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.
References
- Vojko Djukic, Zoran Dudvarski, Nenad Arsovic, Milovan Dimitrijevic, Ljiljana Janosevic Clinical outcomes and quality of life in patients with nasalpolyposis after functional endoscopic sinus surgery. Eur Arch Otorhinolaryngol DOI 10.1007/s00405-014-3054-y
- Andrews, P.J.,*†Poirrier, A.-L.,‡ Lund, V.J.*† & Choi, D. Outcomes in endoscopic sinus surgery: olfaction, nose scale and quality of life in a prospective cohort study. Otolaryngol. 2016, 00, 000–000
- Divya Gupta, Achal Gulati, Ishwar Singhand Uma Tekur. Endoscopic, Radiological, and Symptom Correlation of Olfactory Dysfunction in Pre- and Postsur-gical Patients of Chronic Rhinosinusitis, doi:10.1093/chemse/bju042
- Dewayne T. Bradley, Stilianos E. Kountakis. Correlation Between Computed Tomography Scores and Symptomatic Improvement After Endoscopic Sinus Surgery. Laryngoscope 115: March 2005. DOI: 10.1097/01.mlg.0000157840.55659.62
- Kennedy DW (1992) Prognostic factors, outcomes, and staging in ethmoid sinus surgery. Laryngoscope 102(Suppl):1–18
- Robinson JL, Griest S, James KE, Smith TL (2007) Impact of aspirin intolerance on outcomes of sinus surgery. Laryngoscope 117(5):825–830
- Nair S, Dutta A, Rajagopalan R, Nambiar S (2011) Endoscopic sinus surgery in chronic rhinosinusitis and nasal polyposis: a comparative study. Indian J Otolaryngol Head Neck Surg 63(1):50–55
- Ryan WR, Ramachandra T, Hwang PH. 2011. Correlations between symptoms, nasal endoscopy, and in-office computed tomography in postsurgical chronic rhinosinusitis patients. Laryngoscope. 121:674–678.
- Kenny TJ, Duncavage J, Bracikowski J, Yildirim A, Murray JJ, Tanner SB. 2001. Prospective analysis of sinus symptoms and correlation with paranasal computed tomography scan. Otolaryngol Head Neck Surg. 125:40–43
- Brian A. Kaplan,Stilianos E. Kountakis. Role of Nasal Endoscopy in Patients undergoing Endoscopic Sinus Surgery. American Journal of Rhinology May-June 2004,Vol 18,No 3
- Rosbe KW, and Jones KR. Usefulness of patient symptoms and nasal endoscopy in the diagnosis of chronic sinusitis. Am J Rhinol 12:167–171, 1998.
- Stankiewicz JA, and Chow JM. Nasal endoscopy and the definition and diagnosis of chronic rhinosinusitis. Otolaryngol Head Neck Surg 126:623–627, 2002
- Kennedy DW, Wright ED, and Goldberg AN. Objective and subjective outcomes in surgery for chronic sinusitis. Laryngoscope 110:29–31, 2000.
Corresponding Author
Dr Pradipta Ghosh
Department of ENT and Head Neck Surgery, 244, AJC Bose Road, IPGME&R/ SSKM Hospital,
Kolkata, India 700020
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.181
