DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203571

Effect of endoscopic sinus surgery on general health related quality of life domains in chronic rhino sinusitis patients

Amal P. Jose, Shibu George

Abstract


Background: Chronic rhino sinusitis (CRS) is a common health problem affecting around 5-12% of the general population in a year. Treatment of CRS consist of medical and surgical management. Surgical management is considered when patient is not responding to maximal medical treatment or in case of complication. Sino nasal outcome test 22 (SNOT- 22) is considered as the most appropriate instrument in the evaluation of HRQOL impairment in CRS patients. This study evaluated general health related quality of life (QOL) domains of SNOT- 22 changes following endoscopic sinus surgery.

Methods: This study was conducted in 53 subjects who underwent endoscopic sinus surgery for chronic rhino sinusitis in Department of otorhinolaryngology, Government Medical College, Kottayam over a period of one year. Detailed history including SNOT-22 questionnaire enquired. Clinical, radiological and endoscopic examinations were performed. This patient followed up after 1 week, 1month and 3 months. SNOT-22 scores were recorded at each visit; data compiled and analysed with help of SPSS.

Results: The baseline SNOT-22 score for study population was 37.51. General health related quality of life domains was assessed separately. The score for psychological dysfunction and sleep dysfunction decreased from 10.72, 6.00 to 1.58 and 1.02 respectively at the end of 3 months.

Conclusions: Chronic rhinosinusitis patients reported significant improvement in psychosocial dysfunction and sleep related symptoms after endoscopic sinus surgery. Chronic rhino sinusitis patient with anxiety and depressive disorders need special attention to improve health related quality of life (HRQOL).


Keywords


CRS, HRQOL, Sleep dysfunction, Psychological dysfunction

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References


Fokkens W, Lund V, Hopkins C, Hellings PW, Kern R, Reitsma S, et al. European Position Paper on Rhinosinusitis and Nasal Polyps. Rhinology journal. 2020;58:1-464.

Agache I, Hellings P. Implementing Precision Medicine in Best Practices of Chronic Airway Diseases. Academic Press; 2018;236.

Rudmik L, Hopkins C, Peters A, Smith TL, Schlosser RJ, Soler ZM. Patient-reported outcome measures for adult chronic rhinosinusitis: A systematic review and quality assessment. J Allergy Clin Immunol. 2015;136(6):1532-1540.e2.

DeConde AS, Mace JC, Alt JA, Rudmik L, Soler ZM, Smith TL. Longitudinal improvement and stability of the SNOT-22 survey in the evaluation of surgical management for chronic rhinosinusitis. Int Forum Allergy Rhinol. 2015;5(3):233-9.

Laababsi R, Abdulhakeem bushra, Elkrimi Z, Allouane A, Rouadi S, Abada R, et al. Quality of life outcomes of patients with chronic rhinosinusitis after functional endoscopic sinus surgery, prospective cohort study. Ann Med Surg (Lond). 2019;40:9-13.

Valerie J. Lund’, Ian S. Mackay. Staging in rhinosinusitus. Rhinol. 1993;31,183-18.

Lund DVJ, Kennedy DDW. Staging for Rhinosinusitis: Otolaryngology–Head and Neck Surgery [Internet]. 2016. Available from: https://journals.sagepub.com/doi/10.1016/S0194-59989770005-6. Last accessed on 4 June 2020.

Vedantam R, Kurien R, Sunny E. Impact of Functional Endoscopic Sinus Surgery on Patients with Chronic Rhinosinusitis: A Prospective, Cohort Study among Indian Patients. An International Journal Clinical Rhinol. 2018;11:1-6.

Farahani F, Mashouf YR, Hashemian F, Esmaeili R. Antimicrobial Resistance Patterns of Aerobic Organisms in Patients with Chronic Rhino sinusitis in Hamadan, Iran. Avicenna Journal of Clinical Microbiology and Infection. 2014 Aug 1;1.

Murphy MP, Fishman P, Short SO, Sullivan SD, Yueh B, Weymuller EA. Health care utilization and cost among adults with chronic rhinosinusitis enrolled in a health maintenance organization. Otolaryngology - Head and Neck Surgery. 2002;127(5):367-76.

Nair S, Dutta A, Rajagopalan R, Nambiar S. Endoscopic Sinus Surgery in Chronic Rhinosinusitis and Nasal Polyposis: A Comparative Study. Indian J Otolaryngology Head Neck Surg. 2011;63(1):50-5.

Soler ZM, Sauer DA, Mace J, Smith TL. Relationship between Clinical Measures and Histopathologic Findings in Chronic Rhinosinusitis. Otolaryngology Head Neck Surg. 2009;141(4):454-61.

Toma S, Hopkins C. Stratification of SNOT-22 scores into mild, moderate or severe and relationship with other subjective instruments. Rhinol. 2016;54(2):129-33.

Wu D, Gray ST, Holbrook EH, BuSaba NY, Bleier BS. SNOT-22 score patterns strongly negatively predict chronic rhinosinusitis in patients with headache. Int Forum Allergy Rhinol. 2019;9(1):9-15.

Sedaghat AR, Gray ST, Caradonna SD, Caradonna DS. Clustering of chronic rhinosinusitis symptomatology reveals novel associations with objective clinical and demographic characteristics. Am J Rhinol Allergy. 2015;29(2):100-5.

Levy JM, Mace JC, DeConde AS, Steele TO, Smith TL. Improvements in psychological dysfunction after endoscopic sinus surgery for patients with chronic rhinosinusitis. Int Forum Allergy Rhinol. 2016;6(9):906-13.

Chowdhury NI, Mace JC, Bodner TE, Alt JA, Deconde AS, Levy JM, et al. Does Medical Therapy Improve SNOT-22 Domain Scores? An Analysis of Clinically Important Differences. Laryngoscope. 2019;129(1):31-6.

Gharaati N, Amini E, Abdollahi M, Maracy MR, Abtahi S, Kheirabadi GR. Mood Disorders among Chronic Rhino-Sinusitis Patients. Journal of Psychiatry. 2017;1:20.

Kohler M, Bloch KE, Stradling JR. The role of the nose in the pathogenesis of obstructive sleep apnea and snoring. Eur Respir J. 2007;30(6):1208-15.

Mahdavinia M, Schleimer RP, Keshavarzian A. Sleep disruption in chronic rhinosinusitis. Expert Rev Anti Infect Ther. 2017;15(5):457-65.

Olsen KD, Kern EB, Westbrook PR. Sleep and breathing disturbance secondary to nasal obstruction. Otolaryngol Head Neck Surg. 1981;89(5):804-10.

El Rassi E, Mace JC, Steele TO, Alt JA, Smith TL. Improvements in sleep-related symptoms after endoscopic sinus surgery in patients with chronic rhinosinusitis. Int Forum Allergy Rhinol. 2016;6(4):414-22.

Guttemberg MDA, Mata FAF da, Nakanishi M, de Andrade KRC, Pereira MG, Guttemberg MDA, et al. Sleep quality assessment in chronic rhinosinusitis patients submitted to endoscopic sinus surgery: a meta-analysis. Brazilian Journal of Otorhinolaryngology. 2019;85(6):780-7.