Outcome of Endoscopic Sinus Surgery

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P79-P80
Author(s):  
Yahya Nasser Al Badaai ◽  
Mark Samaha
Keyword(s):  
Quality Of Life ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Tertiary Care ◽  
Sinus Surgery ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Average Improvement ◽  
Co Morbidity

Objective 1) Determine the effect of surgical therapy for Chronic Rhinosinusitis (CRS) on patient quality of life in a tertiary care centre in Quebec. 2) Compare the outcome of endoscopic sinus surgery on patients with different comorbidities. Methods Prospective cohort study. Subjects were consecutive patients with a diagnosis of CRS who failed medical treatment and were undergoing Endoscopic Sinus Surgery (ESS). General health (SF-12 v2) and disease-specific (chronic sinusitis survey (CSS)) outcomes questionnaires were filled out pre-operatively and postoperatively. Results 152 patients were enrolled in a 7-month period. 120 patients completed the postoperative surveys. The most common co-morbidity was asthma (40%). 72% had clinical improvement, 12% worsened, and 15% were unchanged. The average improvement of CSS scores was 17%. Conclusions Significant improvement in quality of life was achieved after ESS for patients with CRS.

The Effects of Endoscopic Sinus Surgery on Voice Characteristics in Chronic Rhinosinusitis Patients

2019 ◽  
Vol 128 (12) ◽  
pp. 1129-1133
Author(s):  
Danny B. Jandali ◽  
Ashwin Ganti ◽  
Inna A. Husain ◽  
Pete S. Batra ◽  
Bobby A. Tajudeen
Keyword(s):  
Quality Of Life ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Tertiary Care ◽  
Voice Quality ◽  
Upper Airway ◽  
Sinus Surgery ◽  
Perceptual Evaluation ◽  
Snot 22

Objectives: Functional endoscopic sinus surgery (FESS) is a standard treatment modality for patients with chronic rhinosinusitis (CRS) who have failed appropriate medical therapy. However, FESS entails modification of the upper airway tract that may alter phonatory resonance and produce voice changes. The effects of FESS on postoperative voice characteristics in patients with CRS have yet to be quantitatively assessed. Methods: Patients with severe CRS who underwent FESS at a tertiary care referral center between May and October 2017 were prospectively enrolled. The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) and the Voice Handicap Index (VHI) were used to quantitatively evaluate voice characteristics and quality of life, respectively. Preoperative and postoperative CAPE-V and VHI scores were compared with postoperative scores for each patient. Sino-Nasal Outcome Test (SNOT-22) scores were also obtained to assess changes in patient symptoms. Results: 18 CRS patients undergoing FESS were enrolled. The average preoperative Lund-Mackay score was 14, indicating baseline severe CRS. Postoperative assessments demonstrated a statistically significant decrease in CAPE-V (45-27, p = .005) and VHI (10-4.7, p < .001) scores. These correlated with a statistically significant decrease in SNOT-22 scores (42-13, p < .001). Conclusions: Patients with CRS experience a significant improvement in voice characteristics and vocal quality of life following FESS. Furthermore, this appears to correlate with a significant decrease in self-reported disease severity. These findings may augment the discussion of potential benefits of FESS to a new potential domain for voice quality.

scholarly journals Effect of treatment on the quality of life of cervical cancer patients: a prospective study from a tertiary care centre of West Bengal

2019 ◽  
Vol 7 (1) ◽  
pp. 300
Author(s):  
Manisha Sarkar
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Cancer Patients ◽  
West Bengal ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Financial Difficulties ◽  
History Of

Background: Cervical cancer is one of many health care ironies. Better survival rates demand better quality of life (QoL). The aim of present study was to determine the change in QoL of cervical cancer patients due to treatment.Methods: An observational prospective study was conducted from July 2017 to June 2018 among 80 new cervical cancer patients without any prior history of treatment for cervical cancer, attending radiotherapy department of a tertiary care centre of West Bengal using a semi-structured schedule and European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ). Information was collected on socio-demographic and clinical aspects and QoL domains. Those with history of surgery for cervical cancer, advanced stage of disease were excluded. EORTC QLQ was administered at baseline and one month after completion of treatment. Data was analysed by percentage, means±standard deviation, range and Wilcoxon signed rank test etc. using SPSS-16.Results: Only 60 patients could be analysed as 10 patients died and 10 lost to follow-up. After treatment there was a significant improvement in global health, physical, emotional and cognitive functioning as well as decrease in symptoms like fatigue, pain, insomnia, appetite loss and constipation along with worsening of financial difficulties. There was significant improvement in body image, decrease in problems of symptom experience, peripheral neuropathy and menopausal symptoms after treatment.Conclusions: The cervical cancer patients show an overall improvement in their QoL in most of the domains after one month of treatment except worsening of financial difficulties. 

scholarly journals ADHERENCE TO ANTIEMESIS GUIDELINES IN A DAY CARE CHEMOTHERAPY UNIT: EXPERIENCE FROM A TERTIARY CARE CENTRE

2019 ◽  
pp. 1-3
Author(s):  
Arun Philip
Keyword(s):  
Quality Of Life ◽  
Treatment Outcome ◽  
Day Care ◽  
Public Awareness ◽  
Tertiary Care ◽  
Population Based ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Adherence To Guidelines

Among the side effects of cancer therapy, chemotherapy induced nausea and vomiting (CINV) is the most distressing and it affects the quality of life of patients and the treatment outcome. The study was undertaken to audit the adherence to antiemesis guidelines in the day care chemotherapy unit at our centre. Avast majority of our chemotherapies (85%) were high emetic risk regimes. We found that the adherence to anti-emesis guideline was 57%. Among the cases of non adherence, a majority were over-treated (57%). Looking into the reasons of non adherence, we feel the need to evolve our own population based guidelines. Improving public awareness about the toxicities of chemotherapy will help in dispelling unwanted fear of toxicity. Improving awareness about anti-emetic guidelines among clinicians also will play a major role in improving adherence to guidelines and thus improving outcome of therapy.

scholarly journals Quality of Life after Functional Endoscopic Sinus Surgery

1970 ◽  
Vol 1 (2) ◽  
pp. 6-8 ◽  
Author(s):  
DK Mishra ◽  
R Bhatta ◽  
LR Verma
Keyword(s):  
Quality Of Life ◽  
Key Words ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Key Words Chronic Sinusitis ◽  
Head Neck

Key words: Chronic sinusitis; sinus surgery; outcomeDOI: 10.3126/njenthns.v1i2.4754 Nepalese J ENT Head Neck Surg Vol.1 No.2 (2010) p.6-8

Sign in / Sign up

Export Citation Format

Share Document