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ORL J Otorhinolaryngol Relat Spec. 2008;70(2):113-7. doi: 10.1159/000114534. Epub 2008 Apr 15.

Clinical prognostic factors of chronic rhinosinusitis after endoscopic sinus surgery.

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  • 1Department of Otorhinolaryngology Head and Neck Surgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, PR China. ly6x119@163.com

Abstract

OBJECTIVE:

We aimed to determine the clinical prognostic factors of chronic rhinosinusitis after endoscopic sinus surgery (ESS) in order to better guide the management of patients.

METHODS:

A total of 254 patients with chronic rhinosinusitis after ESS with a follow-up of 24 months were evaluated retrospectively. Clinical grouping, hyperplasia of the ethmoid bone, anatomic variations, allergy, polyps, previous sinonasal surgery and recurrent polyps were analyzed.

RESULTS:

The success rates were 64.4 and 91.9% with and without hyperplasia of the ethmoid bone, 87.6 and 86.4% with and without anatomic variations, 67.9 and 92.0% with and without allergy, 81.0 and 94.0% with and without polyps, 72.8 and 93.6% with and without history of surgery and 52.3 and 94.3% with and without recurrent polyps. In logistic multiple regression analysis, allergy (p = 0.0002; estimate, -4.2094), nasal polyps (p = 0.0007; estimate, -3.6393) and history of surgery (p < 0.0001; estimate, -5.0938) were found to reach a statistically significant level.

CONCLUSIONS:

We propose that allergy, polyps and history of surgery might be significant indicators of poor prognosis after ESS.

[PubMed - indexed for MEDLINE]
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