Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery

Background: Surgical criteria for chronic rhinosinusitis with nasal polyps (CRSwNP) remain unresolved. This study addresses these discrepancies by comparing the clinical outcomes of expanded–functional endoscopic sinus surgeries (E–FESS) with more-limited FESS (L-FESS). Methods: A database was analy...

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Autores: Martín Jiménez, Daniel, Moreno Luna, Ramón, Callejón Leblic, María Amparo, Cuvillo, Alfonso del, Ebert, Charles S. Jr., Maza Solano, Juan Manuel, González García, Jaime, Infante Cossío, Pedro Antonio, Sánchez Gómez, Serafín
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/178866
Acceso en línea:https://hdl.handle.net/11441/178866
https://doi.org/10.3390/jcm13030866
Access Level:acceso abierto
Palabra clave:Chronic rhinosinusitis
Ethmoid
Nasal polyps
Nasal surgical procedures
Paranasal sinuses
Quality of life
SNOT-22
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repository_id_str
spelling Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus SurgeryMartín Jiménez, DanielMoreno Luna, RamónCallejón Leblic, María AmparoCuvillo, Alfonso delEbert, Charles S. Jr.Maza Solano, Juan ManuelGonzález García, JaimeInfante Cossío, Pedro AntonioSánchez Gómez, SerafínChronic rhinosinusitisEthmoidNasal polypsNasal surgical proceduresParanasal sinusesQuality of lifeSNOT-22Background: Surgical criteria for chronic rhinosinusitis with nasal polyps (CRSwNP) remain unresolved. This study addresses these discrepancies by comparing the clinical outcomes of expanded–functional endoscopic sinus surgeries (E–FESS) with more-limited FESS (L-FESS). Methods: A database was analyzed retrospectively to compare surgical outcomes in CRSwNP patients who underwent E-FESS versus those subjected to L-FESS. Quality of life, endoscopic and radiological outcomes were compared at the baseline and two years after surgery. The clinical status of the responder was defined when a minimal clinically important difference of 12 points in SNOT-22 change was achieved. Results: A total of 274 patients met the inclusion criteria and were analyzed; 111 underwent E-FESS and 163 were subjected to L-FESS. Both groups exhibited significant clinical improvements, although a greater magnitude of change in SNOT-22 (14.8 ± 4.8, p = 0.002) was shown after E-FESS. Higher significant improvements for endoscopic and radiological scores and lower surgical revision rates were also noted in the E-FESS group. Conclusions: E-FESS provides better clinical outcomes and reduced revision surgery rates when compared to L-FESS in CRSwNP patients two years after surgery, irrespective of any comorbidity. Further randomized prospective studies are needed to comprehensively contrast these results.MDPICirugíaCTS142: Patología Morfolog. y Func. del Territorio Oral y Maxilofacial2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/178866https://doi.org/10.3390/jcm13030866reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJournal of Clinical Medicine, 13 (3), 866.https://www.mdpi.com/2077-0383/13/3/866info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1788662026-06-17T12:51:07Z
dc.title.none.fl_str_mv Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery
title Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery
spellingShingle Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery
Martín Jiménez, Daniel
Chronic rhinosinusitis
Ethmoid
Nasal polyps
Nasal surgical procedures
Paranasal sinuses
Quality of life
SNOT-22
title_short Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery
title_full Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery
title_fullStr Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery
title_full_unstemmed Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery
title_sort Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery
dc.creator.none.fl_str_mv Martín Jiménez, Daniel
Moreno Luna, Ramón
Callejón Leblic, María Amparo
Cuvillo, Alfonso del
Ebert, Charles S. Jr.
Maza Solano, Juan Manuel
González García, Jaime
Infante Cossío, Pedro Antonio
Sánchez Gómez, Serafín
author Martín Jiménez, Daniel
author_facet Martín Jiménez, Daniel
Moreno Luna, Ramón
Callejón Leblic, María Amparo
Cuvillo, Alfonso del
Ebert, Charles S. Jr.
Maza Solano, Juan Manuel
González García, Jaime
Infante Cossío, Pedro Antonio
Sánchez Gómez, Serafín
author_role author
author2 Moreno Luna, Ramón
Callejón Leblic, María Amparo
Cuvillo, Alfonso del
Ebert, Charles S. Jr.
Maza Solano, Juan Manuel
González García, Jaime
Infante Cossío, Pedro Antonio
Sánchez Gómez, Serafín
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Cirugía
CTS142: Patología Morfolog. y Func. del Territorio Oral y Maxilofacial
dc.subject.none.fl_str_mv Chronic rhinosinusitis
Ethmoid
Nasal polyps
Nasal surgical procedures
Paranasal sinuses
Quality of life
SNOT-22
topic Chronic rhinosinusitis
Ethmoid
Nasal polyps
Nasal surgical procedures
Paranasal sinuses
Quality of life
SNOT-22
description Background: Surgical criteria for chronic rhinosinusitis with nasal polyps (CRSwNP) remain unresolved. This study addresses these discrepancies by comparing the clinical outcomes of expanded–functional endoscopic sinus surgeries (E–FESS) with more-limited FESS (L-FESS). Methods: A database was analyzed retrospectively to compare surgical outcomes in CRSwNP patients who underwent E-FESS versus those subjected to L-FESS. Quality of life, endoscopic and radiological outcomes were compared at the baseline and two years after surgery. The clinical status of the responder was defined when a minimal clinically important difference of 12 points in SNOT-22 change was achieved. Results: A total of 274 patients met the inclusion criteria and were analyzed; 111 underwent E-FESS and 163 were subjected to L-FESS. Both groups exhibited significant clinical improvements, although a greater magnitude of change in SNOT-22 (14.8 ± 4.8, p = 0.002) was shown after E-FESS. Higher significant improvements for endoscopic and radiological scores and lower surgical revision rates were also noted in the E-FESS group. Conclusions: E-FESS provides better clinical outcomes and reduced revision surgery rates when compared to L-FESS in CRSwNP patients two years after surgery, irrespective of any comorbidity. Further randomized prospective studies are needed to comprehensively contrast these results.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/178866
https://doi.org/10.3390/jcm13030866
url https://hdl.handle.net/11441/178866
https://doi.org/10.3390/jcm13030866
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Clinical Medicine, 13 (3), 866.
https://www.mdpi.com/2077-0383/13/3/866
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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