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- Title
Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery.
- Authors
Martin-Jimenez, Daniel; Moreno-Luna, Ramon; Callejon-Leblic, Amparo; del Cuvillo, Alfonso; Ebert Jr., Charles S.; Maza-Solano, Juan; Gonzalez-Garcia, Jaime; Infante-Cossio, Pedro; Sanchez-Gomez, Serafin
- Abstract
(1) Background: Surgical criteria for chronic rhinosinusitis with nasal polyps (CRSwNP) remain unresolved. This study addresses these discrepancies by comparing the clinical outcomes of expanded–functional endoscopic sinus surgeries (E–FESS) with more-limited FESS (L-FESS). (2) Methods: A database was analyzed retrospectively to compare surgical outcomes in CRSwNP patients who underwent E-FESS versus those subjected to L-FESS. Quality of life, endoscopic and radiological outcomes were compared at the baseline and two years after surgery. The clinical status of the responder was defined when a minimal clinically important difference of 12 points in SNOT-22 change was achieved. (3) Results: A total of 274 patients met the inclusion criteria and were analyzed; 111 underwent E-FESS and 163 were subjected to L-FESS. Both groups exhibited significant clinical improvements, although a greater magnitude of change in SNOT-22 (14.8 ± 4.8, p = 0.002) was shown after E-FESS. Higher significant improvements for endoscopic and radiological scores and lower surgical revision rates were also noted in the E-FESS group. (4) Conclusions: E-FESS provides better clinical outcomes and reduced revision surgery rates when compared to L-FESS in CRSwNP patients two years after surgery, irrespective of any comorbidity. Further randomized prospective studies are needed to comprehensively contrast these results.
- Subjects
ENDOSCOPIC surgery; NASAL polyps; SINUSITIS; TREATMENT effectiveness; REOPERATION; DATABASES
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 3, p866
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13030866