Faculty Collaboration Database

Recurrent acute rhinosinusitis: presentation and outcomes of sinus surgery. Am J Rhinol 2008;22(3):329-33

Date

07/01/2008

Pubmed ID

18588769

DOI

10.2500/ajr.2008.22.3177

Scopus ID

2-s2.0-45349104530 (requires institutional sign-in at Scopus site)   36 Citations

Abstract

BACKGROUND: Patients with recurrent acute rhinosinusitis (RARS) represent a challenging subset of patients with rhinosinusitis. Data regarding the outcomes of care for these patients is extremely limited. The purpose of this study was to evaluate objective and patient-based measures in patients diagnosed with RARS before and after surgical intervention.

METHODS: A prospective, nested case-control study was performed. Cases of RARS (n = 22) were matched to patients with chronic rhinosinusitis (CRS) without polyposis (n = 22) by age, sex, and race/ethnicity. Preoperative computed tomography (CT) and pre- and postoperative endoscopic examinations, the Chronic Sinusitis Survey, and the Rhinosinusitis Disability Index were scored and compared between cases and controls.

RESULTS: Patients with RARS were less likely to have asthma or previous sinus surgery. Patients with CRS underwent more extensive surgery. There were no significant differences in preoperative CT, endoscopy, or patient-based, quality-of-life (QOL) scores. Both groups showed statistically significant improvements in total postoperative QOL scores. Patients with CRS showed significant improvement on endoscopy scores. Patients with RARS used significantly fewer sinus medications after endoscopic sinus surgery.

CONCLUSION: Patients with RARS were more often primary surgical patients and underwent less extensive surgery than their CRS counterparts. Both groups reported improved QOL after surgery.

Author List

Poetker DM, Litvack JR, Mace JC, Smith TL

Author

David M. Poetker MD Chief, Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Acute Disease
Adult
Endoscopy
Female
Follow-Up Studies
Humans
Male
Otorhinolaryngologic Surgical Procedures
Paranasal Sinuses
Quality of Life
Recurrence
Rhinitis
Severity of Illness Index
Sinusitis
Tomography, X-Ray Computed
Treatment Outcome