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- Title
Multivariate analysis of clinical and radiological risk factors for revision endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyps: can phenotype predict recurrence?
- Authors
Eren, Erdem; İşlek, Akif; Bakiş, Yaşar Batuhan; Altay, Sedat
- Abstract
Objective: This study aimed to analyse clinical and radiological features (phenotypes) to predict revision risk after functional endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyps. Method: Phenotype characteristics of the patients with chronic rhinosinusitis with nasal polyps who underwent functional endoscopic sinus surgery were analysed retrospectively. Results: The rates of asthma, aspirin sensitivity, smoking and a positive prick test result were significantly higher in revision functional endoscopic sinus surgery cases (p < 0.001, 0.001, < 0.001 and < 0.001, respectively). Multivariate analysis demonstrated that only gender, pre-operative nasal steroid use, pre-operative systemic steroid use, intra-operative systemic steroid use and smoking were significant risk factors for revision functional endoscopic sinus surgery (p = 0.034, 0.001, 0.010, 0.007 and 0.001, respectively). In addition, only eosinophilia and aspirin sensitivity were significant risk factors for multiple revision functional endoscopic sinus surgery procedures (p = 0.043 and 0.005, odds ratio = 2.4 and 5.2). Conclusion: Beyond the endotype of chronic rhinosinusitis with nasal polyps, defining clinical and radiological factors enables a valid prediction of patients at high risk of revision functional endoscopic sinus surgery.
- Subjects
STEROID drugs; PARANASAL sinus surgery; PREDICTIVE tests; RISK assessment; PREOPERATIVE period; DRUG allergy; PREDICTION models; SEX distribution; ASPIRIN; PARANASAL sinuses; SINUSITIS; ENDOSCOPIC surgery; RETROSPECTIVE studies; MULTIVARIATE analysis; NASAL polyps; REOPERATION; MEDICAL records; ACQUISITION of data; EOSINOPHILIA; DISEASE relapse; PHENOTYPES; ENDOSCOPY; ASTHMA; DISEASE risk factors; SYMPTOMS
- Publication
Journal of Laryngology & Otology, 2024, Vol 138, Issue 5, p527
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S0022215123001962