Radical surgery: effect on quality of life and pain in chronic rhinosinusitis.

Autor: Videler WJ; Department of Otorhinolaryngology-Head and Neck Surgery, Academic Medical Center, Amsterdam, the Netherlands. W.J.Videler@amc.uva.nl, van Drunen CM, van der Meulen FW, Fokkens WJ
Jazyk: angličtina
Zdroj: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2007 Feb; Vol. 136 (2), pp. 261-7.
DOI: 10.1016/j.otohns.2006.08.010
Abstrakt: Objectives: Despite effective medical therapy and repetitive endoscopic sinus surgery in the treatment of chronic rhinosinusitis, there still remains a small group of patients without improvement of symptoms. This study evaluates the effect of radical surgery on quality of life and pain in these patients with recalcitrant disease.
Study Design: A prospective, questionnaire-based study was conducted in 23 patients who underwent Denker's procedure for refractory chronic rhinosinusitis. Quality of life and pain were evaluated before surgery and 12 months and 2 years after surgery with the SF-36 and McGill Pain Questionnaire.
Results: Seven of the eight mean scores of the SF-36 postoperatively improved after surgery, with statistical significance for Role Physical (RP) P=0.048. Bodily pain showed a strong tendency to significance. Results of the McGill Pain Questionnaire show a significant improvement in most of the subscores after surgery implying less pain.
Conclusion: Radical surgery improves the physical burden of chronic rhinosinusitis and pain experience in patients with therapy resistant chronic rhinosinusitis.
Databáze: MEDLINE
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