Statistical evaluation of the effect of endoscopic sinus surgery on clinical manifestations of chronic rhinosinusitis

Abstract EN

Background : Rhinosinusitis is a common problem that leads to a significant amount of health care expenditure due to direct costs of physician visits and antibiotics as well as indirect costs related to reduced productivity and a decrease in quality of life.

Aim : The study evaluated the prevalence and severity of various symptom manifestations of chronic rhinosinusitis as well as to analyze the positive effects of endoscopic sinus surgery on the symptoms and quality of life of patients with chronic rhinosinusitis.

Patients and methods : This is a prospective study done in Al-Sader medical city in Najaf during eighteen months period from 1-1-2012 to 30-6-2013.

The patients underwent endoscopic sinus surgery for medically refractory chronic rhinosinusitis and were assessed prospectively regarding the symptoms changes after this surgical intervention.

Results : A total of 52 patients underwent endoscopic sinus surgery for chronic rhinosinusitis.

The most common symptoms of chronic rhinosinusitis before endoscopic sinus surgery in this study were postnasal drip (94.3 %), facial pain (90.4 %), purulent rhinorrhoea (90.4 %), nasal blockage (86.5 %) and headache (69.3 %).

Postoperatively 72.4 % of the patients had subjective improvement in their symptoms with a statistically significant effect in the symptoms of nasal obstruction (88.9 % success rate) postnasal drip (85.7 %), facial pain (80.8 %), and purulent rhinorrhea (78.7 %).

The p value was < 0.05.

On the other hand the symptom of headache improved in only 27.8 % of the patients complained of it with p value = 0.07.

Conclusion : Endoscopic sinus surgery results in significant improvement in the symptoms of patients with chronic rhinosinusitis and it is an effective treatment for those who fail to respond to medical treatment.

Recommendations : it is recommended that endoscopic sinus surgery should be done in those patients with symptomatic chronic rhinosinusitis and not responding to full course of medical treatments.