Outcome of Endoscopic Frontal Sinus Surgery for Chronic Rhinosinusitis with and without Polyps | ||||
| International Journal of Advanced Scientific Research and Innovation | ||||
| Volume 3, Issue 1, June 2020, Page 1-15 PDF (519.84 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijasri.2020.273110 | ||||
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| Authors | ||||
| Mohamed Adel Mobasher1; Mohammad Waheed El-Anwar2; Abobakr Abdelmoghny3 | ||||
| 1Lecturer, Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| 2Professor, Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| 3Lecturer, Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Alazhar University (Assuit branch) | ||||
| Abstract | ||||
| Background: Endoscopic frontal sinus surgery (EFSS) for frontal chronic rhinosinusitis (CRS) is performed for patients with frontal CRS failing medical therapy or complicated cases in order to restore normal mucociliary clearance while minimizing trauma to the delicate frontal recess mucosa. Comparison of the results of EFSSin patients with chronic rhinosinusitis with nasal polyp (CRSwNP) versus chronic rhinosinusitis without nasal polyp (CRSsNP) is missed in the literature. Objectives: to compare the outcome of EFSS in patients with CRS with nasal polyp (CRSwNP) versus CRS without nasal polyp (CRSsNP) by assessing the frontal sinus ostium patency and quality of life of patients as measured by the Sinonasal OutcomeTest-22 (SNOT-22) Patients and methods: A forty six patient cohort with frontal CRS(22 CRSwNP and 24 CRSsNP) was prospectively evaluated using the SNOT-22, CT imaging, and endoscopic examination. Six months at least post-FESS, patients were reassessed with SNOT-22 and endoscopic assessment for the frontal sinus osteam patency. Results: Within included 46 patients (22 CRSwNP and 24 CRSsNP) underwent EFSS, a significant improvement (p< 0.0001) in the SNOT-22 symptom scores was achieved postoperatively in both patients with CRSwNP and CRSsNP.Inaddition to each of its mean; rhinological, ear and facial, sleep function, psychological, cough, and waking up tired subscale scores were also signifacntly improved in both CRSwNP and CRSsNP. Moreover, the 6 months postoperative examination, revealed 85% overall patent frontal sinus ostia;86.4% in CRSwNP and 83.3% in CRSsNP.. Conclusion: Endoscopic frontal sinus surgery could significantly improve the quality of life of patients with CRS with and without nasal polyps with high frontal sinus ostia patency rate. | ||||
| Keywords | ||||
| Endoscopic frontal sinus surgery; frontal sinusitis; SNOT-22; chronic rhinosinusitis; CRSwNP; CRSsNP | ||||
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