Open AccessOutcome Analysis of Endoscopic Sinus Surgery in Chronic Sinusitis with Chronic Rhinitis Non-responsive to Medical Therapy
Author(s) -
Amit Chakrabarti,
Bina Tamang,
Rabi Hembrom,
Indranil Das,
Madhumita Batabyal,
Debadeep Dey,
Indranil Sen
Publication year - 2022
Publication title -
bengal journal of otolaryngology and head neck surgery
Language(s) - English
Resource type - Journals
eISSN - 2395-2407
pISSN - 2395-2393
DOI - 10.47210/bjohns.2021.v29i3.465
Subject(s) - medicine , chronic sinusitis , endoscopic sinus surgery , sinusitis , quality of life (healthcare) , guideline , medical therapy , surgery , nasal polyps , visual analogue scale , functional endoscopic sinus surgery , prospective cohort study , chronic rhinosinusitis , patient satisfaction , nursing , pathology
Chronic sinusitis with chronic rhinitis affect the patients’ quality of life significantly. Aim of this study is to assess the outcome of Endoscopic Sinus Surgery (ESS) in terms of Quality of Life (QoL) in patient with Chronic Sinusitis with Chronic Rhinitis (CSCR), non-responsive to medical therapy. Materials and MethodsProspective study was conducted among 75 patients of CSCR non responsive to medical therapy in the age group of 15 to 80 years over a period of 18 months (January 2018 to June 2019). The subjects were randomly grouped into two, namely Group 1- CSCR with Polyp and Group 2- CSCR without Polyp. Subjects were asked to complete SNOT-22 score and Visual analogue scale (VAS) and conventional medical treatment was given for 2 weeks. Those failed to respond as per EPOS guideline were subjected to ESS and followed up at 6 weeks and 12 weeks, re-assessed by SNOT-22 questionnaire and VAS. Data was analyzed by using Paired t- test. ResultsStatistically significant (p-value <0.05) improvement in symptom score assessing QoL after Endoscopic sinus surgery. ConclusionPatients with CRS non- responsive to medical treatment, the decision for surgery should be guided by their pre-operative QoL impairment, as measured by SNOT-22 and VAS.