Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Jan;63(1):50-5.
doi: 10.1007/s12070-011-0119-8. Epub 2011 Jan 18.

Endoscopic sinus surgery in chronic rhinosinusitis and nasal polyposis: a comparative study

Satish Nair  1 , Angshuman Dutta, Ramakrishnan Rajagopalan, Sapna Nambiar
Affiliations

Endoscopic sinus surgery in chronic rhinosinusitis and nasal polyposis: a comparative study

Satish Nair et al. Indian J Otolaryngol Head Neck Surg. 2011 Jan.

Abstract

Nasal polyposis are common presentations in patients of chronic rhinosinusitis and are considered to be associated with more severe forms of disease with poor treatment outcome. The presentation and treatment outcome after endoscopic sinus surgery in patients of chronic rhinosinusitis and nasal polyposis have been analysed in this study. A prospective analysis of 90 patients of chronic rhinosinusitis who were classified into two groups depending on presence and absence of nasal polyps was performed in the study. The two groups were evaluated using subjective (patient complaints) and objective (computed tomography scan and endoscopy scores) criteria. Preoperative data were compared with data obtained 12 months post endoscopic sinus surgery. The study included 38 patients of chronic rhinosinusitis and 52 patients of nasal polyps. The patients of nasal polyp group presented with increased severity of symptoms of nasal blockage, nasal discharge and reduced sense of smell as compared to the chronic rhinosinusitis group who had significantly higher presentation of headache and facial pain. The preoperative CT scan revealed significantly higher bilateral disease with increased involvement of multiple sinuses in nasal polyp group. Post endoscopic sinus surgery both the groups showed significant improvement in their symptoms with the nasal polyp group demonstrating reduction in improvement on 1 year follow up. In our study we have found the patients with chronic rhinosinusitis and nasal polyp have varied severity of symptoms with the nasal polyp group having higher nasal symptoms and increased severity as compared to chronic rhinosinusitis group. Though the universal rationale of management by adequate drainage and ventilation of sinus is similar in both groups, there is a reduction in both objective and subjective scores during 1 year follow up in the nasal polyp group.

Keywords: Chronic rhinosinusitis; Endoscopic sinus surgery; Nasal polyps.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Patients with symptoms in CRS and NP group
Fig. 2
Fig. 2
Endoscopic scores in CRS and NP group
Fig. 3
Fig. 3
Surgery performed in CRS and NP group
See this image and copyright information in PMC

References

    1. Benson V, Marano MA (1995) Current estimates from the National Health Interview survey, 1995. Hyattsville, MD: National Center for Health Statistics; 1995. Data from vital and health statistics, series 10: data from the National Health Survey, no. 199: 1–428 - PubMed
    1. Hedman J, Kaprio J, Poussa T, Mieminem MM. Prevalence of asthma, aspirin intolerance, nasal poliposis and chronic obstructive pulmonary disease in a population-based study. Int J Epidemiol. 1999;28:717–722. doi: 10.1093/ije/28.4.717. - DOI - PubMed
    1. Bhattacharyya N. Clinical and symptom criteria for the accurate diagnosis of chronic rhinosinusitis. Laryngoscope. 2006;116(Pt 2 Suppl 110):1–22. doi: 10.1097/01.mlg.0000224508.59725.19. - DOI - PubMed
    1. Głowacki R, Strek P, Zagórska-Swiezy K, Składzień J, Oleś K, Hydzik-Sobocińska K, Miodoński A. Biofilm from patients with chronic rhinosinusitis, morphological SEM studies. Otolaryngol Pol. 2008;62(3):305–310. doi: 10.1016/S0030-6657(08)70260-9. - DOI - PubMed
    1. Lanza DC, Kennedy DW. Adult rhinosinusitis defined. Otolaryngol. Head Neck Surg. 1997;117:S1–S7. doi: 10.1016/S0194-5998(97)70001-9. - DOI - PubMed

LinkOut - more resources