Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis

Objective: To evaluate improvements in otologic symptoms after endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis (CRS), and identify differences in symptoms, if any, between CRS patients with (CRSwNP) and without (CRSsNP) nasal polyposis. Material and methods: This is a prospect...

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Autores principales:	Neville W. Teo, Jess C. Mace, Timothy L. Smith, Peter H. Hwang
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2017
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/6126757f0a1942b89085deff7e486aa7
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spelling	oai:doaj.org-article:6126757f0a1942b89085deff7e486aa72021-12-02T12:55:39ZImpact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis2095-881110.1016/j.wjorl.2017.03.001https://doaj.org/article/6126757f0a1942b89085deff7e486aa72017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S209588111730001Xhttps://doaj.org/toc/2095-8811Objective: To evaluate improvements in otologic symptoms after endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis (CRS), and identify differences in symptoms, if any, between CRS patients with (CRSwNP) and without (CRSsNP) nasal polyposis. Material and methods: This is a prospective multi-center observational cohort study. Adults with medically recalcitrant CRS who elected ESS were enrolled in a prospective, multi-center, observational cohort study between March, 2011 and October, 2014. Preoperative evaluation of subjects included assessment of clinical characteristics, measures of disease severity, and quality of life evaluation using the 22-item SinoNasal Outcome Test (SNOT-22). Postoperative improvement in otologic symptoms (ear fullness, dizziness, ear pain) scores were evaluated and compared between CRSwNP and CRSsNP subgroups. Results: Three hundred and ninety-five study patients completed both preoperative and postoperative evaluations, with an average follow-up of 13.9 months after ESS. The prevalence of patients reporting at least one otologic symptom preoperatively (87%) significantly decreased after ESS (63%, PÂ <Â 0.001). Significant postoperative improvement across all otologic scores was also reported (PÂ <Â 0.001). Relative mean improvement in otologic symptom severity was similar for both CRSwNP and CRSsNP, except patients with CRSwNP reported significantly greater postoperative improvement in ear fullness compared to CRSsNP (54% vs. 41%, PÂ =Â 0.039). A total of 61%, 44%, and 43% of patients reported experiencing improvement in âear fullnessâ, âdizzinessâ and âear painâ, respectively. Conclusion: Sinus surgery significantly improves otologic symptoms associated with CRS. CRSwNP patients reported slightly greater relief of ear fullness than CRSsNP patients following ESS. Keywords: Ear symptoms, Chronic rhinosinusitis, Endoscopic sinus surgeryNeville W. TeoJess C. MaceTimothy L. SmithPeter H. HwangKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 1, Pp 24-31 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Neville W. Teo Jess C. Mace Timothy L. Smith Peter H. Hwang Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis
description	Objective: To evaluate improvements in otologic symptoms after endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis (CRS), and identify differences in symptoms, if any, between CRS patients with (CRSwNP) and without (CRSsNP) nasal polyposis. Material and methods: This is a prospective multi-center observational cohort study. Adults with medically recalcitrant CRS who elected ESS were enrolled in a prospective, multi-center, observational cohort study between March, 2011 and October, 2014. Preoperative evaluation of subjects included assessment of clinical characteristics, measures of disease severity, and quality of life evaluation using the 22-item SinoNasal Outcome Test (SNOT-22). Postoperative improvement in otologic symptoms (ear fullness, dizziness, ear pain) scores were evaluated and compared between CRSwNP and CRSsNP subgroups. Results: Three hundred and ninety-five study patients completed both preoperative and postoperative evaluations, with an average follow-up of 13.9 months after ESS. The prevalence of patients reporting at least one otologic symptom preoperatively (87%) significantly decreased after ESS (63%, PÂ <Â 0.001). Significant postoperative improvement across all otologic scores was also reported (PÂ <Â 0.001). Relative mean improvement in otologic symptom severity was similar for both CRSwNP and CRSsNP, except patients with CRSwNP reported significantly greater postoperative improvement in ear fullness compared to CRSsNP (54% vs. 41%, PÂ =Â 0.039). A total of 61%, 44%, and 43% of patients reported experiencing improvement in âear fullnessâ, âdizzinessâ and âear painâ, respectively. Conclusion: Sinus surgery significantly improves otologic symptoms associated with CRS. CRSwNP patients reported slightly greater relief of ear fullness than CRSsNP patients following ESS. Keywords: Ear symptoms, Chronic rhinosinusitis, Endoscopic sinus surgery
format	article
author	Neville W. Teo Jess C. Mace Timothy L. Smith Peter H. Hwang
author_facet	Neville W. Teo Jess C. Mace Timothy L. Smith Peter H. Hwang
author_sort	Neville W. Teo
title	Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis
title_short	Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis
title_full	Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis
title_fullStr	Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis
title_full_unstemmed	Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis
title_sort	impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis
publisher	KeAi Communications Co., Ltd.
publishDate	2017
url	https://doaj.org/article/6126757f0a1942b89085deff7e486aa7
work_keys_str_mv	AT nevillewteo impactofendoscopicsinussurgeryonotologicsymptomsassociatedwithchronicrhinosinusitis AT jesscmace impactofendoscopicsinussurgeryonotologicsymptomsassociatedwithchronicrhinosinusitis AT timothylsmith impactofendoscopicsinussurgeryonotologicsymptomsassociatedwithchronicrhinosinusitis AT peterhhwang impactofendoscopicsinussurgeryonotologicsymptomsassociatedwithchronicrhinosinusitis
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Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis

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