title: Impact of rhinosinusitis symptoms on patients' self-esteem before and after FESS.
abstract: BACKGROUND
  Chronic rhinosinusitis (CRS) is one of the most common diseases in Polish society. According to the European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2012 the incidence of CRS among European and US citizens varies from 5 to 16%. Its treatment is based on pharmacotherapy or surgical procedure. The aim of the study was to evaluate the correlation between general health condition of the patients with CRS with each symptom of the disease before and after Functional Endonasal Sinus Surgery (FESS) procedure.
  
  
  METHODS
  The study was conducted on 100 patients, who evaluated symptoms and general health condition twice - before and after FESS, by means of visual analogue scale (VAS).
  
  
  RESULTS
  Before FESS the highest severity among all symptoms concerned the nasal blockade and olfactory disorders, while after the procedure this ratio was found to be the opposite. All results were statistically significant (p<0.05).
  
  
  CONCLUSIONS
  The authors emphasize a great role of general health assessment in patients with CRS as the element of proper diagnosis and better comprehension of patients' needs. They indicate that the patient's estimation of the disease and its symptoms differs from the clinician's interpretation to much extent.
authors.affiliation: Clinical Department of Laryngology, Medical University of Silesia, Head of Department: Jarosław Markowski, MD PhD, Katowice, Poland; ENT Department, Municipal Hospital, Head of Department: Mariusz Kozłowski, MD PhD, Sosnowiec, Poland. Electronic address: piotrwardas@wp.pl.
authors.forename: Piotr
authors.initials: P
authors.lastname: Wardas
authors.affiliation: Clinical Department of Laryngology, Medical University of Silesia, Head of Department: Jarosław Markowski, MD PhD, Katowice, Poland.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Markowski
authors.affiliation: Clinical Department of Laryngology, Medical University of Silesia, Head of Department: Jarosław Markowski, MD PhD, Katowice, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Piotrowska-Seweryn
authors.affiliation: Clinical Department of Laryngology, Medical University of Silesia, Head of Department: Jarosław Markowski, MD PhD, Katowice, Poland.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Slaska-Kaspera
authors.affiliation: ENT Department, Municipal Hospital, Head of Department: Mariusz Kozłowski, MD PhD, Sosnowiec, Poland.
authors.forename: Beata
authors.initials: B
authors.lastname: Latacz
authors.affiliation: Academy of Strategic Planning, Medical Faculty, Head: Wiesława Kołodziej, DNSc, Dąbrowa Górnicza, Poland.
authors.forename: Wiesława
authors.initials: W
authors.lastname: Kołodziej
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D011044:Poland; D012220:Rhinitis / Q000523:psychology* / Q000601:surgery*; D012649:Self Concept; D012852:Sinusitis / Q000523:psychology* / Q000601:surgery*
keywords: Quality of life; Rhinitis; Sinusitis; Smell; Visual analogue scale