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Functional endoscopic sinus surgery in patients with chronic sinusitis and asthma
G J Nishioka1, P R Cook, W E Davis
1Department of Surgery, University of Missouri-Columbia 65212.
Summary
Functional endoscopic sinus surgery significantly improves asthma control in patients with chronic sinusitis. The procedure reduced medication needs and healthcare visits, positively impacting asthma management and costs.
Area of Science:
- Otolaryngology
- Pulmonology
- Allergy and Immunology
Background:
- Chronic sinusitis frequently coexists with asthma.
- Sinus disease can exacerbate asthma symptoms and increase healthcare utilization.
- Functional endoscopic sinus surgery (FESS) is a treatment for chronic sinusitis.
Purpose of the Study:
- To evaluate the impact of chronic sinusitis and FESS on asthma control.
- To assess changes in asthma medication requirements post-FESS.
- To determine the effect of FESS on healthcare resource utilization in asthma patients.
Main Methods:
- Retrospective study of 20 asthma patients with chronic sinusitis undergoing FESS.
- Analysis of medical records and questionnaire data.
- Assessment of asthma symptom severity, medication use, and healthcare visits before and after surgery.
Main Results:
- 95% of patients reported their asthma worsened by sinus disease.
- 85% experienced asthma improvement after FESS.
- Significant reductions in medication use (inhalers, systemic drugs, steroids) and healthcare visits (hospitalizations, ER visits) were observed post-surgery.
Conclusions:
- FESS can lead to significant asthma symptom improvement and reduced medication dependency.
- The surgery demonstrates a substantial decrease in healthcare utilization for asthma exacerbations.
- FESS offers a potential strategy to mitigate healthcare costs associated with asthma and chronic sinusitis.