A study to evaluate the surgical outcome and quality of life before and after endoscopic sinus surgery in chronic rhinosinusitis

Dr. Richa Singhal; Dr. Sampan Singh Bist; Dr.  Bharti Bhartendu; Dr. Vinish Agarwal

Volume : V, Issue : V, May - 2016

A study to evaluate the surgical outcome and quality of life before and after endoscopic sinus surgery in chronic rhinosinusitis

Dr. Richa Singhal, Dr. Sampan Singh Bist, Dr. Bharti Bhartendu, Dr. Vinish Agarwal

Abstract :

Introduction: Chronic rhinosinusitis is a global health problem affecting approximately 1–4% to 5–15% of the population. Chronic rhinosinusitis is often responsible for high morbidity, diminishing the quality of life and thereby productivity. Objective: The aim of this study was to evaluate the quality of life of the patients before and after functional endoscopic sinus surgery and the surgical outcome of patients undergoing endoscopic sinus surgery. Methodology: This was an observational study of 12 months, 80 patients who diagnosed as chronic rhinosinusitis were recruited and followed up at 4 weeks, 3 months and 6 months after functional endoscopic sinus surgery. All 80 patients were subjected to Lund Kennedy endoscopic score and Sino–nasal outcome test–22 (SNOT–22) score before and after surgery followed by diagnostic nasal endoscopy. Results: The study revealed that the quality of life of patients analyzed using SNOT–22 showed significant improvement with each follow–up. The surgical outcome of patients showed significant improvement on objective assessment by endoscopic score and on subjective assessment by SNOT–22 score. Conclusion: The present study concludes that chronic rhinosinusitis has considerable adverse impact on quality of life of patients. SNOT–22 questionnaire is a valuable tool in assessing the quality of life in patients of chronic rhinosinusitis before and after surgery. Surgical outcome of the patients of chronic rhinosinusitis after functional endoscopic sinus surgery improved statistically (p value <0.001) in all the patients objectively and subjectively