Department of Otolaryngology, West Virginia University, Morgantown, WV, USA.
School of Medicine, West Virginia University, Morgantown, WV, USA.
Ann Otol Rhinol Laryngol. 2023 Nov;132(11):1400-1403. doi: 10.1177/00034894231161417. Epub 2023 Mar 23.
To study the long-term outcomes of pediatric chronic rhinosinusitis (CRS) after surgical treatment.
Cross-sectional survey of patients who were treated surgically for CRS as children more than 10 years ago. Survey included SNOT-22 questionnaire, additional functional endoscopic sinus surgery (FESS) since last treatment, status of allergic rhinitis and asthma, and availability of any CT scan sinus/face for review.
About 332 patients were contacted by phone or email. Seventy-three patients filled the survey (22.5% response rate). Current age was 26 years (±+/-4.7, 15.3-37.8 years). Age at initial treatment was 6.8 years (+/-3.1, 1.7-14.7 years). Fifty-two patients (71.2%) had FESS and adenoidectomy, and 21 patients (28.8%) had adenoidectomy only. Follow-up since surgical treatment was 19.3 years (+/-4.1). SNOT-22 score was 34.5 (+/-22.2). None of the patients had any additional FESS for the duration of the follow-up, and only 3 patients had septoplasty and inferior turbinoplasty as adults. Twenty-four patients had CT scan sinuses/face available for review. Scans were obtained at an average of 14 years after surgical intervention (+/-5.2). CT LM score was 0.9 (+/-1.9), compared to 9.3 at time of their surgery (+/-5.9) ( < .0001). Currently 45.8% and 36.9% of patients have asthma and AR, compared to 35.6% and 40.6% respectively as kids ( = .897 and = .167).
Children who had surgery for CRS do not seem to have CRS as adults. However, patients continue to have active allergic rhinitis that may affect their quality of life.
研究儿童慢性鼻-鼻窦炎（CRS）经手术治疗后的长期疗效。
对 10 多年前接受儿童 CRS 手术治疗的患者进行横断面调查。调查内容包括 SNOT-22 问卷、上次治疗后是否进行了额外的功能性内镜鼻窦手术（FESS）、变应性鼻炎和哮喘的状况，以及是否有任何鼻窦/面部 CT 扫描可供复查。
通过电话或电子邮件联系了约 332 名患者。73 名患者填写了调查（22.5%的回复率）。当前年龄为 26 岁（±+/-4.7，15.3-37.8 岁）。初始治疗年龄为 6.8 岁（+/-3.1，1.7-14.7 岁）。52 名患者（71.2%）行 FESS 和腺样体切除术，21 名患者（28.8%）仅行腺样体切除术。自手术治疗以来的随访时间为 19.3 年（+/-4.1）。SNOT-22 评分为 34.5（+/-22.2）。在随访期间，没有患者需要再次进行 FESS，只有 3 名患者在成年后进行了鼻中隔成形术和下鼻甲成形术。24 名患者有鼻窦/面部 CT 扫描可供复查。扫描平均在手术干预后 14 年进行（+/-5.2）。CT LM 评分为 0.9（+/-1.9），而手术时为 9.3（+/-5.9）（ < .0001）。目前，45.8%和 36.9%的患者患有哮喘和变应性鼻炎，而儿童时分别为 35.6%和 40.6%（ = .897 和 = .167）。
接受 CRS 手术治疗的儿童在成年后似乎没有 CRS。然而，患者仍持续存在活跃的变应性鼻炎，这可能会影响他们的生活质量。
