Analysis and Results of Endoscopic Sinus Surgery in Chronic Rhinosinusitis With Polyps

Cabrera-Ramírez, M. Soledad; Domínguez-Sosa, M. Sandra; Barreiro, Silvia Borkoski; Falcón-González, Juan Carlos; Ramos‐Macías, Ángel

doi:10.1016/j.otoeng.2017.02.002

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…13 They reported that 23.2% of the patients had complications. Only one patient had major complication.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of minimally invasive endoscopic sinus surgery in alleviating the symptom complex in chronic rhino-sinusitis

Reddy

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Early surgical intervention has been found to be better in terms of patient satisfaction compared even with the medical management. The objective of the study was to study effectiveness of minimally invasive endoscopic sinus surgery in alleviating the symptom complex in chronic rhino-sinusitis.Methods: Retrospective review of the chronic rhino-sinusitis data of 164 patients done, who undergone functional endoscopic sinus surgery with or without septoplasty between 2005 and 2013. Any recurrence of symptoms and radiological evidence recorded in the patient notes. The number of patients who undergone revision surgery also recorded. Results: The recurrence rate of symptoms and sinus disease was 20% (33 patients). There was no relation between the severity of the symptoms and the amount of disease seen in the CT scans. The two patients, who had purulent sinusitis, WERE completely relieved of their headaches and resumed their routine work soon after the operation. About 90% patients improved regarding nasal obstruction, 75% patients improved of nasal discharge, 60% patients showed improvement for sneezing. There were adhesions in about 6% patients and polyps recurred in 30% of patients. The recurrence of symptoms improved with medication in majority of patients.Conclusions: The meticulously performed functional endoscopic surgery effectively improved symptom complex. If properly performed it is effective in alleviating all the symptoms and decrease recurrence rate and complications can be kept at negligible levels. Hence it offers a clear advantage in reducing complications and recurrence rates in sinus disease.

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“…13 They reported that 23.2% of the patients had complications. Only one patient had major complication.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of minimally invasive endoscopic sinus surgery in alleviating the symptom complex in chronic rhino-sinusitis

Reddy

2018

Int J Otorhinolaryngol Head Neck Surg

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“…CRS-sNP patients may also be treated with short cycles of systemic corticosteroids (SCS), and/or short-term course of antibiotics in disease exacerbation (12) . Short-term SCS are advised in CRSwNP (1,(12)(13)(14) . When medication fails to control CRS, endoscopic sinus surgery (ESS) is recommended (1,12) .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of chronic rhinosinusitis without/with nasal polyps according to severity in Spain

Mullol,

Sastre,

Domínguez-Ortega

et al. 2024

Rhin

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Background: The worldwide prevalence range of chronic rhinosinusitis (CRS) is 5-12%; from this, 20 % have nasal polyps. Due to the little epidemiological data about CRS in the Spanish population, this study analyses the prevalence and severity of CRS with (CRSwNP) or without (CRSsNP) nasal polyps, and their connection with other coexisting type 2 inflammatory diseases in Spain. Methodology: This is a retrospective, large-scale, nationwide, epidemiological study based on the electronic medical records from the BIG-PAC® database. Patients diagnosed of CRSsNP and CRSwNP were identified using specific disease codes. The severe form of the disease was defined as patients who received at least a long course of antibiotics in CRSsNP or ≥2 short courses of systemic corticosteroids in CRSwNP in ≤12 months during the last 2 years, and/or had previous sinus surgery. Physician-diagnosed prevalence, sociodemographic and clinical characteristics, and disease severity were assessed. Results: Out of a cohort of 1,012,257 patients (≥18 years old), 42,863 and 7,550 patients with diagnosed CRSsNP and CRSwNP, respectively, were analysed. The overall prevalence of diagnosed CRS was 5.1%, being 4.3% and 0.8% for CRSsNP and CRSwNP, respectively. Patients with CRSwNP and severe forms of the disease were older and had higher levels of type 2 inflammatory biomarkers than CRSsNP patients and non-severe disease. Conclusions: Although CRSsNP was more prevalent than CRSwNP, the severe forms of CRS were more frequent in patients with CRSwNP. In addition, CRSwNP patients had a higher incidence of coexisting type 2 inflammatory diseases.

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“…After rinsing of the nasal cavity secretions and nasal polyps, the existing infections are treated with antibiotics ( 12 ). Following conservative treatment with drugs, some patients’ nasal sinusitis polyps shrink appropriately and the symptoms are controlled and alleviated ( 13 , 14 ). However, surgical treatment is required for polyps and sinusitis caused by poor drug treatment effects, recurrence of polyps, and abnormal anatomical structure of the nasal cavity ( 15 , 16 ).…”

Section: Introductionmentioning

confidence: 99%

Systematic review and meta-analysis of the curative effects and safety of endoscopic sinus surgery in children with chronic sinusitis with nasal polyps

Zheng¹,

Yu²,

Hu³

et al. 2022

Transl Pediatr

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Background: At present, the surgical treatment of sinusitis with nasal polyps has made great progress, but its recurrence rate is still high. Therefore, this time, meta-analysis is used to study the therapeutic effect of endoscopic sinus surgery on children with chronic sinusitis with nasal polyps, analyze its effectiveness and safety, and provide theoretical basis for clinical treatment.Methods: Boolean logic searching was adopted to retrieve articles from various databases, including PubMed, Medline, and Chinese National Knowledge Infrastructure (CNKI), published from the establishment of the database to December 30, 2021. The following search terms were used: "endoscopic sinus surgery", "antrochoanal polyps", "chronic sinusitis with nasal polyps", and "nasal polyps". Comparative studies on traditional surgical treatment and endoscopic sinus surgery were also screened out. Review Manager was utilized for meta-analysis.Results: A total of 9 references were included in the study, and most of them were low risk bias (medium and high quality). Meta-analysis showed that there was no statistical heterogeneity between the control group and the experimental group (Chi 2 =0.03, I 2 =0%, P=0.98). According to the fixed effect model analysis, the number of patients with polyp formation in the experimental group was significantly less than that in the control group (Z=2.65, P=0.008). Compared with the control group, there is no statistical heterogeneity in the postoperative recurrence (Chi 2 =1.59, I 2 =0%, P=0.45). According to the analysis of fixed effect model, the postoperative recurrence in the experimental group is significantly less than that in the control group (Z=2.92, OR =2.78, 95% CI: 1.40-5.52, P=0.004). Compared with the control group, the results of postoperative visual analogue scale (VAS) were statistically different (Chi 2 =12.63, I 2 =84%, P=0.002). According to the random effect model analysis, the VAS score of the experimental group was significantly lower than that of the control group (Z=18.06, MD =4.51, 95% CI: 3.96-5.05, P<0.00001).Discussion: Endoscopic sinus surgery could reduce the postoperative recurrence and pain of patients, and showed high curative effects and safety in the treatment of children with chronic sinusitis with nasal polyps.

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Analysis and Results of Endoscopic Sinus Surgery in Chronic Rhinosinusitis With Polyps

Cited by 4 publications

References 27 publications

Effectiveness of minimally invasive endoscopic sinus surgery in alleviating the symptom complex in chronic rhino-sinusitis

Effectiveness of minimally invasive endoscopic sinus surgery in alleviating the symptom complex in chronic rhino-sinusitis

Prevalence of chronic rhinosinusitis without/with nasal polyps according to severity in Spain

Systematic review and meta-analysis of the curative effects and safety of endoscopic sinus surgery in children with chronic sinusitis with nasal polyps

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