Long-Term Outcome Analysis of Functional Endoscopic Sinus Surgery: Correlation of Symptoms With Endoscopic Examination Findings and Potential Prognostic Variables

AbstractObjective:This study aimed to assess the long-term outcome of functional endoscopic sinus surgery for Samter's triad patients using an objective visual analogue scale and nasal endoscopy.Method:Using a retrospective database, 33 Samter's triad patients who underwent functional endoscopic sinus surgery were evaluated pre- and post-operatively between 1987 and 2007 in Hospital of La Chaux-de-Fonds, Switzerland.Results:A total of 33 patients participated in the study, and the mean follow-up period was 11.6 years (range 1.2–20 years). Patients were divided into two groups based on visual analogue scale scores of the five parameters with the greatest difference in intensity of symptoms between the beginning and end of follow up. Group 1 included patients with a mean visual analogue scale score of 6 and below at the end of follow up and group 2 included patients with a mean visual analogue scale score of more than 6. The only statistically significant difference noted between the two groups was the endonasal findings: stage III–IV polyposis was present in 1 out of 24 patients (4 per cent) in group 1 and in 5 out of 9 patients (56 per cent) in group 2.Conclusion:The results of our study indicate that functional endoscopic sinus surgery helps stabilise disease progression. Stage III–IV polyposis had a significant adverse effect on long-term outcome.

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Long-term outcome analysis of endoscopic sinus surgery for chronic sinusitis

Yearbook of Otolaryngology-Head and Neck Surgery ◽

10.1016/s1041-892x(08)79086-3 ◽

2008 ◽

Vol 2008 ◽

pp. 229-231

Author(s):

R. Sindwani

Keyword(s):

Endoscopic Sinus Surgery ◽

Chronic Sinusitis ◽

Sinus Surgery ◽

Outcome Analysis ◽

Term Outcome ◽

Long Term Outcome

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Long-term Outcome of Endoscopic Sinus Surgery in Patients with Aspirin-Exacerbated Respiratory Disease

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2017.00570 ◽

2018 ◽

Vol 61 (4) ◽

pp. 193-199

Author(s):

Dong Jun Lee ◽

Ki Yong Choi ◽

Min Su Kang ◽

Young-Jun Chung ◽

Ji-Hun Mo

Keyword(s):

Respiratory Disease ◽

Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Term Outcome ◽

Long Term Outcome ◽

Aspirin Exacerbated Respiratory Disease

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Smoking in Chronic Rhinosinusitis: A Predictor of Poor Long-Term Outcome After Endoscopic Sinus Surgery

The Laryngoscope ◽

10.1097/00005537-200401000-00022 ◽

2004 ◽

Vol 114 (1) ◽

pp. 126-128 ◽

Cited By ~ 73

Author(s):

Russell D. Briggs ◽

Steven T. Wright ◽

Stephanie Cordes ◽

Karen H. Calhoun

Keyword(s):

Chronic Rhinosinusitis ◽

Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Term Outcome ◽

Long Term Outcome

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Secure endoscopic sinus surgery with partial middle turbinate modification: a 16-year long-term outcome report and literature review

Current Opinion in Otolaryngology & Head & Neck Surgery ◽

10.1097/00020840-200302000-00003 ◽

2003 ◽

Vol 11 (1) ◽

pp. 13-18 ◽

Cited By ~ 5

Author(s):

Paul H. Toffel

Keyword(s):

Literature Review ◽

Endoscopic Sinus Surgery ◽

Middle Turbinate ◽

Sinus Surgery ◽

Term Outcome ◽

Long Term Outcome

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Postoperative Antibiotic Care after Functional Endoscopic Sinus Surgery

American Journal of Rhinology ◽

10.2500/ajr.2008.22.3241 ◽

2008 ◽

Vol 22 (6) ◽

pp. 608-612 ◽

Cited By ~ 27

Author(s):

Rong-San Jiang ◽

Kai-Li Liang ◽

Kung-Yaun Yang ◽

Jiun-Yih Shiao ◽

Mao-Chang Su ◽

...

Keyword(s):

Chronic Rhinosinusitis ◽

Postoperative Care ◽

Endoscopic Sinus Surgery ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Control Group ◽

Study Group ◽

Term Outcome ◽

Before And After

Background Antibiotics are used routinely in the postoperative care of functional endoscopic sinus surgery (FESS), but their efficacy has not been well evaluated. Methods Patients with chronic rhinosinusitis who underwent FESS were enrolled in this study. They were randomly divided into two groups: a study group and a control group. In the study group, patients took amoxicillin/clavulante for 3 weeks after FESS. In the control group, no antibiotic was given after FESS. Before FESS, all patients filled out a symptom questionnaire and received nasal endoscopy. Swab specimens were taken from the middle meati for bacterial cultures. These procedures were done again 3 weeks after FESS. Results Seventy-one patients completed the study. Thirty-one patients were in the study group, and 40 patients were in the control group. The symptom scores significantly decreased after surgery in both groups, but bacteria identified before and after FESS were statistically different in both groups. There were no differences in the symptom and endoscopic scores, rates of bacterial culture, and drug sensitivity to amoxicillin/clavulante between the two groups after FESS. Conclusion This study showed that postoperative care with amoxicillin/clavulante did not improve the short-term outcome of FESS on chronic rhinosinusitis or decrease bacterial growth 3weeks after FESS, although the long-term influence was not evaluated in this study.

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