Long-term Follow-up of Pediatric Chronic Rhinosinusitis After Surgical Treatment.
| Autor: | Makary, Chadi A., Bonnici, Maximilian, Jones, Garrett, Sullivan, Patrick, Stokes, Cara, Ramadan, Hassan H. |
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| Předmět: |
PARANASAL sinus surgery
STATISTICS DISEASE progression OPERATIVE otolaryngology ASTHMA CHRONIC diseases CROSS-sectional method ENDOSCOPIC surgery ADENOIDECTOMY RHINITIS PARANASAL sinuses ACQUISITION of data TREATMENT effectiveness FACE T-test (Statistics) SINUSITIS QUESTIONNAIRES DESCRIPTIVE statistics QUALITY of life CHI-squared test MEDICAL records COMPUTED tomography DATA analysis software LONGITUDINAL method ENDOSCOPY EVALUATION CHILDREN ADOLESCENCE |
| Zdroj: | Annals of Otology, Rhinology & Laryngology; Nov2023, Vol. 132 Issue 11, p1400-1403, 4p |
| Abstrakt: | Objective: To study the long-term outcomes of pediatric chronic rhinosinusitis (CRS) after surgical treatment. Methods: Cross-sectional survey of patients who were treated surgically for CRS as children more than 10 years ago. Survey included SNOT-22 questionnaire, additional functional endoscopic sinus surgery (FESS) since last treatment, status of allergic rhinitis and asthma, and availability of any CT scan sinus/face for review. Results: About 332 patients were contacted by phone or email. Seventy-three patients filled the survey (22.5% response rate). Current age was 26 years (±+/−4.7, 15.3-37.8 years). Age at initial treatment was 6.8 years (+/−3.1, 1.7-14.7 years). Fifty-two patients (71.2%) had FESS and adenoidectomy, and 21 patients (28.8%) had adenoidectomy only. Follow-up since surgical treatment was 19.3 years (+/−4.1). SNOT-22 score was 34.5 (+/−22.2). None of the patients had any additional FESS for the duration of the follow-up, and only 3 patients had septoplasty and inferior turbinoplasty as adults. Twenty-four patients had CT scan sinuses/face available for review. Scans were obtained at an average of 14 years after surgical intervention (+/−5.2). CT LM score was 0.9 (+/−1.9), compared to 9.3 at time of their surgery (+/−5.9) (P <.0001). Currently 45.8% and 36.9% of patients have asthma and AR, compared to 35.6% and 40.6% respectively as kids (P =.897 and P =.167). Conclusion: Children who had surgery for CRS do not seem to have CRS as adults. However, patients continue to have active allergic rhinitis that may affect their quality of life. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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