Evaluation of pre-operative sino-nasal outcome test- 22 scores as a predictor of outcome in patients undergoing functional endoscopic sinus surgery for chronic rhinosinusitis
| Autor: | Balasubramanian Krishnaswami, Ramkumar Murugesan, Naveenkumar Pruthivirajan, Sathiyam Murugesan, Prabu Velayutham |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Allergy
medicine.medical_specialty Chronic rhinosinusitis business.industry Functional endoscopic sinus surgery medicine.disease 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system Otorhinolaryngology Internal medicine medicine In patient business Nose Depression (differential diagnoses) Asthma |
| Zdroj: | International Journal of Otorhinolaryngology and Head and Neck Surgery. 5:876 |
| ISSN: | 2454-5937 2454-5929 |
| Popis: | Background: Numerous factors are to be considered when offering FESS as a treatment for patients with chronic rhinosinusitis (CRS) who have failed conservative medical treatment. The objective is to evaluate the sino-nasal outcome test (SNOT-22) and other patient demographic characteristics as predictors of postsurgical improvement in patients with CRS.Methods: Consecutive adult subjects presenting to the Otolaryngology clinics in a tertiary hospital, with refractory CRS that required surgery were included. Subjects were excluded if they did not complete both pre and post-operative SNOT-22 Questionnaire. Demographic and baseline measures, including allergic rhinitis, asthma and addiction status, Lund Kennedy endoscopic scores and Lund-Mackay computed tomography (CT) scoring were also obtained for each subject. Regression analyses were performed. Results: Fifty-one subjects met criteria and were included. These subjects showed a 55.4% overall improvement in postsurgical SNOT-22 evaluations. Multivariate regression analysis revealed that SNOT-22 items related to “runny nose,” “waking up at night”, “need to blow nose”, and “sneezing” were independent predictors of postsurgical SNOT-22 improvement (pConclusions: ENT surgeons can utilize the SNOT-22 tool to predict the possibility of symptom improvement post FESS in patients with CRS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|