Revision endoscopic sinus surgery rates by chronic rhinosinusitis subtype

International Forum of Allergy & Rhinology
Amar MiglaniDevyani Lal

Abstract

Revision surgery rates following endoscopic sinus surgery (ESS) range between 7% and 50% and are influenced by many factors. This study investigates ESS outcomes for chronic rhinosinusitis (CRS) subtypes. Retrospective review of adult CRS patients undergoing ESS with a single surgeon (2010-2015) was conducted. Outcomes were analyzed by CRS subtypes. ESS was performed in 424 CRS patients (CRS with nasal polyps [CRSwNP], n = 170; CRS without polyps [CRSsNP], n = 254). Most patients (309; 72.9%) could not be specifically subtyped; 115 (27.1%) were subtyped as follows: aspirin-exacerbated respiratory disease (AERD), n = 47 (11.1%); allergic fungal sinusitis (AFS), n = 39 (9.2%); immunodeficiency, n = 21 (5.0%); granulomatosis with polyangiitis (GPA), n = 5 (1.2%); and eosinophilic granulomatosis with polyangiitis (EGPA), n = 3 (0.7%). All subgroups experienced clinically meaningful reduction in postoperative 22-item Sino-Nasal Outcome Test (SNOT-22) scores. At median follow-up of 28 months (interquartile range [IQR], 10-47 months), 19 patients (4%) underwent revision ESS (CRSwNP, n = 6; CRSsNP, n = 13). Revision ESS rates were 3.5% and 5.1% for CRSwNP and CRSsNP, respectively. Revision ESS rate for subtypes were: AERD 2%; AFS 2%; i...Continue Reading

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Citations

Dec 21, 2018·International Forum of Allergy & Rhinology·Kristine A SmithJeremiah A Alt
Oct 26, 2018·American Journal of Rhinology & Allergy·Nuray Bayar MulukGuy Scadding
Jun 28, 2019·International Forum of Allergy & Rhinology·Daniel M BeswickTimothy L Smith
Jan 18, 2020·International Forum of Allergy & Rhinology·Natasha Larivée, Christopher J Chin
Nov 22, 2019·International Forum of Allergy & Rhinology·Catherine A LoftusRodney J Schlosser
May 4, 2020·International Forum of Allergy & Rhinology·Devyani LalMatthew A Rank
May 30, 2020·International Forum of Allergy & Rhinology·David W JangDavid L Witsell
Jul 16, 2020·International Forum of Allergy & Rhinology·Shireen SamargandyJonathan Yip
Aug 28, 2020·Current Medical Research and Opinion·Stephanie ChenEmily Rosta
Mar 13, 2019·Current Allergy and Asthma Reports·Thad W VickeryJeffrey D Suh
Oct 23, 2019·Laryngoscope Investigative Otolaryngology·Michael J MarinoDevyani Lal
Nov 30, 2018·Current Opinion in Pulmonary Medicine·Marek L Kowalski
Jan 17, 2020·International Forum of Allergy & Rhinology·Catherine A LoftusRodney J Schlosser
Aug 7, 2019·American Journal of Rhinology & Allergy·Michael WynneJennifer K Mulligan
Feb 26, 2021·International Forum of Allergy & Rhinology·Amarbir S GillJeremiah A Alt
Nov 26, 2020·International Forum of Allergy & Rhinology·Richard R OrlandiBing Zhou
Jun 20, 2021·The Laryngoscope·Chadi A MakaryHassan H Ramadan
Sep 25, 2021·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·Reza SamareiFatemeh Mehdikhani

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