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Arquivos Internacionais de Otorrinolaringologia 2010; 14(04): 433-437
DOI: 10.1590/S1809-48722010000400009
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Efficacy of Endoscopic Sinus Surgery in the Treatment of Chronic Rhinosinusitis

Eficácia da Cirurgia Endoscópica Nasal no Tratamento da Rinossinusite Crônica
Flávia Machado Alves Basílio
*   Scholar. PhD.
,
Murilo Carlini Arantes
**   Otorhinolaryngologist.
,
Annelyse Cristine Ballin
***   Third Year Resident of Otolaryngology UFPR.
,
Moises Rafael Dallagnol
**   Otorhinolaryngologist.
,
Mathias Bohn Bornhausen
****   Academic Sixth Year of Medical School UFPR.
,
Denilson Cavazzani Szkudlarek
**   Otorhinolaryngologist.
,
Marco César Jorge Santos
*****   Otorhinolaryngologist. Collaborating Medical Residence in Otorhinolaryngology, Hospital de Clinicas - UFPR.
,
Marcos Mocellin
******   Professor and Head of the Department of Otolaryngology, Hospital de Clinicas - UFPR.
› Author Affiliations
Further Information

Publication History

23 July 2010

22 August 2010

Publication Date:
12 February 2014 (online)

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Summary

Introduction: The endoscopic sinus surgery (FESS) is currently regarded as the gold standard in the treatment of chronic rhinosinusitis (RNSC), with or without nasal polyposis refractory to medical therapy optimized.

Objective: To evaluate the improvement of symptoms after FESS RNSC, through a questionnaire.

Method: This is a prospective study, which included 34 patients undergoing FESS during the year 2009, the Service of Otorhinolaryngology, Hospital das Clínicas / UFPR. Of these, 22 were diagnosed as RNSC RNSC and 12 had associated nasal polyps. All patients underwent a questionnaire on preoperative symptoms, comorbidities and degree of symptom improvement after surgery, six months after the procedure.

Results: The percentage improvement of symptoms more prevalent in the group with RNSC was as follows: nasal obstruction 87.4%, 80.5% headache, pain / facial pressure 91.6% 81.2% posterior nasal discharge. In the group with polyposis associated improvement was nasal obstruction 76.6%, 76.6% posterior nasal discharge, hyposmia, 68.7%, headache 83%. In our study we found an overall improvement in symptoms of 83.74% in patients with RNSC and 80.5% in patients with associated nasal polyposis.

Conclusion: FESS is highly effective in controlling symptoms of RNSC with or without polyposis and is, in our study, its efficacy similar to that found in the literature. With respect to patients with nasal polyposis, studies are needed with longer follow up, since this disease has a high degree of recurrence.

Resumo

Introdução: A cirurgia endoscópica nasal (FESS) é encarada atualmente como o padrão ouro no tratamento da rinossinusite crônica (RNSC), associada ou não à polipose nasal, refratária ao tratamento clínico otimizado.

Objetivo: Avaliar a melhora dos sintomas da RNSC após FESS, através de um questionário dirigido.

Método: Trata-se de um estudo prospectivo, em que foram incluídos 34 pacientes submetidos à FESS durante o ano de 2009, no serviço de Otorrinolaringologia do Hospital de Clínicas/UFPR. Desses, 22 tinham o diagnóstico de RNSC e 12 apresentavam RNSC associada à polipose nasal. Todos os pacientes foram submetidos a um questionário sobre a sintomatologia pré-operatória, comorbidades e grau de melhora dos sintomas no pós-operatório, 6 meses após o procedimento.

Resultados: A melhora percentual dos sintomas mais prevalentes no grupo com RNSC foi a seguinte: obstrução nasal 87,4%; cefaleia 80,5%; dor/pressão facial 91,6%; secreção nasal posterior 81,2%. No grupo com polipose associada, a melhora foi: obstrução nasal 76,6%; secreção nasal posterior 76,6%; hiposmia 68,7%; cefaleia 83%. Em nosso estudo encontramos uma melhora global dos sintomas de 83,74% nos pacientes com RNSC e de 80,5% nos pacientes com polipose nasal associada.

Conclusão: A FESS é altamente eficiente no controle dos sintomas da RNSC, associada ou não à polipose, sendo, em nosso estudo, sua eficácia semelhante à encontrada na literatura internacional. Com relação aos portadores de polipose nasal, são necessários estudos com seguimento maior, visto que essa patologia apresenta alto grau de recorrência.

Keywords

sinusitis - symptoms - treatment outcome

Palavras-chave

sinusite - sintomas - resultado de tratamento
 

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