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Assessment of quality of life after functional endoscopic sinus surgery in patients with chronic rhinosinusitis
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Sadaf Qadeer
Sir Syed College of Medical Sciences, Pakistan
Scientific Tracks Abstracts : Case Rep Surg Invasive Proced
Abstract:
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 rhinosinusitis with polyps, CRS without polyps and allergic 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 be measured by disease specific questionnaires. SNOT22 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 12th months. 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 in CRS without polyp group, 44.4% and 25.9% 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.
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.
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