Quality of life in chronic rhinosinusitis with nasal polyposis
Abstract Introduction and Objectives: The Sino-Nasal Outcome Test 22 (SNOT-22) questionnaire has been suggested as the best specific quality of life indicator for sinonasal illnesses. It was recently translated and validated in Portuguese. The objective of our study was to assess improvements after sinonasal endoscopic surgery in patients with chronic rhinosinusitis with nasal polyps via SNOT-22. Material and Methods: Every adult patients suffering from chronic rhinosinusitis with nasal polyps and monitored in consultation with the Otolaryngology department at our hospital and subjected to surgery between September 2012 and February 2014 answered to a questionnaire that included SNOT-22 on the day before surgery and 3 months after. SNOT-22 questions were divided into 4 sub-categories: rhinologic symptoms, facial/otological symptoms, sleep disorders and psychological disorders. For the statistic analysis of the results, the SPSS v22 program was used and a level of statistical significance of p<0.05 was established. Results: 100 patients were included. Total SNOT-22 scores were significantly higher during the pre-operating period (45) when compared to the post-operating period (17.5) (p<0.01). In the individual assessment of sub-categories, there was also a significant decrease after surgery (p<0.01). Discussion: Sinonasal endoscopic surgery improves the scores in the SNOT-22 questionnaire for those suffering from chronic rhinosinusitis with nasal polyps. Nevertheless, these patients report higher scores than individuals with no sinonasal illness. Conclusions: Sinonasal endoscopic surgery improves the quality of life of those patients suffering from chronic rhinosinusitis with nasal polyps.
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http://dx.doi.org/10.1111/j.1398-9995.2011.02646.x
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Piccirillo JF, Merritt MG Jr, Richards ML. Psychometric and clinimetric validity of the 20-item Sino-Nasal Outcome Test (SNOT-20). Otolaryngol Head Neck Surg. 2002; 126:41-7.
http://dx.doi.org/10.1067/mhn.2002.121022
PMid:11821764
Morley AD, Sharp HR. A review of sinonasal outcome scoring systems – which is best? Clin Otolaryngol. 2006; 31:103-9.
http://dx.doi.org/10.1111/j.1749-4486.2006.01155.x
PMid:16620328
Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012 Mar;50(1):1-12
PMid:22469599
De Vilhena D, Duarte D, Lopes G. SNOT-22: Translation, cultural adaptation and validation in Portugal. Clin Otolaryngol, 2015 May 28. doi: 10.1111/coa.12465. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/coa.12465/epdf. [Citado el 23-01-2016]
http://dx.doi.org/10.1111/coa.12465
Marambaia PP, Lima MG, Santos KP, Gomes AM, de Sousa MM, Marques ME. Evaluation of the quality of life of patients with chronic rhinosinusitis by means of the SNOT-22 questionnaire. Braz J Otorhinolaryngol. 2013; 79:54-8.
http://dx.doi.org/10.5935/1808-8694.20130010
PMid:23503908
Mascarenhas JG, da Fonseca VM, Chen VG, Itamoto CH, Silva CA, Gregório LC, et al. Long-term outcomes of endoscopic sinus surgery for chronic rhinosinusitis with and without nasal polyps. Braz J Otorhinolaryngol. 2013; 79:306-11.
http://dx.doi.org/10.5935/1808-8694.20130055
PMid:23743745
Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP.Psychometric validity of the 22-item Sinonasal Outcome Test. Clin Otolaryngol. 2009; 34:447-54.
http://dx.doi.org/10.1111/j.1749-4486.2009.01995.x
PMid:19793277
Yeolekar, AM, Dasgupta PS, Khode S, Joshi D, Gosrani N. A Study of SNOT 22 Scores in Adults with no Sinonasal Disease. J Rhinolaryngol-Otologies. 2013; 1:6-10.
http://dx.doi.org/10.12970/2308-7978.2013.01.01.2
Smith TL, Mendolia-Loffredo S, Loehrl TA, Sparapani R, Laud PW, Nattinger AB. Predictive factors and outcomes in endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope. 2005; 115:2199-205.
http://dx.doi.org/10.1097/01.mlg.0000182825.82910.80
PMid:16369166
Mehta H, Nazzal K, Sadikot RT. Cigarette smoking and innate immunity. Inflamm Res. 2008; 57:497-503.
http://dx.doi.org/10.1007/s00011-008-8078-6
PMid:19109742
Therriault MJ, Proulx LI, Castonquay A, Bissonette EY. Immunomodulatory effects of the tobacco-specific carcinogen, NNK, on alveolar macrophages. Clin Exp Immunol. 2003; 132:232-8.
http://dx.doi.org/10.1046/j.1365-2249.2003.02142.x
PMid:12699410 PMCid:PMC1808690
Briggs RD, Wright ST, Cordes S, Calhoun KH. Smoking in chronic rhinsinusitis: a predictor of poor long-term outcome after endoscopic sinus surgery. Laryngoscope. 2004; 114:126-8.
http://dx.doi.org/10.1097/00005537-200401000-00022
PMid:14710007
Senior BA, Kennedy DW, Tanabodee J, Kroger H, Hassab M, Lanza D. Long-term results of functional endoscopic sinus surgery. Laryngoscope. 1998; 108:151-7.
http://dx.doi.org/10.1097/00005537-199802000-00001
PMid:9473061
Rudmik L, Mace JC, Smith TL. Smoking and endoscopic sinus surgery: does smoking volume contribute to clinical outcome. Int Forum Allergy Rhinol. 2011; 1:145-52. doi: 10.1002/alr.20045
http://dx.doi.org/10.1002/alr.20045
http://dx.doi.org/10.1111/j.1398-9995.2011.02646.x
PMid:21605125
Barros E, Silva A, Vieira AS, André C, Silva D, Prata JB, et al. Avaliacão da prevalência e caracterização da rinossinusite nos cuidados de saude primários em Portugal. Rev Port ORL. 2012; 50:5-12.
Piccirillo JF, Merritt MG Jr, Richards ML. Psychometric and clinimetric validity of the 20-item Sino-Nasal Outcome Test (SNOT-20). Otolaryngol Head Neck Surg. 2002; 126:41-7.
http://dx.doi.org/10.1067/mhn.2002.121022
PMid:11821764
Morley AD, Sharp HR. A review of sinonasal outcome scoring systems – which is best? Clin Otolaryngol. 2006; 31:103-9.
http://dx.doi.org/10.1111/j.1749-4486.2006.01155.x
PMid:16620328
Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012 Mar;50(1):1-12
PMid:22469599
De Vilhena D, Duarte D, Lopes G. SNOT-22: Translation, cultural adaptation and validation in Portugal. Clin Otolaryngol, 2015 May 28. doi: 10.1111/coa.12465. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/coa.12465/epdf. [Citado el 23-01-2016]
http://dx.doi.org/10.1111/coa.12465
Marambaia PP, Lima MG, Santos KP, Gomes AM, de Sousa MM, Marques ME. Evaluation of the quality of life of patients with chronic rhinosinusitis by means of the SNOT-22 questionnaire. Braz J Otorhinolaryngol. 2013; 79:54-8.
http://dx.doi.org/10.5935/1808-8694.20130010
PMid:23503908
Mascarenhas JG, da Fonseca VM, Chen VG, Itamoto CH, Silva CA, Gregório LC, et al. Long-term outcomes of endoscopic sinus surgery for chronic rhinosinusitis with and without nasal polyps. Braz J Otorhinolaryngol. 2013; 79:306-11.
http://dx.doi.org/10.5935/1808-8694.20130055
PMid:23743745
Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP.Psychometric validity of the 22-item Sinonasal Outcome Test. Clin Otolaryngol. 2009; 34:447-54.
http://dx.doi.org/10.1111/j.1749-4486.2009.01995.x
PMid:19793277
Yeolekar, AM, Dasgupta PS, Khode S, Joshi D, Gosrani N. A Study of SNOT 22 Scores in Adults with no Sinonasal Disease. J Rhinolaryngol-Otologies. 2013; 1:6-10.
http://dx.doi.org/10.12970/2308-7978.2013.01.01.2
Smith TL, Mendolia-Loffredo S, Loehrl TA, Sparapani R, Laud PW, Nattinger AB. Predictive factors and outcomes in endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope. 2005; 115:2199-205.
http://dx.doi.org/10.1097/01.mlg.0000182825.82910.80
PMid:16369166
Mehta H, Nazzal K, Sadikot RT. Cigarette smoking and innate immunity. Inflamm Res. 2008; 57:497-503.
http://dx.doi.org/10.1007/s00011-008-8078-6
PMid:19109742
Therriault MJ, Proulx LI, Castonquay A, Bissonette EY. Immunomodulatory effects of the tobacco-specific carcinogen, NNK, on alveolar macrophages. Clin Exp Immunol. 2003; 132:232-8.
http://dx.doi.org/10.1046/j.1365-2249.2003.02142.x
PMid:12699410 PMCid:PMC1808690
Briggs RD, Wright ST, Cordes S, Calhoun KH. Smoking in chronic rhinsinusitis: a predictor of poor long-term outcome after endoscopic sinus surgery. Laryngoscope. 2004; 114:126-8.
http://dx.doi.org/10.1097/00005537-200401000-00022
PMid:14710007
Senior BA, Kennedy DW, Tanabodee J, Kroger H, Hassab M, Lanza D. Long-term results of functional endoscopic sinus surgery. Laryngoscope. 1998; 108:151-7.
http://dx.doi.org/10.1097/00005537-199802000-00001
PMid:9473061
Rudmik L, Mace JC, Smith TL. Smoking and endoscopic sinus surgery: does smoking volume contribute to clinical outcome. Int Forum Allergy Rhinol. 2011; 1:145-52. doi: 10.1002/alr.20045
http://dx.doi.org/10.1002/alr.20045
De Vilhena, D., Duarte, D., & Lopes, G. (2016). Quality of life in chronic rhinosinusitis with nasal polyposis. Revista ORL, 7(1), 17–22. https://doi.org/10.14201/orl.13527
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