Functional endoscopic sinus surgery improves the quality of life in children suffering from chronic rhinosinusitis with nasal polyps
| Autor: | Petros V. Vlastarakos, Nikolaos S. Tsilis, John V. Segas, Thomas P. Nikolopoulos, Melina Fetta |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Cystic Fibrosis Chronic rhinosinusitis Cystic fibrosis 03 medical and health sciences 0302 clinical medicine Nasal Polyps Quality of life Patient age Informed consent Internal medicine medicine Humans Nasal polyps Sinusitis 030223 otorhinolaryngology Child Rhinitis business.industry Endoscopy General Medicine Functional endoscopic sinus surgery medicine.disease Surgery Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Chronic Disease Quality of Life Female business |
| Zdroj: | International journal of pediatric otorhinolaryngology. 100 |
| ISSN: | 1872-8464 |
| Popis: | Objective To evaluate the impact of FESS in children with chronic rhinosinusitis with nasal polyps, regarding their overall postoperative quality-of-life (QoL) and constituent QoL domains. Potential differences between cystic fibrosis (CF) sufferers and non-sufferers, or cases with recurrent sinonasal polyposis versus single-operations were also explored. Methods 39 children were studied. The mean patient age was 10.9 years; four children suffered from cystic fibrosis. The children (or parents) completed the Glasgow Benefit Inventory for Children (GCBI) at least six months after their operation. The Mann-Whitney test compared the GCBI scores between non- and CF sufferers, as well as children with and without recurrent polyposis. Results The median overall QoL score was 98. There were no statistically significant differences between CF sufferers and non-sufferers regarding their overall QoL, or the respective individual QoL domains, apart from their physical postoperative activity (p = 0.04). Twelve children demonstrated recurrent polyposis (30.7%); among them three were cystic fibrosis sufferers. No statistically significant differences were identified in the overall QoL score, or individual GCBI subscale scores between children with recurrent polyposis versus single-operations. Children with recurrent polyposis but not CF performed better regarding their overall QoL (p = 0.021) and medical status (p = 0.015), compared to their CF counterparts. Conclusion FESS performed for chronic rhinosinusitis with nasal polyps in children is associated with improved postoperative QoL, irrespective of the presence of CF (although the latter needs to be confirmed in larger patient cohorts). The absence of appreciable differences in the overall QoL, or its constituent domains, between single and re-operated children, indicate that the positive effect of FESS outweighed the burden of re-operation. Appropriate preoperative informed consent in cases of recurrent sinonasal polyposis necessitates acknowledging worse respective outcomes in CF sufferers. |
| Databáze: | OpenAIRE |
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