Efficacy of functional endoscopic sinus surgery for symptoms in chronic rhinosinusitis with or without polyposis.
Functional endoscopic sinus surgery is the preferred treatment for chronic rhinosinusitis currently. Success on symptoms relief and quality of life improvement are the study leading objectives.


METHODS
retrospective clinical trial.


METHODS
Questionnaires were given to the patients referred to Hospital das Clinicas-UFPE to chronic rhinosinusitis (CRS) functional endoscopic sinus intervention during 2003-2004. Symptoms outcome before and after surgery were compared and analyzed using a five-point-ranking scale.


RESULTS
Twenty-four patients answered the questions. Eleven patients had CRS and 13 had CRS associated with nasal polypos. Quality of life was restricted by CRS in everyone, with a good improvement in 54,2% cases. All patients could recommend functional endoscopic sinus surgery to someone with same nasal problems and only 3 would not get surgery again. The best symptoms relief results were: nasal obstruction (83,3%), cacosmia/halitosis (80%), hyposmia/anosmia (63,15%), headache (62%). Patients with polyps achieved better symptomatic response than patients with only CRS.


CONCLUSIONS
The leading symptoms were improved by functional endoscopic sinus surgery but not so much we expect. Allergic rhinitis presenting, not using nasal spray, poor ambient control influenced this result. Polyps patient achieved better symptoms outcome and quality of life responses on the most of symptoms than CRS patients.
Bunzen
Débora Lopes
DL
Campos
Alexandre
A
Leão
Fernando Souza
FS
Morais
Alberto
A
Sperandio
Fabiana
F
Caldas Neto
Silvio
S
D000328:Adult; D002908:Chronic Disease; D015331:Cohort Studies; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009298:Nasal Polyps / Q000150:complications / Q000601:surgery*; D011788:Quality of Life; D012220:Rhinitis / Q000150:complications / Q000601:surgery*; D012852:Sinusitis / Q000150:complications / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome