[Quality of life after functional endoscopic sinus surgery (a long-term study)].
BACKGROUND
A polyposis nasi has distinct impact on a patient's quality of life (QL). There are only few long term studies available regarding the effects of a functional endoscopic sinus surgery (FESS) in patient's QL with polyposis nasi after 7 years average follow-up. Furthermore sex-specific differences in polyposis nasi and FESS should be evaluated.


METHODS
135 patients (33 female, 102 male) with polyposis nasi were included in this study. The mean follow-up was 7 years after performed sinus surgery. To assess the QL, the "Rhinosinusitis-Beeinträchtigungs-Index" (RSBI) was used.


RESULTS
In average 7 years post FESS a significant improvement in 80.7 % of the patient's QL was reported (n=109)--including functional, emotional, physical items and a general impression provided by the patients' RSBI-questionnaires. No post-FESS differences regarding gender were revealed.


CONCLUSIONS
Patients with polyposis nasi significantly benefit long-term after FESS in their health-related QL. Revision surgery should not only be indicated by endoscopy, but by patient's QL.
Holzmüller
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Klinik für HNO-Heilkunde/Plastische Operationen, SRH Wald-Klinikum gGmbH Gera. Anne.Holzmueller@wkg.srh.de
Gudziol
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H
Müller
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D000328:Adult; D000368:Aged; D004724:Endoscopy; D015521:Ethmoid Sinusitis / Q000523:psychology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000523:psychology / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000523:psychology / Q000601:surgery*; D010256:Paranasal Sinuses / Q000601:surgery; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012086:Reoperation; D012189:Retrospective Studies; D012737:Sex Factors; D012852:Sinusitis / Q000523:psychology / Q000601:surgery; D011795:Surveys and Questionnaires; D055815:Young Adult