Assessment of Improvement After Endoscopic Sinus Surgery by Sino-Nasal Outcome Test (SNOT-22) in Patients with Chronic Rhino-sinusitis with and without Polyp

Abstract

Introduction: Chronic Rhinosinusitis is one of the leading causes of disability and economic burden. Endoscopic Sinus Surgery plays a very important role in the management of Chronic Rhinosinusitis. Sino-Nasal Outcome Test (SNOT-22) is the most widely used tool for assessment of improvement following Endoscopic Sinus Surgery in patients with Chronic Rhinosinusitis. It can
help understand the effects and outcomes of sinus surgery with a greater focus on the patient’s perspective. Aim of the study: The study aimed to find out the postsurgical (Endoscopic Sinus Surgery) improvement in patients with CRS. Methods: This prospective observational study was conducted at the Department of ENT and Head-Neck Surgery, Combined Military Hospital, Dhaka, Bangladesh. The study duration was from 1st july 2019 to 30th june 2020 for 1 year. A total of 100 patients were randomly selected from those who had Chronic Rhino-Sinusitis (CRS) with or without the presence of Polyps. Result: Mean age of the patient was 37.02±9.768 years. The majority (39%) were found between 30-40 years of age. The mean age is consistent with other studies. Female patients (62%) were predominant in this study. Male: Female patient ratio was 1:1.6. Majority (76%) of the patients were from an urban area with Housewife (50%) being the most common occupation. 36% of them were educated to the level of at least HSC, 59% were SSC qualified and only 1% were illiterate. 57% of cases were diagnosed as a case of Chronic Rhinosinusitis with polyp and the rest were as Chronic Rhinosinusitis without polyp (43%). Quality of life according to SNOT-22 parameters had significant improvement at both 1-month and 3-month follow-ups. Conclusion: Endoscopic Sinus Surgery plays a very important role in the management of Chronic Rhinosinusitis. Sino-Nasal Outcome Test (SNOT-22) is the most widely used tool for assessment of improvement following Endoscopic Sinus Surgery in patients with Chronic Rhinosinusitis. Overall there was significant improvement in patients in this study. Almost all parameters of SNOT-22 also showed significant changes. There are also almost similar improvements in patients of CRS with and without polyp.