SIGNIFICANCE OF NASAL POLYPS IN CHRONIC RHINOSINUSITIS: SYMPTOMS AND SURGICAL OUTCOMES

Dr Ritu Gupta; Dr Sara V. Thomas; Dr Jagdish Prasad Purohit; Dr Chandra Bhan; Dr Vijay Bajaj

Volume : V, Issue : III, March - 2016

SIGNIFICANCE OF NASAL POLYPS IN CHRONIC RHINOSINUSITIS: SYMPTOMS AND SURGICAL OUTCOMES

Dr Ritu Gupta, Dr Sara V. Thomas, Dr Jagdish Prasad Purohit , Dr Chandra Bhan, Dr Vijay Bajaj

Abstract :

Chronic rhinosinusitis refers to a condition that lasts at least 12 weeks despite being treated and causes at least TWO of the symptoms like Nasal congestion, Mucus discharge from the nose or mucus that drips down the back of the throat, Facial pain, pressure, or "fullness", A decreased sense of smell. Patients with this diagnosis can be difficult to treat successfully. The most prevalent and studied pathologic entity associated with CRS is nasal polyposis. Chronic rhinosinusitis classified into two categories Chronic Rhinosinusithis with Polyps (CRSNP (+)) and Chronic Rhinosinusitis without Polyps (CRSNP (–)).The symptoms of patients were rated preoperatively using Sino Nasal Outcome Test (SNOT–20) scoring system and endoscopy scoring system. Patients with polyps (CRSNP+) have higher symptom scores and worse objective findings compared with patients without polyps (CRSNP–). In addition, CRS patients with polyps show less improvement after surgical intervention and a significantly higher need for revision surgery than CRS patients without polyps.