Quality of life after functional endoscopic sinus surgery for diffuse sinonasal polyposis

Abstract

Abstract Background According to recent research, people with chronic rhinosinusitis and nasal polyposis may have considerable limits in their ability to engage in social, emotional, and physical activities. Aim This study’s major goal was to gauge how patients’ quality of life was affected by functional endoscopic sinus surgeries. Patients and methods Our prospective study included 30 patients (≥18 years) resistant to medical treatment for 6 months who underwent endoscopic surgery. Lund–Mackay score was done preoperatively. Endoscopic score was done for all patients, and they were asked to rate their symptoms using sinonasal outcome test 22 and rhinosinusitis disability index before surgery and 3, 6, and 12 months following the operation. Results At 3 months following the surgery, the test and the index revealed significant improvement of 93 and 55%, respectively, and then the percentage of improvement decreased to 31% for the test and 36% for the index at 12 months postoperatively. Preoperative Lund–Mackay scores were significantly high. Endoscopic scores showed marked improvement, with 82% reduction at 3 months postoperatively, but the reduction percentage deteriorated to 31% at 12 months, indicating relapse. Overall, 30% of patients experienced recurrence between six and 12 months of postoperative follow-up; 33% of them gave history of aspirin intolerance, 33% were asthmatics, and 22% were smokers. Conclusion There is evidence that endoscopic surgery may help individuals with nasal polyps achieve better long-term results. Smoking, asthma, and aspirin sensitivity were shown to be linked to a worse long-term result and a greater recurrence risk.