Clinical outcomes and quality of life in patients with nasal polyposis after functional endoscopic sinus surgery 功能性鼻内镜鼻窦手术后鼻息肉病患者的临床结局及生活质量.pdfVIP

Eur Arch Otorhinolaryngol (2015) 272:83–89 DOI 10.1007/s00405-014-3054-y RHINOLOGY Clinical outcomes and quality of life in patients with nasal polyposis after functional endoscopic sinus surgery Vojko Djukic · Zoran Dudvarski · Nenad Arsovic · Milovan Dimitrijevic · Ljiljana Janosevic Received: 30 December 2013 / Accepted: 8 April 2014 / Published online: 24 April 2014 © Springer-Verlag Berlin Heidelberg 2014 Abstract The majority of studies have shown that the Endoscopic score was on average significantly lower after use of functional endoscopic sinus surgery (FESS) leads to 6 and 12 months of FESS (p 0.05), but the mean score symptomatic improvement in 73–98.4 % of patients with value after 12 months of operation was significantly higher chronic rhinosinusitis and nasal polyposis (NP). The aim in relation to that after 6 months of surgery (p 0.05). Nev- of the study is to evaluate clinical outcomes and quality of ertheless, the recurrence of NP was observed in 28 patients life (QoL) in patients with NP after FESS. The prospective (32.9 %) in the follow-up period. In conclusion, FESS in study included 85 consecutive adult patients (≥18 years) NP patients results in significant improvement of symp- with NP who were operated on using FESS after fail- tom intensity, QoL and endoscopic score. While the inten- ure of the medicamentous treatment and in certain cases sity of symptoms and QoL showed a tendency to maintain of surgical treatment. QoL was assessed by Short Form- between 6 and 12 months after surgery, endoscopic score 36 Health Survey (SF-36) questionnaire, and the symp- showed a tendency of exacerbation in the same period. tom intensity was presented using visual analog