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Chronic panrhinosinusitis without nasal polyps: long-term outcome after functional endoscopic sinus surgery
Roland Giger1, Pavel Dulguerov, Didier Quinodoz
1Department of Otolarygology-Head and Neck Surgery, Hospital of La Chaux-de-Fonds, Switzerland. gigerro@hotmail.com
Summary
Functional endoscopic sinus surgery (FESS) offers good long-term outcomes for chronic panrhinosinusitis without nasal polyps, with significant symptom improvement and positive endoscopic findings. Patient satisfaction strongly correlates with these endoscopic results.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Outcomes
Background:
- Chronic panrhinosinusitis without nasal polyps is a challenging condition.
- Long-term outcomes of functional endoscopic sinus surgery (FESS) require further investigation.
Purpose of the Study:
- To evaluate the long-term efficacy of FESS for chronic panrhinosinusitis without nasal polyps.
- To assess symptom scores and endoscopic findings post-surgery.
Main Methods:
- Seventy-seven patients with chronic panrhinosinusitis without nasal polyps underwent FESS.
- Preoperative CT scans and immunoallergologic evaluations were performed.
- Patients were followed for at least 3 years, with post-FESS interviews and endoscopic scoring.
Main Results:
- 92% of patients reported marked global improvement after FESS.
- 54% of ethmoidal cavities showed normal endoscopic findings.
- Postoperative endoscopic scores significantly correlated with patient satisfaction (P < 0.001).
- Preoperative CT staging predicted the need for revision surgery in 15% of cases.
Conclusions:
- FESS demonstrates favorable long-term subjective and endoscopic outcomes for chronic panrhinosinusitis without nasal polyps.
- Subjective improvement is significantly linked to postoperative endoscopic findings.