Abstract

Introduction: Chronic-rhino sinusitis is an inflammatory disorder of the Para nasal sinuses and linings of the nasal passages that lasts for 12 weeks or longer. Functional endoscopic sinus surgery (FESS) is a minimally invasive technique used to restore sinus ventilation and normal function hence it is the mainstay surgical treatment for chronic-rhino sinusitis. This disease affects the quality of life of patients but it has been reported that, FESS provides significant improvement on the QOL of patients. This study aim to assess whether Functional Endoscopic Sinus Surgery provides a better QOL in patients with CRS with or without polyposis in a tertiary Hospital, Tanzania. Also, it aims to determine the predictive factors influencing the QOL of these patients.

Objective: To assess the quality of life of patients with chronic rhino-sinusitis with or without polyposis before and after FESS.

Methodology: This is a hospital based before and after study where by patients diagnosed with CRS with or without polyposis planned for FESS were recruited. The SNOT-22 test was used to evaluate QOL. Data was collected before the surgery and 1 month after the surgery and analyzed using SPSS version 20.0 software.

Result: 48 patients were enrolled in this study, 19 (39.6%) were male and 29 (60.4%) were female. The age range was 5 - 79 years with the mean age of 35 years. There was a statistically significant reduction between the preoperative and postoperative score attained on SNOT-22. (Z = -6.032, p = 0.000) The mean score of the preoperative score was 40.81 and the mean score of the postoperative score was 5.38. In this study there were 6 patients who had a history (past or present) of smoking, 6 patients who had Asthma and 11 patients with a previous history of FESS. Only a history of prior sinus surgery predicted poor quality of life after FESS.

Conclusion: Functional Endoscopic Sinus Surgery is associated with increase in the quality of life of patients with CRS.

Keywords: Quality of Life; Functional Endoscopic Sinus Surgery; Rhinosinusitis; Polyposis; SNOT 22

References

1. Nyaiteera V., et al. “The burden of chronic rhinosinusitis and its effect on quality of life among patients re-attending an otolaryngology clinic in south western Uganda”. BMC Ear, Nose and Throat Disorders 18 (2018): 10.
2. Ghodrat Mohammadi MS and AL. “Outcome of Endoscopic sinus surgery in patients with polyposis”. International Journal of Current Research and Review 9 (2007): 2347-3215.
3. Bachert C., et al. “ICON: chronic rhinosinusitis”. World Allergy Organization Journal 1 (2014): 25.
4. Kennedy JL., et al. “Sino-nasal outcome test (SNOT-22): a predictor of postsurgical improvement in patients with chronic sinusitis”. Annals of Allergy, Asthma and Immunology 4 (2013): 246-251.
5. Suthaker Smith Stanley. “Optimisation of filter ripening sequence”. Aqua3 (1998): 107-118.
6. Qadeer S., et al. “Quality of Life after Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis”. International Journal of Otolaryngology and Head and Neck Surgery 04 (2018): 189-198.
7. Bajaj Y., et al. “Number 1 Functional Endoscopic Sinus Surgery: Review Of 266 Patients”. The Internet Journal of Otorhinolaryngology 6 (2006).
8. Freire T., et al. “Assessment of quality of life after endoscopic sinus surgery for chronic rhinosinusitis Abstract”. Publishing Management System-Brazilian”. Journal of Otorhinolaryngology2 (2019): 96-102.
9. Machado Alves Basílio F., et al. “Efficacy of Endoscopic Sinus Surgery in the Treatment of Chronic Rhinosinusitis”. Eficácia da Cirurgia Endoscópica Nasal no Tratamento da Rinossinusite Crônica (2019).
10. Juan F., et al. “Risk Factors of Chronic Rhinosinusitis After Functional Endoscopic Sinus Surgery”. Medical Science Monitor 23 (2017): 1064-1068.
11. Laababsi R., et al. “Quality of life outcomes of patients with chronic rhinosinusitis after functional endoscopic sinus surgery, prospective cohort study 40 (2019): 9-13.
12. Nikakhlagh S., et al. “Evaluation of Quality of Life of Patients with Chronic Rhinosinusitis Before and After Endoscopic Sinus Surgery”. Biomedical and Pharmacology Journal (2015).
13. Khademi B., et al. “Endoscopic Sinus Surgery: Results At Two Year Follow-Up On 200 Patients”. Pakistan Journal of Medical Sciences 23 (2007).
14. Musavi Aghdas M., et al. “Quality of Life in Patients with Chronic Rhinosinusitis with Nasal Polyposis Before and After Functional Endoscopic Sinus Surgery: A Study Based on Sino-Nasal Outcome Test”. Advances in Bioscience and Clinical Medicine 1 (2018): 11.
15. Muhimbili national hospital (2019).
16. Sino-Nasal Outcome Test ( Snot-22 ) Copyright Notice Washington University grants permission to use and reproduce the SNOT-22 as it appears in the PDF available here without modification or editing of any kind solely for end user use in investigating rhin (2006).

Citation

Citation: Enica Richard Massawe., et al. “Quality of Life in Patients with Chronic Rhinosinusitis Before and After Functional Endoscopic Sinus Surgery at Tertiary Hospital, Tanzania". Acta Scientific Otolaryngology 2.12 (2020): 25-31.

Copyright

Copyright: © 2020 Enica Richard Massawe., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.