Treatment Outcome Post Endoscopic Sinus Surgery(ESS) in Patients with Chronic Rhinosinusitis (CRS)

Area of Science:

• Otolaryngology
• Medical research

Background:

• Chronic rhinosinusitis (CRS) is a common condition with significant healthcare costs.
• Accurate diagnosis and outcome measurement are crucial for effective CRS management.

Purpose of the Study:

• To clinically diagnose CRS with or without polyps.
• To measure symptom intensity and treatment outcomes using the SNOT-22 questionnaire.
• To assess the effectiveness of endoscopic sinus surgery (ESS) in improving quality of life for CRS patients.

Main Methods:

• Prospective cohort study of 70 CRS patients diagnosed per EPOS-2012 criteria.
• SNOT-22 questionnaire administered preoperatively and at 1, 4, and 12 weeks post-surgery.
• Patients categorized into three groups based on histopathological features; outcomes assessed via SNOT-22 scores.

Main Results:

• ESS significantly improved overall CRS symptoms within one week post-surgery (SNOT-22 scores decreased from 49.01±14.83 to 21.91±8.88).
• SNOT-22 scores consistently decreased from baseline to 12 weeks post-op across all four subscales (rhinological, ear/facial, sleep, psychological).
• Improvements in quality of life were statistically significant three months after postoperative medical therapy.

Conclusions:

• Endoscopic sinus surgery (ESS) effectively enhances the quality of life for chronic rhinosinusitis patients.
• The SNOT-22 questionnaire is a reliable tool for monitoring treatment success after ESS and medical therapy.
• Sustained symptom improvement observed up to 12 weeks post-surgery highlights the long-term benefits of ESS.