Chi-Cauich IK, Castañeda-De León MR

Language: Spanish
References: 23
Page: 104-109
PDF size: 186.80 Kb.

ABSTRACT

Objective: To evaluate through SNOT-22 the clinical improvement after nasosinusal endoscopic surgery in patients with chronic rhinosinusitis with and without nasal polyposis.
Materials and Methods: Analytical, observational, cross-sectional and prospective cohort study was done including patients who were diagnosed with chronic rhinosinusitis with and without nasal polyps from the otorhinolaryngology outpatient clinic and who underwent surgery during the period from August to December 2019. The validated SNOT-22 questionnaire was used to assess the quality of life of these patients pre and postintervention. For data analysis, a descriptive analysis was performed for quantitative variables; as well as Fisher, paired and unpaired t tests to evaluate the associations between age, sex, smoking and cortocosteroids.
Results: The total score on the SNOT-22 was significantly higher in the preoperative period (70.89) as opposed to the postoperative period (36.64; p ‹ 0.0001).
Conclusions: Endoscopic sinus surgery effectively improved the quality of life of patients with chronic rhinosinusitis in both study groups. Furthermore, an association was found between age and SNOT-22 score both before and after the intervention, which is consistent with other published studies.

REFERENCES

1. Rosenfeld R, Piccirillo J, Chandrasekhar S, Brook I, et al. Clinical Practice Guideline (Update): adult sinusitis. Otolaryngol Head Neck Surg 2015; 152 (2): 1-39. doi. 10.1177/0194599815572097.

2. Fokkens WJ, Lund VJ, Mullol J, Bachert C, et al. EPOS 2012: European position paper on rinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology 2012; 50: 1-12. doi. 10.4193/Rhino50E2.

3. Hastan D, Fokkens WJ, Bachert C, Newson RB, et al. Chronic rhinosinusitis in Europe–an underestimated disease. A GA2LEN study. Allergy 2011; 66 (9): 1216-1223. doi. 10.1111/j.1398-9995.2011.02646.x.

4. Halawi, AM, Smith SS, Chandra RK. Chronic rhinosinusitis: epidemiology and cost. Allergy Asthma Proc 2013; 34 (4): 328-334. doi. 10.2500/aap.2013.34.3675.

5. Smith KA, Orlandi RR, Rudmik L. Cost of adult chronic rhinosinusitis: A systematic review. Laryngoscope 2015; 125 (7): 1547-1556. doi. 10.1002/lary.25180.

6. Orlandi RR, Kingdom TT, Hwang PH. International Consensus Statement on Allergy and Rhinology: Rhinosinusitis Executive Summary. Int Forum Allergy Rhinol 2016; 6 (1): 3-21. doi. 10.1002/alr.21694.

7. Fokkens WJ, Lund VJ, Mullol J, Bachert C, et al. EPOS 2012; European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinology 2012 (Suppl 23): 1-298.

8. Desrosiers M, Evans G, Keith P, Wright E, et al. Canadian clinical practice guidelines for acute and chronic rhinosinusitis. Allergy Asthma Clin Immunol 2011; 7 (2): 1-38.

9. Breinbauer H, Varela C, Núñez M, Ugarte S, et al. Encuesta de síntomas SNOT-20 para rinitis alérgica y rinosinusitis: validación en Chile. Rev Med Chile. 2011; 139: 886-95. http://dx.doi.org/10.4067/S0034-98872011000700009.

10. Chiu A, Kennedy D. Disadvantages of minimal techniques for surgical management of chronic rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg 2004; 12 (1): 38-42. doi. 10.1097/00020840-200402000-00011.

11. Smith T, Kern R, Palmer J, Schlosser R, et al. Medical therapy vs surgery for chronic rhinosinusitis: a prospective, multiinstitutional study with 1-year follow-up. Int Forum Allergy Rhinol 2013; 3 (1): 4-9. doi. 10.1002/alr.21065.

12. Smith T, Batra P, Seiden A, Hannley M. Evidence supporting endoscopic sinus surgery in the management of adult chronic rhinosinusitis: a systematic review. Am J Rhinol 2005; 19 (6): 537-543.

13. Piccirillo J, Merritt M, Richards M. Psychometric and clinimetric validity of the 20-item Sino-Nasal Outcome Test (SNOT-20). Otolaryngol Head Neck Surg. 2002; 126 (1): 41-7. doi. 10.1067/mhn.2002.121022.

14. Morley AD, Sharp HR. A review of sinonasal outcome scoring systems – which is best? Clin Otolaryngol 2006; 31 (2): 103-9. doi. 10.1111/j.1749-4486.2006.01155.x.

15. 15 Silva R, Parra D, García L. Factores pronósticos para cirugía endoscópica funcional en rinusinusitis crónica: Una revisión de la literatura actual. Rev Fac Med 2011; 19 (2): 232-240.

16. Hopkins C, Browne JP, Slack R, Lund V, et al. The national comparative audit of surgery for nasal polyposis and chronic rhinosinusitis. Clin Otolaryngol 2006; 31 (5): 390-8. doi. 10.1111/j.1749-4486.2006.01275.x.

17. Hopkins C, Gillett S, Slack R, Lund VJ, et al. Psychometric validity of the 22-item Sinonasal Outcome Test. Clin Otolaryngol 2009; 34 (5): 447-454. doi. 10.1111/j.1749- 4486.2009.01995.x.

18. Zachary M, Jones R, Le P, Rudmik L, et al. Sino-nasal outcome test-22 outcomes after sinus surgery: A systematic review and meta-analysis. Laryngoscope 2018; 128 (3): 581-592. doi. 10.1002/lary.27008.

19. Mascarenhas JG, da Fonseca VM, Chen VG, Itamoto CH, et al. Long-term outcomes of endoscopic sinus surgery for chronic rhinosinusitis with and without nasal polyps. Braz J Otorhinolaryngol 2013; 79 (3): 306-311. doi. 10.5935/1808- 8694.20130055.

20. Kosugi EM, Chen VG, Fonseca VM, Cursino MM, et al. Translation, cross-cultural adaptation and validation of sinonasal outcome test (SNOT)-22 to Brazilian Portuguese. Braz J Otorhinolaryngol 2011; 77 (5): 663-669. doi. 10.1590/ s1808-86942011000500021.

21. Lind H, Joergensen G, Lange B, Svendstrup F, et al. Efficacy of ESS in chronic rhinosinusitis with and without nasal polyposis: a Danish cohort study. Eur Arch Otorhinolaryngol 2016; 273 (4): 911-919. doi. 10.1007/s00405-015-3667-9.

22. Vilhena D, Duarte D, Lopes D. Calidad de vida en la rinosinusitis crónica con poliposis nasal. Rev ORL 2016; 7 (1): 17-22. doi. https://doi.org/10.14201/orl.13527.

23. Amali A, Saedi B, Rahavi-Ezabadi S, Ghazavi H, et al. Longterm postoperative azithromycin in patients with chronic rhinosinusitis: a randomized clinical trial. Am J Rhinol Allergy 2015; 29 (6): 421-424. doi. 10.2500/ajra.2015.29.4244.