Giger Roland, Dulguerov Pavel, Quinodoz Didier, Leuba Daniel, Landis Basile Nicolas, Lacroix Jean-Silvain, Friedrich Jean Paul
Department of Otolarygology-Head and Neck Surgery, Hospital of La Chaux-de-Fonds, Switzerland.
Otolaryngol Head Neck Surg. 2004 Oct;131(4):534-41. doi: 10.1016/j.otohns.2004.03.030.
The goal of this study was to evaluate the long-term outcome after functional endoscopic sinus surgery (FESS) for chronic panrhinosinusitis without nasal polyps by using symptom scoring and an endoscopic outcome evaluation.
Seventy-seven patients with chronic panrhinosinusitis without nasal polyps (Kennedy computed tomography [CT] scan stages I to III) were followed up for at least 3 years after FESS. Preoperative evaluation included a CT scan and an immunoallergologic evaluation. Three years after FESS, all patients were interviewed and scored endoscopically.
Ninety-two percent of the patients showed a marked global improvement after FESS. The endoscopic control showed normal findings in 54% of all ethmoidal cavities. The postoperative endoscopic score correlated significantly with the subjective satisfaction ratings (P < 0.001). The preoperative CT staging proposed by Kennedy was predictive for necessity of revision surgery in 15% of the patients.
Our data suggest that FESS for chronic panrhinosinusitis without nasal polyps has a good long-term outcome on subjective symptoms and endoscopic findings.
According to this study, subjective improvement correlates significantly with the postoperative endoscopic findings in the ethmoidal cavities of patients with chronic panrhinosinusitis without polyps at a long-term follow-up.
本研究的目的是通过症状评分和内镜结果评估，评价功能性鼻内镜鼻窦手术（FESS）治疗无鼻息肉慢性全鼻窦炎的长期疗效。
77例无鼻息肉慢性全鼻窦炎患者（肯尼迪计算机断层扫描[CT]分期I至III期）在FESS术后至少随访3年。术前评估包括CT扫描和免疫过敏评估。FESS术后3年，对所有患者进行访谈并进行内镜评分。
92%的患者在FESS术后显示出明显的整体改善。内镜检查显示，54%的筛窦腔检查结果正常。术后内镜评分与主观满意度评分显著相关（P < 0.001）。肯尼迪提出的术前CT分期可预测15%患者的再次手术必要性。
我们的数据表明，FESS治疗无鼻息肉慢性全鼻窦炎在主观症状和内镜检查结果方面具有良好的长期疗效。
根据本研究，在长期随访中，主观改善与无息肉慢性全鼻窦炎患者筛窦腔的术后内镜检查结果显著相关。
