Author(s)

Sadaf Qadeer^1*, Shabbir Akhtar², Montasir Junaid³, Muhammad Sohail Halim⁴

¹Department of Otolaryngology-Head & Neck Surgery, Sir Syed College of Medical Sciences, Karachi, Pakistan.
²Department of Otolaryngology-Head & Neck Surgery, Aga Khan University & Hospital, Karachi, Pakistan.
³Department of Otolaryngology-Head & Neck Surgery, Armed Forces Hospital Southern Region, Khamis Mushayt, KSA.
⁴Stanford University, Palo Alto, USA.

Chronic Rhinosinusitis (CRS) is a group of disorders characterized by the inflammation of mucosa of the nasal passages and paranasal sinuses. It includes chronic rhinosinusitis with polyps, CRS without polyps and Allergic Fungal Sinusitis (AFS). This debilitating disease causes negative impact on quality of life (QOL) of patients. Functional endoscopic sinus surgery (FESS) is the mainstay of surgical treatment for patients and improves QOL of patients. This subjective assessment of QOL can be measured by disease specific questionnaires. SNOT-22 questionnaire is widely used and validated questionnaire for this purpose. Prospective study was done on 54 patients. Data were collected using SNOT-22 questionnaire and filled in pre-operative period then in post-operative follow-up visits on 1^st, 3^rd, 6^th and 12^th months. Paired sample t-test was used to compare pre-operative and post-operative SNOT scores and multivariate generalized linear model was used to estimate regression parameters for SNOT scores in CRS with polyp and AFS in comparison of CRS without polyps. Out of 54 patients, 59.3% were males, mean age was 35.98, 29.6% were in CRS without polyp group, 44.4% and 25.9% were in CRS with polyps and AFS group. Recurrence occurred in 7.4%, revision surgery required in 3.7% while 22.2% had history of asthma. Paired sample t-test showed statistical significant reduction in post-operative SNOT scores. Linear model results showed SNOT scores in CRS with polyp group was significantly reduced. Thus FESS provides significant improvement in QOL of patients in chronic rhinosinusitis.

Quality of Life, Chronic Rhinosinusitis, Surgery

Qadeer, S. , Akhtar, S. , Junaid, M. and Halim, M. (2018) Quality of Life after Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis. International Journal of Otolaryngology and Head & Neck Surgery, 7, 189-198. doi: 10.4236/ijohns.2018.74020.