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Chronic Rhinitis Surgery: Association Between Preoperative Severity and Response Rate
Chien-Yu Huang1,2, Jyun-Yi Liao1, Bor-Hwang Kang3
1Department of Otolaryngology, Head and Neck Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan.
American Journal of Rhinology & Allergy
|January 3, 2025
Summary
Patients with more severe chronic rhinitis symptoms experienced better outcomes after surgery. Higher preoperative symptom severity correlated with improved response rates and symptom score changes following radiofrequency ablation.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Outcomes
Background:
- Chronic rhinitis surgery success varies by patient and method.
- Preoperative symptom severity's impact on surgical outcomes is not well understood.
Purpose of the Study:
- To evaluate the association between preoperative symptom severity and surgical treatment response in chronic rhinitis.
Main Methods:
- Retrospective cohort study of 183 adult patients with chronic rhinitis.
- Radiofrequency ablation of inferior turbinates with posterior nasal nerve neurolysis.
- Assessed changes in total nasal symptom score (rTNSS) and NOSE scores.
Main Results:
- Significant improvements in rTNSS and NOSE scores at 1 and 3 months post-surgery.
- Response rates were 78.14% at 1 month and 93.99% at 3 months.
- Higher preoperative symptom severity was significantly associated with better surgical outcomes.
Conclusions:
- Increased preoperative rhinitis symptom severity predicts a better response to surgery.
- Surgical outcomes, including symptom score changes, are positively influenced by initial symptom severity.
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