The effect of endoscopic sinus surgery on quality of life: a prospective clinical study

Year 2015, Volume: 1 Issue: 1, 14 - 20, 04.03.2015

Zeynep Sayar Mehmet Haksever , Davut Akduman , Sundus Aslan , Fevzi Solmaz , Ahmet Kaygusuz

https://doi.org/10.18621/eurj.2015.1.1.14

Abstract

Objective. Chronic rhinosinusitis has a negative effect on quality of life of millions of involved patients. The aim of this study was to assess the effect of endoscopic sinus surgery on the quality of life in patients with chronic rhinosinusitis. Material and Methods. Twenty-five cases with chronic rhinosinusitis, which were resistant to 12 weeks medical treatment, have undergone Endoscopic Sinus Surgery. Two kinds of health related quality of life (HRQoL) surveys (Chronic Sinusitis Survey, Rhinosinusitis Disability Index) were applied to all cases before and at least 6 months after at the operation. Lund-Kennedy endoscopic scoring system was used as an objective evaluation. All analysis was performed using SPSS statistical software. Results. Statistically significant improvements were computed for cases before and after surgery regarding the Chronic Sinusitis Survey symptom scores (p<0.05). Also Statistically significant improvements were found for cases regarding the Rhinosinusitis Disability Index. But mean changes in endoscopic scores did not statistically correlate with changes in quality of life (p>0.05). Conlusions. Our results showed that endoscopic sinus surgery improves quality of life in cases with chronic rhinosinusitis. But this improvement did not correlate with the endoscopic scores of paranasal sinuses.

Keywords

Chronic rhinosinusitis, endoscopic sinus surgery, chronic sinusitis survey, rhinosinusitis disability index, quality of life

References

• Halawi AM, Smith SS, Chandra RK. Chronic rhinosinusitis: epidemiology and cost. Allergy Asthma Proc. 2013;34(4):328-34.
• Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol Suppl. 2012(23):3 p preceding table of contents, 1-298.
• Gliklich RE, Metson R. The health impact of chronic sinusitis in patients seeking otolaryngologic care. Otolaryngol Head Neck Surg. 1995;113(1):104-9.
• Durr DG, Desrosiers MY, Dassa C. Impact of rhinosinusitis in health care delivery: the Quebec experience. J Otolaryngol. 2001;30(2):93-7.
• Dalziel K, Stein K, Round A, Garside R, Royle P. Systematic review of endoscopic sinus surgery for nasal polyps. Health Technol Assess. 2003;7(17):iii, 1-159.
• Terris MH, Davidson TM. Review of published results for endoscopic sinus surgery. Ear Nose Throat J. 1994;73(8):574-80.
• Mace JC, Michael YL, Carlson NE, Litvack JR, Smith TL. Correlations between endoscopy score and quality of life changes after sinus surgery. Arch Otolaryngol Head Neck Surg. 2010;136(4):340-6.
• Benninger MS, Ferguson BJ, Hadley JA, Hamilos DL, Jacobs M, Kennedy DW, et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg. 2003;129(3 Suppl):S1-32.
• Lund VJ, Mackay IS. Staging in rhinosinusitis. Rhinology. 1993;107:183–4.
• Lund VJ, Kennedy DW. Quantification for staging sinusitis. The Staging and Therapy Group. Ann Otol Rhinol Laryngol Suppl. 1995;167:17-21.
• Damm M, Quante G, Jungehuelsing M, Stennert E. Impact of functional endoscopic sinus surgery on symptoms and quality of life in chronic rhinosinusitis. Laryngoscope. 2002;112(2):310-5.
• Alt JA, Smith TL, Schlosser RJ, Mace JC, Soler ZM. Sleep and quality of life improvements after endoscopic sinus surgery in patients with chronic rhinosinusitis. Int Forum Allergy Rhinol. 2014;4(9):693-701.
• Mehanna H, Mills J, Kelly B, McGarry GW. Benefit from endoscopic sinus surgery. Clin Otolaryngol Allied Sci. 2002;27(6):464-71.
• Smith TL, Mendolia-Loffredo S, Loehrl TA, Sparapani R, Laud PW, Nattinger AB. Predictive factors and outcomes in endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope. 2005;115(12):2199-205.
• Kennedy DW. Prognostic factors, outcomes and staging in ethmoid sinus surgery. Laryngoscope. 1992;102(12 Pt 2 Suppl 57):1-18.
• Lund VJ, Holmstrom M, Scadding GK. Functional endoscopic sinus surgery in the management of chronic rhinosinusitis. An objective assessment. J Laryngol Otol. 1991;105(10):832-5.
• Senior BA, Kennedy DW, Tanabodee J, Kroger H, Hassab M, Lanza D. Long-term results of functional endoscopic sinus surgery. Laryngoscope. 1998;108(2):151-7.
• Wright ED, Agrawal S. Impact of perioperative systemic steroids on surgical outcomes in patients with chronic rhinosinusitis with polyposis: evaluation with the novel Perioperative Sinus Endoscopy (POSE) scoring system. Laryngoscope. 2007;117(11 Pt 2 Suppl 115):1-28.
• Toros SZ, Bolukbasi S, Naiboglu B, Er B, Akkaynak C, Noshari H, et al. Comparative outcomes of endoscopic sinus surgery in patients with chronic sinusitis and nasal polyps. Eur Arch Otorhinolaryngol. 2007;264(9):1003-8.
• Giger R, Dulguerov P, Quinodoz D, Leuba D, Landis BN, Lacroix JS, et al. Chronic panrhinosinusitis without nasal polyps: long-term outcome after functional endoscopic sinus surgery. Otolaryngol Head Neck Surg. 2004;131(4):534-41.
• Birch DS, Saleh HA, Wodehouse T, Simpson IN, Mackay IS. Assessing the quality of life for patients with chronic rhinosinusitis using the "Rhinosinusitis Disability Index". Rhinology. 2001;39(4):191-6.