Outcome of Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis— A Study in a Tertiary Care Hospital in Bangladesh
Gazi Manzurul Islam
Published 18-10-2024
Keywords
- Functional endoscopic sinus surgery,
- Chronic rhinosinusitis,
- Quality of life,
- Nasal obstruction
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Abstract
Introduction: Chronic rhinosinusitis (CRS) poses a significant burden on the quality of life for numerous affected individuals. The objective of the investigation was to assess the effects of functional endoscopic sinus surgery on patient symptom profiles and their overall quality of life.
Methods and materials: This prospective cross-sectional study was conducted at the Department of Otolaryngology in Monno Medical College Hospital, Manikganj, from July 2020 to July 2023. A total of 60 patients were selected as study subjects by simple random sampling as per inclusion and exclusion criteria. All patients were asked to complete the SNOT-22 questionnaire 48 hours before and 6 months after the surgery. Collected data were analyzed using different statistical methods. Analysis of data was carried out by using a statistical package for social science (SPSS) 22.0 for Windows.
Result: It was observed that most of the patients (31,51.6%) had pre-existing asthma, followed by allergic rhinitis (23,38.3%), sleep apnea (17,28.3%), migraines (13,21.6%), chronic pulmonary disease (11,18.3%), and obesity (10,16.6%). In this series, a statistically significant improvement was observed between the scores of pre and postoperative SNOT-22 in the unilateral chronic rhinosinusitis group (34.55 ± 10.81 vs 12.26 ± 9.23) and also in the bilateral chronic rhinosinusitis group (34.0 ± 7.61 vs 14.57 ± 7.88) by Wilcoxon signed-rank test.
Furthermore, there was a notable decrease observed in the scores of the four distinct domains of SNOT-22 between the preoperative and postoperative periods.
Conclusion: Patients with chronic rhinosinusitis experience a notable enhancement in their disease-specific quality of life following functional endoscopic sinus surgery. In addition, a significant reduction is seen in the scores of the four different domains of SNOT-22 between the preoperative and postoperative evaluation.
