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Updated: Oct 10, 2025
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[SURVEY OF PATIENTS' PERSPECTIVE ON SURGERY FOR CHRONIC RHINOSINUSITIS WITH NASAL POLYPS]
Mitsuhiro Okano1, Kenji Kondo2, Makiko Takeuchi3
1Department of Otorhinolaryngology, Graduate School of Medicine, International University of Health and Welfare.
Objective:
To ensure that the best possible information is available for selecting treatment options in patients who have chronic rhinosinusitis with nasal polyps (CRSwNP), it is necessary to assess experiences with surgical procedures in real-world clinical practice.
Methods:
We used an internet questionnaire to survey 300 patients who had a history of CRSwNP surgery or had been recommended for such surgery.
Results:
The patients who underwent surgery showed high satisfaction with the effectiveness of the surgery. However between 20% and 30% were notably dissatisfied with the safety of the procedure, its effects on quality of life (QOL), its economic impact, and its influence on societal activities, such as attendance at work or school. This dissatisfaction tended to be particularly pronounced among older patients and those who had multiple surgeries. The primary reasons given for avoiding surgery were "afraid of surgery," "no time for hospitalization and treatment," and "surgery is too expensive."
Conclusion:
Our research indicates that, although recipient patients are highly satisfied with the effectiveness of surgery for CRSwNP, a number of patients hesitate because of concerns about safety, cost, and societal activities such as work and school attendance. These findings suggest that treatment in a clinical setting should consider not only therapeutic effects but also the patient's attitude and situation.
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