Comparison by objective parameters in patients with chronic rhinosinusitis managed medically and surgically (with and...

Area of Science:

• Otolaryngology
• Rhinology

Background:

• Chronic rhinosinusitis (CRS) significantly impacts patients' quality of life.
• Treatment options include conservative management and surgical interventions.

Purpose of the Study:

• To compare mucociliary clearance time and quality of life in CRS patients undergoing surgery with conventional versus powered instruments.
• To compare surgical outcomes with nonsurgical treatment.

Main Methods:

• 151 CRS patients were divided into three groups: conservative treatment (n=54), conventional surgery (n=48), and microdebrider surgery (n=49).
• Evaluated parameters included nasal endoscopy grades, Sino-Nasal Outcome Test (SNOT-20) scores, Lund-Mackay scores, and mucociliary clearance time.

Main Results:

• Significant differences were observed in endoscopic grades, SNOT-20, Lund-Mackay scores, and mucociliary clearance time between the nonsurgical group and both surgical groups.
• No statistically significant difference was found between the conventional surgery and microdebrider surgery groups for any measured parameter.

Conclusions:

• Both conservative and surgical treatments for CRS can lead to recovery of mucociliary clearance time.
• Surgical intervention offers superior improvement in objective scores compared to conservative management.
• The choice of surgical instrument (conventional vs. powered) does not significantly affect patient outcomes.