Extensive versus Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis with Nasal Polyps and Asthma: A 1-year Study
Abstract
Background Functional endoscopic sinus surgery (FESS) is considered to be the standard procedure for chronic rhinosinusitis with nasal polyps (CRSwNP). However, for CRSwNP that accompanies asthma, the results are not satisfying. Extensive endoscopic sinus surgery (EESS) aimed at reducing the inflammatory load has been indicated as a viable option for refractory chronic rhinosinusitis. Objective To evaluate the clinical outcomes and safety of EESS (middle turbinate and superior turbinate resection and total ethmoidectomy) for patients with CRSwNP and with asthma. Methods This was a prospective, single-institute cohort study conducted in a tertiary teaching hospital. Patients with CRSwNP and with asthma who were proceeding to surgery were enrolled. There were 23 patients in the EESS group and 24 patients in the FESS group. The preoperative disease severity was evaluated by the visual analog scale (VAS), Lund-Kennedy (L-K) endoscopy score, computed tomography Lund-Mackay score, asthma control test (ACT), and pulmonary function test. Clinical outcomes were comparatively evaluated between the two groups after a 1-year follow-up by using the VAS score, the postoperative endoscopic score (E score), L-K score, ACT score, and pulmonary function test. Results The disease severity (general VAS score, endoscopic L-K score, computed tomography score, ACT score) showed no significant differences between the two groups before surgery (p > 0.05). One year after surgery, both groups achieved…
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Radical surgery seems to obtain better results in chronic rhinosinusitis with nasal polyps.
“While radical surgery seems to obtain better results [223], the extent of the intervention remains unclear [224].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [223]
Surgical techniques for septal perforations depend on the size and location of the obstruction.
“Surgical techniques depend on the size and location of the obstruction [223,262-269].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [223]
Cites
Development of the asthma control test
Nathan, R. A., Sorkness, C. A., Kosinski, M., Schatz, M., Li, J. T., Marcus, P., Murray, J. J., & Pendergraft, T. B. (2004) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2003.09.008 · Cited by 2,906 · see citing works
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Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76 · see citing works
- Authors
- Chen, F.-H., Deng, J., Hong, H.-Y., Xu, R., Guo, J.-B., Hou, W.-J., Sun, Y.-Q., Lai, Y.-Y., Li, H.-B., & Shi, J.-B.
- Affiliations
- Allergy and Cancer Center, Otorhinolaryngology Hospital, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
- The First Affiliated Hospital, Sun Yat-sen University (CN)
- Department of Otolaryngology, Head and Neck Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
- Department of Otolaryngology, Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Venue
- American Journal of Rhinology & Allergy
- Publisher
- SAGE Publications
- Published
- 2016-03
- Volume
- 30
- Issue
- 2
- Pages
- 143-148
- ISSN
- 1945-8924 (ISSN-L)
- 1945-8932
- OpenAlex
- W2299015925
- Cited by
- 80
- References
- 1
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 14 · 2023: 10 · 2022: 11 · 2021: 7 · 2020: 8 · 2019: 6 · 2018: 5 · 2017: 4 · 2016: 2
- FWCI
- 5.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Rhinology and Allergy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Keywords
- functional endoscopic sinus surgery, chronic rhinosinusitis with nasal polyps, asthma, middle turbinate resection, Asthma Control Test, lung function, postoperative complications, surgical safety, disease severity assessment, Lund-Mackay score
- MeSH terms
- Adult, Aged, Asthma, Chronic Disease, Endoscopy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nasal Polyps, Prospective Studies, Respiratory Function Tests, Rhinitis, Rhinoplasty, Sinusitis, Smell, Tomography, X-Ray Computed, Turbinates, Cohort Studies
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