Improvements in quality of life in children after surgical therapy for sinonasal disease.
OBJECTIVE
To study changes in quality of life in children with chronic sinonasal disease after surgical therapy.


METHODS
Prospective, nonrandomized quality of life study of children with sinonasal disease who undergo adenoidectomy or functional endoscopic sinus surgery (FESS) at an academic institution. Caregivers completed a preoperative SN-5 quality of life survey and a second survey within 6 months after surgery.


RESULTS
Twenty-two children were enrolled in the study (mean, 6.5 years; range, 1.4 to 15.9). The majority (59%) of children underwent adenoidectomy. The mean total score was 25.8 at initial presentation and 12.0 at follow-up (P>0.001). Postoperative scores for all domains were significantly different from preoperative scores. The domains with the greatest change in mean score were nasal obstruction and emotional distress. There were no significant differences in outcome between children who underwent adenoidectomy and those who underwent FESS.


CONCLUSIONS
After either adenoidectomy or FESS, caregivers report a dramatic improvement in the quality of life of children with sinonasal disease.


METHODS
B-3b.
Rudnick
Emily F
EF
Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University Medical Center, Richmond, VA 23298, USA. emilyrudnick@yahoo.com
Mitchell
Ron B
RB
D000233:Adenoidectomy; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D015508:Nasal Obstruction / Q000523:psychology / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000523:psychology / Q000601:surgery*; D011184:Postoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome