Clinical prognostic factors of chronic rhinosinusitis after endoscopic sinus surgery

ORL; Journal for Oto-rhino-laryngology and Its Related Specialties
Yuan LiZhuan-ping Zeng

Abstract

We aimed to determine the clinical prognostic factors of chronic rhinosinusitis after endoscopic sinus surgery (ESS) in order to better guide the management of patients. A total of 254 patients with chronic rhinosinusitis after ESS with a follow-up of 24 months were evaluated retrospectively. Clinical grouping, hyperplasia of the ethmoid bone, anatomic variations, allergy, polyps, previous sinonasal surgery and recurrent polyps were analyzed. The success rates were 64.4 and 91.9% with and without hyperplasia of the ethmoid bone, 87.6 and 86.4% with and without anatomic variations, 67.9 and 92.0% with and without allergy, 81.0 and 94.0% with and without polyps, 72.8 and 93.6% with and without history of surgery and 52.3 and 94.3% with and without recurrent polyps. In logistic multiple regression analysis, allergy (p = 0.0002; estimate, -4.2094), nasal polyps (p = 0.0007; estimate, -3.6393) and history of surgery (p < 0.0001; estimate, -5.0938) were found to reach a statistically significant level. We propose that allergy, polyps and history of surgery might be significant indicators of poor prognosis after ESS.

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Citations

Jun 24, 2010·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Edwin Yong Miao
Feb 20, 2009·Current Opinion in Otolaryngology & Head and Neck Surgery·Alexander C Chester
Aug 31, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Marco Carifi
Sep 6, 2011·The Journal of Allergy and Clinical Immunology·Daniel L Hamilos
Jun 8, 2013·Brazilian Journal of Otorhinolaryngology·Juliana Gama MascarenhasEduardo Macoto Kosugi
Jun 25, 2016·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Himanshu VarshneyS K Ghosh
Feb 2, 2019·Journal of Clinical Medicine·Geng-He ChangMing-Shao Tsai

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