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Long-term results of functional endoscopic sinus surgery in children with chronic rhinosinusitis with nasal polyps
Insights
Functional endoscopic sinus surgery (FESS) significantly improves quality of life for children with chronic rhinosinusitis with nasal polyps (CRSwNP). Long-term outcomes are positive, even for those with cystic fibrosis (CF).
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Respiratory Medicine
Background:
- Chronic rhinosinusitis with nasal polyps (CRSwNP) is uncommon in children and significantly impacts their quality of life (QoL).
- Long-term outcomes of functional endoscopic sinus surgery (FESS) for pediatric CRSwNP require further investigation.
Purpose of the Study:
- To evaluate the long-term results of FESS in pediatric patients diagnosed with CRSwNP.
- To assess the impact of FESS on the quality of life in children with CRSwNP.
Main Methods:
- A combined prospective and retrospective study design was employed.
- Quality of Life (QoL) questionnaires were administered to pediatric CRSwNP patients who underwent FESS between 2000-2010, with some completing pre-operative assessments.
- Follow-up data were collected, with a mean follow-up period of 4.0 years.
Main Results:
- Forty-four children underwent FESS, with a mean age of 13 years at surgery.
- Significant improvements in general symptoms and specific domains were observed post-FESS, as indicated by R-SOM scores.
- Only 5 out of 44 patients required subsequent interventions, including 3 out of 9 with cystic fibrosis (CF).
Conclusions:
- Functional endoscopic sinus surgery (FESS) yields good long-term results for children with CRSwNP.
- FESS leads to significant improvements in QoL, particularly in nasal symptoms, establishing it as an effective treatment.
- Positive outcomes were also observed in pediatric patients with CRSwNP and co-existing cystic fibrosis (CF).
Background:
Chronic rhinosinusitis with nasal polyps (CRSwNP) is rare in children and has a major impact on Quality of Life (QoL). Functional endoscopic sinus surgery (FESS) has proven to be an effective treatment, but it is still unclear what long-term outcomes are in children with CRSwNP. The objective of this study was to assess long-term results of FESS in children with CRSwNP.
Methodology:
We performed a combined prospective and retrospective study. A QoL questionnaire was send to all children with CRSwNP who received FESS between the year 2000-2010. Almost half of these children also filled in this questionnaire preoperatively.
Results:
Forty-four Children underwent FESS. From 18 patients, we also prospectively collected preoperative QoL questionnaires. The mean follow-up period was 4.0 years (+- 2.9). The mean age at surgery was 13 years (+-2.9). Of these children, 9 had CF and 10 children asthma. R-SOM scores showed a significant improvement both in general symptoms as well as several different domains when comparing pre- and postoperative questionnaires. Only 5 of 44 patients needed a subsequent intervention. In children with CF this was 3 of 9.
Conclusion:
This study demonstrates that long-term results of FESS in children with CRSwNP are good. QoL has improved significantly, especially in nasal symptoms, showing that FESS is a good treatment in children with CRSwNP. Furthermore, even children with CF show good results.
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