Both full and limited endoscopic sinus surgery significantly improve quality of life in chronic rhinosinusitis patients
Both full and limited endoscopic sinus surgery significantly improve quality of life in patients with chronic rhinosinusitis with nasal polyps, according to a study published in Allergy. In both groups, patients' symptoms decreased to such an extent that the change remained clinically significant even two years after surgery.
A recent study published in Allergy found that both full and limited endoscopic sinus surgery significantly improve quality of life for patients with chronic rhinosinusitis and nasal polyps. In this randomized controlled trial, 97 patients were divided into two groups: one that received full endoscopic sinus surgery and another that received limited endoscopic sinus surgery.
One year after surgery, the mean SNOT-22 score, which measures health-related quality of life, was 22.3 in the full surgery group and 31.5 in the limited surgery group. Two years post-surgery, the mean SNOT-22 scores were 25.3 for full surgery and 27.8 for limited surgery. While the difference in change from baseline was not statistically significant, both groups experienced clinically significant improvement.
Full surgery led to better results in terms of smell recovery and reduced polyp size, but patients in both groups reported equally improved overall quality of life. Professor Sanna Toppila-Salmi from the University of Eastern Finland notes that the study provides strong evidence for the effectiveness of surgical treatment in managing chronic rhinosinusitis with nasal polyps.
The findings help physicians decide whether more extensive surgery may offer additional benefits to certain patients.
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