[Treatment of chronic rhinosinusitis using balloon sinuplasty. A quality of life analysis]

HNO. 2013 Jul;61(7):645-9. doi: 10.1007/s00106-012-2654-3.
[Article in German]

Abstract

Background: Balloon sinuplasty (functional endoscopic dilation surgery, FEDS) has become established as a safe therapeutic procedure for treatment of chronic rhinosinusitis. Our goal was to assess the effect on quality of life (QoL) using validated tools and identify predictive factors.

Materials and methods: A consecutive cohort of 14 patients was evaluated using the disease-specific QoL questionnaire Sino-Nasal Outcome Test 20 (SNOT-20). The measured postoperative changes were then correlated to the results of preoperative CT scan analyses performed according to Lund.

Results: Both the overall SNOT-20 scores and those corresponding to subsections regarding primary nasal symptoms (PNS) and secondary rhinogenic symptoms (SRS) showed a highly significant improvement (p < 0.01). Changes in PNS but not in SRS correlated with the CT scan analyses (p < 0.05). Eighty five percent of patients said that they would choose to undergo FEDS again.

Conclusions: FEDS is an effective technique that can alleviate symptoms and improve QoL. Patient selection should not be based on CT data alone but a CT scan can be used to determine whether or not the FEDS technique is applicable to the individual patient.

Publication types

  • Clinical Trial
  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Dilatation / methods
  • Endoscopy / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Quality of Life*
  • Recovery of Function*
  • Rhinitis / diagnosis
  • Rhinitis / surgery*
  • Rhinoplasty / methods*
  • Sinusitis / diagnosis
  • Sinusitis / surgery*
  • Treatment Outcome
  • Young Adult