Role of Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis and Laryngopharyngeal Reflux: A Prospective Study.

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-09-02 DOI:10.1007/s12070-024-05020-z

Shravanthi Mantra Prithviraj, Subagar Anbarasan, Sakthimurugan Sankar, S Haritha

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引用次数: 0

Abstract

Functional endoscopic sinus surgery (FESS) has long been established as an effective intervention for CRS, aimed at improving sinus ventilation and reducing inflammation. However, the utilization of FESS in the context of concurrent CRS and LPR is less well-defined, and the potential impact of sinus surgery on LPR symptoms remains an area of active investigation. This study was done to assess and compare the pattern of LPR symptoms in individuals with concurrent LPR and CRS before and after functional endoscopic sinus surgery (FESS) using the Reflux Symptom Index (RSI) and Reflux Finding Score (RFS). To evaluate the impact of FESS on the severity of CRS symptoms using the Sinonasal Outcome Test-22 (SNOT-22). To assess endoscopic changes in the nasal and paranasal sinuses post-FESS using the Lund-Kennedy Endoscopic Grading System. A prospective quasi-experimental study was performed on 30 patients diagnosed with concurrent chronic rhinosinusitis with laryngopharyngeal reflux. Patients were assessed for the symptoms of LPR using RSI and RFS. The severity of CRS was assessed using SNOT-22 and the Lund Kennedy Endoscopic grading system. All Patients underwent functional endoscopic sinus surgery performed by experienced otolaryngologists, and the scores were validated postoperatively at 1 week, 1 month and 3 months. The average preoperative RSI score of 24.87 ± 5.14 decreased to 19.63 ± 5.43 at 3 months post-surgery, reflecting a significant mean reduction of 5.23 (95% CI 5.70-0.23). The RFS score declined from 20.13 ± 5.16 before surgery to 17.10 ± 4.01 at 3 months post-surgery, with a mean difference of 0.93 (95% CI 0.08-1.78). SNOT-22 scores improved markedly from 60.10 ± 9.74 preoperatively to 28.13 ± 8.03 at 3 months post-operatively. While our study did not find a significant improvement in symptoms related to Laryngopharyngeal Reflux (LPR) following functional endoscopic sinus surgery (FESS), there are indications of potential benefits.

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功能性内窥镜鼻窦手术在慢性鼻炎和喉咽反流患者中的作用：一项前瞻性研究

长期以来，功能性内窥镜鼻窦手术（FESS）一直被认为是治疗 CRS 的有效干预措施，其目的是改善鼻窦通气和减少炎症。然而，在并发 CRS 和 LPR 的情况下使用 FESS 的定义并不明确，而且鼻窦手术对 LPR 症状的潜在影响仍是一个需要积极研究的领域。本研究旨在使用反流症状指数（RSI）和反流发现评分（RFS）评估和比较功能性内窥镜鼻窦手术（FESS）前后并发 LPR 和 CRS 患者的 LPR 症状模式。使用鼻窦结果测试-22（SNOT-22）评估 FESS 对 CRS 症状严重程度的影响。使用 Lund-Kennedy 内窥镜分级系统评估 FESS 术后鼻腔和副鼻窦的内窥镜变化。对 30 名确诊并发慢性鼻窦炎和喉咽反流的患者进行前瞻性准实验研究。使用 RSI 和 RFS 对患者的 LPR 症状进行了评估。使用 SNOT-22 和 Lund Kennedy 内窥镜分级系统评估 CRS 的严重程度。所有患者均接受了由经验丰富的耳鼻喉科医生实施的功能性内窥镜鼻窦手术，并在术后 1 周、1 个月和 3 个月进行了评分验证。术前的平均 RSI 得分为 24.87 ± 5.14，术后 3 个月时降至 19.63 ± 5.43，平均值显著下降了 5.23（95% CI 5.70-0.23）。RFS 评分从术前的 20.13 ± 5.16 降至术后 3 个月的 17.10 ± 4.01，平均差异为 0.93（95% CI 0.08-1.78）。SNOT-22 评分从术前的 60.10 ± 9.74 显著改善到术后 3 个月的 28.13 ± 8.03。虽然我们的研究没有发现功能性内窥镜鼻窦手术（FESS）后与喉咽反流（LPR）相关的症状有明显改善，但有迹象表明可能会带来益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.