Solanki Bharti, Chouhan Mahendra, Gupta Ruchika, Dhakar Preeti
Department of Otorhinolaryngology and Head & neck surgery, Dr. Sampurnanand Medical College, 342003 Jodhpur, Rajasthan, India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3663-3670. doi: 10.1007/s12070-023-04009-4. Epub 2023 Jul 14.
This study designed to compare the symptomatic profile of diagnosed patients of chronic rhinosinusitis (CRS) before and after functional endoscopic sinus surgery (FESS) by a 22-item Sino-Nasal Outcome Test (SNOT-22) questionnaire.
Observational mixed-design study.
It is an observational mixed-design study conducted in the department of ENT, Dr. S.N. Medical College, jodhpur from February 2021 to September 2022. A total of 50 patients were included in our study who underwent functional endoscopic sinus surgery. Their symptomatic improvement based on the SNOT-22 score, was compared before and after surgery. Follow-up of patients was done at 1 month and 3 months by SNOT-22 score.
A total of 50 patients were included in our study, 42 patients were telephonically communicated and followed up, and 8 patients were lost to follow-up, so 42 patients' data were analyzed. The mean age was 35.42 years. The mean total SNOT-22 score preoperatively was 45.64, postoperatively at 1 month was 6.57, and postoperatively at 3 months was 2.52. The mean difference between preoperative and postoperative scores was 43.11. This shows a significant reduction in postoperative scores as well as improvement in symptoms at the end of 3 months.
Preoperatively 64.24% of the patients had a grand total score of 20-50 (showing a moderate impact on quality of life) and 35.71% of patients having a score > 50 (showing a severe impact on quality of life). Observations in our study suggest that Functional endoscopic sinus surgery provides a significant symptom-specific improvement as well as a significant quality of life improvement in patients with chronic rhinosinusitis with or without polyposis. SNOT-22 questionnaire provides an ideal way to understand and grade the disease severity preoperatively and compare the symptomatic improvement after functional endoscopic sinus surgery in patients with chronic rhinosinusitis.
本研究旨在通过一份包含22个条目的鼻-鼻窦结局测试（SNOT-22）问卷，比较慢性鼻-鼻窦炎（CRS）确诊患者在功能性鼻内镜鼻窦手术（FESS）前后的症状表现。
观察性混合设计研究。
这是一项于2021年2月至2022年9月在焦特布尔S.N.医学院耳鼻喉科进行的观察性混合设计研究。我们的研究共纳入了50例行功能性鼻内镜鼻窦手术的患者。根据SNOT-22评分比较他们手术前后的症状改善情况。通过SNOT-22评分在术后1个月和3个月对患者进行随访。
我们的研究共纳入50例患者，通过电话与42例患者进行了沟通和随访，8例患者失访，因此对42例患者的数据进行了分析。平均年龄为35.42岁。术前SNOT-22总分平均为45.64，术后1个月为6.57，术后3个月为2.52。术前和术后评分的平均差值为43.11。这表明术后评分显著降低，且在3个月末症状得到改善。
术前64.24%的患者总分为20 - 50（表明对生活质量有中度影响），35.71%的患者评分>50（表明对生活质量有严重影响）。我们的研究观察结果表明，功能性鼻内镜鼻窦手术在患有或不患有息肉的慢性鼻-鼻窦炎患者中，能显著改善特定症状以及生活质量。SNOT-22问卷为术前了解和分级疾病严重程度以及比较慢性鼻-鼻窦炎患者功能性鼻内镜鼻窦手术后的症状改善情况提供了一种理想的方法。
