Title: Subjective and Objective Assessment of Outcome in Nasal Polyposis after Functional Endoscopic Sinus Surgery
Authors: Bahnsikha Kayet, Pradipta Ghosh, Arunabha Sengupta
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.181
Abstract
Introduction: Nasal polyposis is chronic inflammatory disease of sinus and nasal mucosa leading to oedematous polyp protruding in nasal cavity. Anterior rhinoscopy, Nasal Endoscopy and CT scan form mainstay of diagnosis. . Surgical management (FESS) is considered for patients who have failed to respond to maximal medical treatment and for those with complications.
Materials & Methodology: A total of 50 patients were included in this study. The Lund-Mackay CT scan score recorded. Pre-operative Nasal Endoscopy Score and Pre-operative NOSE score was recorded. This score was analysed with Post-operative Nasal Endoscopy Score and Post-operative NOSE score at 6 months and 12 months.
Results: Both NOSE score and Nasal Endoscopy Score showed statistically significant improvement between Pre-operative and Post-operative 6 months score. However no statistically significant improvement between Post-operative 6 months score and Post-operative 12 months score. The Pre-operative CT Scan score had poorly positive correlation with Pre-operative Nasal Endoscopy Score. The Pre-operative Nasal Endoscopy Score correlated negatively with Preoperative NOSE score.
Conclusion: The CT scan score, Nasal Endoscopy Score and NOSE score need to interpreted together to get a comprehensive picture of spectrum of disease and helps maximally in patients undergoin FESS.
Keyword: Nasal polyp, FESS, Nasal Endoscopy Score, NOSE.
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