A Holzmüller1, H Gudziol, A Müller. 1. Klinik für HNO-Heilkunde/Plastische Operationen, SRH Wald-Klinikum gGmbH Gera. Anne.Holzmueller@wkg.srh.de
Abstract
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.
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.
Authors: B A Stuck; C Bachert; P Federspil; W Hosemann; L Klimek; R Mösges; O Pfaar; C Rudack; H Sitter; M Wagenmann; R Weber; K Hörmann Journal: HNO Date: 2012-02 Impact factor: 1.284