Radical surgery: effect on quality of life and pain in chronic rhinosinusitis

Ward J. M. Videler, Cornelis M. van Drunen, Freerk W. van der Meulen, Wytske J. Fokkens

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36 Citations (Scopus)

Abstract

OBJECTIVES: Despite effective medical therapy and repetitive endoscopic sinus surgery in the treatment of chronic rhinosinusitis, there still remains a small group of patients without improvement of symptoms. This study evaluates the effect of radical surgery on quality of life and pain in these patients with recalcitrant disease. STUDY DESIGN: A prospective, questionnaire-based study was conducted in 23 patients who underwent Denker's procedure for refractory chronic rhinosinusitis. Quality of life and pain were evaluated before surgery and 12 months and 2 years after surgery with the SF-36 and McGill Pain Questionnaire. RESULTS: Seven of the eight mean scores of the SF-36 postoperatively improved after surgery, with statistical significance for Role Physical (RP) P=0.048. Bodily pain showed a strong tendency to significance. Results of the McGill Pain Questionnaire show a significant improvement in most of the subscores after surgery implying less pain. CONCLUSION: Radical surgery improves the physical burden of chronic rhinosinusitis and pain experience in patients with therapy resistant chronic rhinosinusitis
Original languageEnglish
Pages (from-to)261-267
JournalOtolaryngology-Head and Neck Surgery
Volume136
Issue number2
DOIs
Publication statusPublished - 2007

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