Related Experiment Video
Updated: Jun 7, 2025
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Role of Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis and Laryngopharyngeal Reflux: A
Shravanthi Mantra Prithviraj1, Subagar Anbarasan1, Sakthimurugan Sankar1
1Department of Otolaryngology and Head & Neck Surgery, Saveetha Medical College and Hospital, SIMATS, Saveetha University, Chennai, Tamil Nadu India.
Abstract:
Functional endoscopic sinus surgery (FESS) has long been established as an effective intervention for CRS, aimed at improving sinus ventilation and reducing inflammation. However, the utilization of FESS in the context of concurrent CRS and LPR is less well-defined, and the potential impact of sinus surgery on LPR symptoms remains an area of active investigation. This study was done to assess and compare the pattern of LPR symptoms in individuals with concurrent LPR and CRS before and after functional endoscopic sinus surgery (FESS) using the Reflux Symptom Index (RSI) and Reflux Finding Score (RFS). To evaluate the impact of FESS on the severity of CRS symptoms using the Sinonasal Outcome Test-22 (SNOT-22). To assess endoscopic changes in the nasal and paranasal sinuses post-FESS using the Lund-Kennedy Endoscopic Grading System. A prospective quasi-experimental study was performed on 30 patients diagnosed with concurrent chronic rhinosinusitis with laryngopharyngeal reflux. Patients were assessed for the symptoms of LPR using RSI and RFS. The severity of CRS was assessed using SNOT-22 and the Lund Kennedy Endoscopic grading system. All Patients underwent functional endoscopic sinus surgery performed by experienced otolaryngologists, and the scores were validated postoperatively at 1 week, 1 month and 3 months. The average preoperative RSI score of 24.87 ± 5.14 decreased to 19.63 ± 5.43 at 3 months post-surgery, reflecting a significant mean reduction of 5.23 (95% CI 5.70-0.23). The RFS score declined from 20.13 ± 5.16 before surgery to 17.10 ± 4.01 at 3 months post-surgery, with a mean difference of 0.93 (95% CI 0.08-1.78). SNOT-22 scores improved markedly from 60.10 ± 9.74 preoperatively to 28.13 ± 8.03 at 3 months post-operatively. While our study did not find a significant improvement in symptoms related to Laryngopharyngeal Reflux (LPR) following functional endoscopic sinus surgery (FESS), there are indications of potential benefits.
Related Concept Videos
01:23Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
01:16Drugs Used in Upper Respiratory Disorders: Overview
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
01:29Suctioning the Nasopharyngeal Airway
Equipment Required
01:24Cystic Fibrosis: Management
Sinus disease and chronic...
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...