Factors Contributing to the Recurrence of Chronic Rhinosinusitis With Nasal Polyps After Endoscopic Sinus Surgery: A Systematic Review.

Autor:	Abuduruk SH; Department of Otolaryngology, Alhada Armed Forces Hospital, Taif, SAU., Sabb Gul BK; Department of Otolaryngology, Al-Noor Specialized Hospital, Makkah, SAU., AlMasoudi SM; Department of Otolaryngology, College of Medicine, Majmaah University, Al-Majmaah, SAU., Alfattani EH; Department of Otolaryngology, Al-Noor Specialized Hospital, Makkah, SAU., Mohammad MA; Department of Otolaryngology, Al-Noor Specialized Hospital, Makkah, SAU., Alshehri HM; Department of Otolaryngology, Alhada Armed Forces Hospital, Taif, SAU., Alosaimi AD; Department of Otolaryngology, Alhada Armed Forces Hospital, Makkah, SAU., Almnjwami RF; Department of Otolaryngology, Alhada Armed Forces Hospital, Taif, SAU., Alnafie JA; Department of Otolaryngology, King Abdullah Medical City, Makkah, SAU., Jabbari AN; Department of Otolaryngology, Alhada Armed Forces Hospital, Taif, SAU., Althumali AH; Department of Otolaryngology, Alhada Armed Forces Hospital, Taif, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 27; Vol. 16 (8), pp. e67910. Date of Electronic Publication: 2024 Aug 27 (Print Publication: 2024).
DOI:	10.7759/cureus.67910
Abstrakt:	Chronic rhinosinusitis with nasal polyposis (CRSwNP) occurs due to the inflammation of sinonasal tissue. Cases of CRSwNP more commonly demand revision endoscopic sinus surgery (ESS) as compared to patients without polyposis. The recurrence rate varies widely depending on various factors, such as the extent of surgery, patient compliance with postoperative care, and the severity of the underlying disease. Studies conducted on chronic rhinosinusitis (CRS) patients showing recurrence or relapse of nasal polyps post endoscopic sinus surgery were included. We used the modified Newcastle-Ottawa scale (NOS) for cross-sectional studies and cohort studies. Only 15 articles met our inclusion and exclusion criteria after the full-text screening. The studies enrolled participants between 2009 and 2022, including 2,515 ESS patients. The mean age of the included subjects ranged between 37.1 and 57.57 years. In conclusion, CRSwNP is a chronic inflammatory disease that can impose a significant burden on patients, healthcare systems, and society. Asthma, aspirin intolerance, peripheral eosinophilia, interleukin-5 (IL-5) expression, T2 profile, and intense sinus opacification have been noted to be independent predictors of the condition in different studies. Recurrent polyposis in CRS signals a more aggressive disease course, requiring close follow-up and revision surgeries in the long run. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Abuduruk et al.)
Databáze:	MEDLINE
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