Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-23T09:56:06.338Z Has data issue: false hasContentIssue false
  • English
  • Français

Predictors of disease progression after endoscopic sinus surgery in patients with chronic rhinosinusitis

Published online by Cambridge University Press:  20 June 2019

K Tsuzuki ,
K Hashimoto ,
K Okazaki ,
H Nishikawa  and
M Sakagami
K Tsuzuki*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan
K Hashimoto
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan
K Okazaki
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan
H Nishikawa
Affiliation:
Center for Clinical Research and Education, Hyogo College of Medicine, Nishinomiya, Japan
M Sakagami
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan
*
Author for correspondence: Dr Kenzo Tsuzuki, Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo 663-8501, Japan E-mail: kenzo@hyo-med.ac.jp Fax: +81 798 41 8976
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study aimed to determine the predictors of disease progression after functional endoscopic sinus surgery in patients with chronic rhinosinusitis.

Method

A total of 281 adult chronic rhinosinusitis patients who underwent primary bilateral functional endoscopic sinus surgery between 2007 and 2017 and had at least 12 months of follow-up endoscopic evaluation were examined. Patients were divided into eosinophilic (n = 205) and non-eosinophilic chronic rhinosinusitis groups (n = 76). In order to determine adverse factors, post-operative endoscopic appearance scores were analysed in relation to the pre- and intra-operative findings using multiple regression analyses.

Results

The post-operative course of eosinophilic cases deteriorated over time, like the early period for non-eosinophilic cases. Frontal sinus polyps recurred early in eosinophilic chronic rhinosinusitis. Multivariate analyses indicated young adulthood, asthma, high computed tomography score and frontal sinus polyps as significant adverse predictors.

Conclusion

Early, appropriate estimation of sinonasal conditions appears to be crucial for successful surgical management of chronic rhinosinusitis.

Keywords

Paranasal SinusesEndoscopyNasal Surgical ProceduresPostoperative PeriodRecurrence
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 8 , August 2019 , pp. 678 - 684
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr K Tsuzuki takes responsibility for the integrity of the content of the paper

References

1Fokkens, WJ, Lund, VJ, Mullol, J, Bachert, C, Alobid, I, Baroody, F et al. European position paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl 2012;23:1–298Google Scholar
2Rosenfeld, RM, Andes, D, Bhattacharyya, N, Cheung, D, Eisenberg, S, Ganiats, TG et al. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg 2007;137(suppl 3):S1–31Google Scholar
3Hummel, T, Whitcroft, KL, Andrews, P, Altundag, A, Cinghi, C, Costanzo, RM et al. Position paper on olfactory dysfunction. Rhinol Suppl 2017;54(suppl26):1–30Google Scholar
4Haruna, S, Otori, N, Yanagi, K, Moriyama, H. Eosinophilic sinusitis [in Japanese]. Oto-Rhino-Laryngol Tokyo 2001;44:195–201Google Scholar
5Shin, SH, Ye, MK, Kim, JK, Cho, CH. Histological characteristics of chronic rhinosinusitis with nasal polyps: recent 10-year experience of a single center in Daegu, Korea. Am J Rhinol Allergy 2014;28:95–8Google Scholar
6Borish, L, Rosenwasser, L, Steinke, JW. Fungi in chronic hyperplastic eosinophilic sinusitis: reasonable doubt. Clin Rev Allergy Immunol 2006;30:195–204Google Scholar
7Shah, SA, Ishinaga, H, Takeuchi, K. Pathogenesis of eosinophilic chronic rhinosinusitis. J Inflamm (Lond) 2016;13:11Google Scholar
8Lopez, AF, Begley, CG, Williamson, DJ, Warren, DJ, Vadas, MA, Sanderson, CJ. Murine eosinophil differentiation factor. An eosinophil-specific colony-stimulating factor with activity for human cells. J Exp Med 1986;163:1085–99Google Scholar
9Otto, BA, Wenzel, SE. The role of cytokines in chronic rhinosinusitis with nasal polyps. Curr Opin Otolaryngol Head Neck Surg 2008;16:270–4Google Scholar
10Ishitoya, J, Sakuma, Y, Tsukuda, M. Eosinophilic chronic rhinosinusitis in Japan. Allergol Int 2010;59:239–45Google Scholar
11Tokunaga, T, Sakashita, M, Haruna, T, Asaka, D, Takeno, S, Ikeda, H et al. Novel scoring system and algorithm for classifying chronic rhinosinusitis: the JESREC study. Allergy 2015;70:995–1003Google Scholar
12Ikeda, K, Shiozawa, A, Ono, N, Kusunoki, T, Hirotsu, M, Homma, H et al. Subclassification of chronic rhinosinusitis with nasal polyp based on eosinophil and neutrophil. Laryngoscope 2013;123:1–9Google Scholar
13Sakuma, Y, Ishitoya, J, Komatsu, M, Shiono, O, Hirama, M, Yamashita, Y et al. New clinical diagnostic criteria for eosinophilic chronic rhinosinusitis. Auris Nasus Larynx 2011;38:583–8Google Scholar
14Senior, BA, Kennedy, DW, Tanabodee, J, Kroger, H, Hassab, M, Lanza, D. Long-term results of functional endoscopic sinus surgery. Laryngoscope 1998;108:151–7Google Scholar
15Rudmik, L, Smith, TL. Evidence-based practice: postoperative care in endoscopic sinus surgery. Otolaryngol Clin North Am 2012;45:1019–32Google Scholar
16Tsuzuki, K, Hashimoto, K, Okazaki, K, Sakagami, M. Post-operative course prediction during endoscopic sinus surgery in patients with chronic rhinosinusitis. J Laryngol Otol 2018;132:408–17Google Scholar
17Tsuzuki, K, Hinohira, Y, Takebayashi, H, Kojima, Y, Yukitatsu, Y, Daimon, T et al. Novel endoscopic scoring system after sinus surgery. Auris Nasus Larynx 2014;41:450–4Google Scholar
18Lund, VJ, Mackay, IS. Staging in rhinosinusitis. Rhinology 1993;31:183–4Google Scholar
19Takebayashi, H, Tsuzuki, K, Oka, H, Fukazawa, K, Daimon, T, Sakagami, M. Clinical availability of a self-administered odor questionnaire for patients with olfactory disorders. Auris Nasus Larynx 2011;38:65–72Google Scholar
20Lund, VJ, Kennedy, DW. Quantification for staging sinusitis. The staging and therapy group. Ann Otol Rhinol Laryngol Suppl 1995;167:17–21Google Scholar
21Kobayashi, Y, Asako, M, Ooka, H, Kanda, A, Tomoda, K, Yasuba, H. Residual exhaled nitric oxide elevation in asthmatics is associated with eosinophilic chronic rhinosinusitis. J Asthma 2015;52:1060–4Google Scholar
22Yoshida, K, Takabayashi, T, Imoto, Y, Sakashita, M, Narita, N, Fujieda, S. Reduced nasal nitric oxide levels in patients with eosinophilic chronic rhinosinusitis. Allergol Int 2019;68:225–32Google Scholar
23Larsen, K, Tos, M. The estimated incidence of symptomatic nasal polyps. Acta Otolaryngol 2002;122:179–82Google Scholar
24Szucs, E, Ravandi, S, Goossens, A, Beel, M, Clement, PA. Eosinophilia in the ethmoid mucosa and its relationship to the severity of inflammation in chronic rhinosinusitis. Am J Rhinol 2002;16:131–4Google Scholar
25Saito, T, Tsuzuki, K, Yukitatsu, Y, Sakagami, M. Correlation between olfactory acuity and sinonasal radiological findings in adult patients with chronic rhinosinusitis. Auris Nasus Larynx 2016;43:422–8Google Scholar
26Hashimoto, K, Tsuzuki, K, Okazaki, K, Sakagami, M. Influence of opacification in the frontal recess on frontal sinusitis. J Laryngol Otol 2017;131:620–6Google Scholar
27Kuhn, FA. Chronic frontal sinusitis: the endoscopic frontal recess approach. Oper Tech Otolayngol Head Neck Surg 1996;7:222–29Google Scholar
28Okushi, T, Mori, E, Nakayama, T, Asaka, D, Matsuwaki, Y, Ota, K et al. Impact of residual ethmoid cells on postoperative course after endoscopic sinus surgery for chronic rhinosinusitis. Auris Nasus Larynx 2012;39:484–9Google Scholar
29Simmen, D, Raghavan, U, Briner, HR, Manestar, M, Schuknecht, B, Groscurth, P et al. The surgeon's view of the anterior ethmoid artery. Clin Otolaryngol 2006;31:187–91Google Scholar
30Yang, YX, Lu, QK, Liao, JC, Dang, RS. Morphological characteristics of the anterior ethmoidal artery in ethmoid roof and endoscopic localization. Skull Base 2009;19:311–17Google Scholar
31Kim, KS, Kim, HU, Chung, IH, Lee, JG, Park, IY, Yoon, JH. Surgical anatomy of the nasofrontal duct: anatomical and computed tomographic analysis. Laryngoscope 2001;111:603–8Google Scholar