Abstract
QUALITY OF LIFE OUTCOMES AFTER FUNCTIONAL ENDOSCOPIC SINUS SURGERY

Bhandari S.*, Chettri S. T., Manandhar S. and Poudel D.

ABSTRACT

Background: Quality of life (QoL) is defined as those aspects of an individual‟s subjective experience that relate both directly and indirectly to health, disease, disability and impairment. Objective: To assess quality of life outcomes after functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis with polyps and assess the relationship between disease severity and quality of life outcomes. Methodolgy: A prospective study was performed in a tertiary referral center. Thirty nine patients affected by chronic rhinosinusitis with nasal polyposis underwent endoscopic sinus surgery from March 2015 to March 2016 and followed for 12 weeks. The Rhinosinustis disability index (RSDI) was used to quantify the patient's symptoms before, 6 weeks and 12 weeks after surgery. The correlation between RSDI and Endoscopic score and Computed Tomography (CT) based on Lund–Mackay scoring system were also assessed. Results: A strongly statistically significant reduction was seen between the mean scores on RSDI before and after FESS [Mean±SD(range) 40.79±20.041(2-93) at 0 weeks, 21.9±14.867(0-66)at 6 weeks and 13.95±11.288(0-45) at 12 weeks Wilcoxon signed rank test, p < 0.0001]. There was no any correlation between total RSDI and endoscopic score at 0, 6 and 12 weeks and Lund Mackay CT score taken preoperatively. Conclusions: There is improvement in QOL outcomes after FESS in patients with CRS with polyposis.

Keywords: FESS, RSDI, Lund Mackay CT and Endoscopic Score.


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