomes, using the 22‐item Sino‐Nasal Outcome Test (SNOT‐22) and 10‐item Voice Handicap Index (VHI‐10). Results A total of 50 patients (age 47.9 years; 48% female), 66% revision and 34% primary, were available at a follow‐up of 3 months. At the 3‐month follow‐up, both SNOT‐22 and VHI‐10 scores were improved from preoperative values (−41.8 and −14.7, respectively). Conclusions Successful treatment of sinonasal disease can help to improve voice outcomes in patients with CRSwNP. There are inherent differences in the long‐term outcomes of the results beyond 3 months based on practice patterns of ongoing medical management, but our results are interesting in that they show early improvement in voice outcomes. Level of Evidence 2b Laryngoscope , 129:299–302, 2019