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International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
Assessment of quality of life after functional endoscopic sinus surgery in patients with chronic
rhinosinusitis
Sadaf Qadeer
Sir Syed College of Medical Sciences, Pakistan
Introduction:
Chronic Rhinosinusitis (CRS) is a group of
disorders characterized by the inflammation of mucosa of
the nasal passages and paranasal sinuses. It includes chronic
rhinosinusitiswithpolyps, CRSwithout polyps andallergic fungal
sinusitis (AFS). This debilitating disease causes negative impact
on quality of life (QOL) of patients. Functional endoscopic sinus
surgery (FESS) is the mainstay of surgical treatment for patients
and improves QOL of patients. This subjective assessment of
QOL can bemeasured by disease specific questionnaires. SNOT-
22 questionnaire is widely used and validated questionnaire for
this purpose.
Objective:
The objective of this study is to compare the quality
of life after functional endoscopic sinus surgery in patients with
subtypes of chronic rhinosinusitis.
Material & Methods:
Prospective study was done on 54
patients. Data was collected using SNOT-22 questionnaire and
filled in pre-operative period then in post-operative follow-up
visits on 1st, 3rd, 6th and 12thmonths. Paired sample t-test was
used to compare pre-operative and post-operative SNOT scores
and multivariate generalized linear model was used to estimate
regression parameters for SNOT scores in CRS with polyp and
AFS in comparison of CRS without polyps.
Results:
Out of 54 patients, 59.3% were males, mean age was
35.98, 29.6%were inCRSwithout polypgroup, 44.4%and25.9%
were in CRS with polyps and AFS group. Recurrence occurred in
7.4%, revision surgery required in 3.7%while 22.2% had history
of asthma. Paired sample t-test showed statistical significant
reduction in post-operative SNOT scores. Linear model results
showed SNOT scores in CRS with polyp group was significantly
reduced.
Conclusion:
FESS provides significant improvement in QOL of
patients in chronic rhinosinusitis.
Speaker Biography
Sadaf Qadeer is an ENT specialist with special interest in Rhinology. She is apt in
Endoscopic Surgery with emphasis on immunology and allergy. This study is first of
its kind in Pakistani population. This study sheds light on the main subtypes of chronic
rhinosinusitis and post-operative quality of life after FESS in such patients.
e:
sadaf.qkhan@gmail.com