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Comparison of clinical outcomes between revision and primary endoscopic sinus surgery for chronic rhinosinusitis

WANG An-qi, WANG Shi-li, CAI Chang-ping   

  1. Department of Otolaryngology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Online:2014-03-28 Published:2014-04-02


Objective To investigate whether previous sinus surgeries will have adverse affects on the revision endoscopic sinus surgery (RESS), and whether the surgical outcomes of RESS is similar to that of the primary endoscopic sinus surgery (PESS) by comparing the postoperative results of PESS and RESS for chronic rhinosinusitis patients. Methods The quality of life status of patients underwent PESS (59 patients) and RESS (45 patients) was surveyed by visual analog scale (VAS), Sino-nasal outcome test-20 (SNOT-20), medical outcome study short form 36-items health survey(SF-36), and Lund and Kennedy endoscopic scores. The results were analyzed. Results The postoperative mean VAS, SNOT-20, and SF-36 scores were significantly higher than preoperative mean scores in both RESS and PESS groups (P<0.05).The effective rate, preoperative and postoperative quality of life scores, and postoperative Lund and Kennedy endoscopic scores were not statistically different between two groups (P>0.05). Conclusion The subjective and objective outcomes of RESS and PESS are not statistically different. Strict indications, perfect surgical technique, sufficient and reasonable perioperative care are essential to avoiding the adverse effects of prior sinus surgeries. RESS can have the similar outcomes as PESS.

Key words: chronic rhinosinusitis, revision endoscopic sinus surgery, primary endoscopic sinus surgery, quality of life, endoscopy