Related Experiment Video
Updated: May 25, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Endoscopic sinus surgery in chronic rhinosinusitis and nasal polyposis: a comparative study
Satish Nair1, Angshuman Dutta, Ramakrishnan Rajagopalan
1Department of ENT, Command Hospital Air Force, Bangalore, 560007 Karnataka India.
Summary
Nasal polyposis in chronic rhinosinusitis patients presents with more severe nasal symptoms. While endoscopic sinus surgery improves both groups, nasal polyp patients show reduced long-term gains.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Outcomes
Background:
- Nasal polyposis often accompanies chronic rhinosinusitis, indicating a more severe disease.
- Patients with nasal polyps may experience poorer treatment outcomes compared to those without.
Purpose of the Study:
- To analyze the presentation and treatment outcomes of endoscopic sinus surgery in chronic rhinosinusitis patients with and without nasal polyps.
- To compare symptom severity and surgical outcomes between these two patient groups.
Main Methods:
- Prospective analysis of 90 chronic rhinosinusitis patients, divided into groups with and without nasal polyps.
- Evaluation using subjective (symptoms) and objective (CT scans, endoscopy scores) criteria.
- Preoperative data compared with 12-month postoperative follow-up.
Main Results:
- Nasal polyp group reported more severe nasal blockage, discharge, and reduced smell; chronic rhinosinusitis group had more headache and facial pain.
- CT scans showed greater bilateral sinus involvement in the nasal polyp group.
- Both groups improved post-surgery, but nasal polyp patients demonstrated a decline in improvement at 1-year follow-up.
Conclusions:
- Chronic rhinosinusitis with nasal polyposis exhibits varied symptom severity, with nasal polyps associated with higher nasal symptom burden.
- Endoscopic sinus surgery offers symptom relief for both conditions, but long-term objective and subjective improvements are less pronounced in the nasal polyp group.
