Clinical Predictors of Long-Term Success After Endoscopic Sinus Surgery
OBJECTIVE: Determining the clinical predictors of long-term success after endoscopic sinus surgery (ESS) would better guide the management of patients. METHODS One hundred-thirty chronic rhinosinusitis (CRS) patients were evaluated retrospectively. Overall subjective improvement was 83% with a mean...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2003-11, Vol.129 (5), p.526-531 |
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| creator | Dursun, Engin Korkmaz, Hakan Eryilmaz, Adil Bayiz, Ünal Sertkaya, Durdu Samim, Erdal |
| description | OBJECTIVE: Determining the clinical predictors of long-term success after endoscopic sinus surgery (ESS) would better guide the management of patients.
METHODS One hundred-thirty chronic rhinosinusitis (CRS) patients were evaluated retrospectively. Overall subjective improvement was 83% with a mean follow-up of 60 months. Eighty percent had anatomic variations; 36.2%, allergy; 55.4%, nasal polyps; and 26.9%, history of previous operation. The improvement was 100%, 94%, 79.5%, and 69.7% in stages 0, I, II, and III, respectively. With other parameters, the success rates were 68.1% and 91.6% with and without allergy, 73.6% and 94.8% with and without polyps, 54.3% and 93.7% with and without previous history of surgery, 84.4% and 82.7% with and without anatomic variations, and 23.8% and 94.4% with and without recurrent polyps.
CONCLUSION: In multivariate Cox regression analysis, allergy (P < 0.05; relative risk, 4.6) and previous polypectomy (P < 0.05; relative risk, 9.9) were found to be predictors of poor prognosis in the long-term follow-up. |
| doi_str_mv | 10.1016/S0194-59980301576-6 |
| format | Article |
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METHODS One hundred-thirty chronic rhinosinusitis (CRS) patients were evaluated retrospectively. Overall subjective improvement was 83% with a mean follow-up of 60 months. Eighty percent had anatomic variations; 36.2%, allergy; 55.4%, nasal polyps; and 26.9%, history of previous operation. The improvement was 100%, 94%, 79.5%, and 69.7% in stages 0, I, II, and III, respectively. With other parameters, the success rates were 68.1% and 91.6% with and without allergy, 73.6% and 94.8% with and without polyps, 54.3% and 93.7% with and without previous history of surgery, 84.4% and 82.7% with and without anatomic variations, and 23.8% and 94.4% with and without recurrent polyps.
CONCLUSION: In multivariate Cox regression analysis, allergy (P < 0.05; relative risk, 4.6) and previous polypectomy (P < 0.05; relative risk, 9.9) were found to be predictors of poor prognosis in the long-term follow-up.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1016/S0194-59980301576-6</identifier><identifier>PMID: 14595275</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Endoscopy - methods ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Nasal Polyps - complications ; Nasal Polyps - surgery ; Predictive Value of Tests ; Prospective Studies ; Regression Analysis ; Retrospective Studies ; Sinusitis - complications ; Sinusitis - diagnosis ; Sinusitis - surgery</subject><ispartof>Otolaryngology-head and neck surgery, 2003-11, Vol.129 (5), p.526-531</ispartof><rights>2003 SAGE Publications</rights><rights>2003 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2412-d71a448d996fd57504a607cb160c49ab4a99e204e416a780dabc2fb6aeb7d6343</citedby><cites>FETCH-LOGICAL-c2412-d71a448d996fd57504a607cb160c49ab4a99e204e416a780dabc2fb6aeb7d6343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/S0194-59980301576-6$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/S0194-59980301576-6$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,1411,21798,27901,27902,43597,43598,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14595275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dursun, Engin</creatorcontrib><creatorcontrib>Korkmaz, Hakan</creatorcontrib><creatorcontrib>Eryilmaz, Adil</creatorcontrib><creatorcontrib>Bayiz, Ünal</creatorcontrib><creatorcontrib>Sertkaya, Durdu</creatorcontrib><creatorcontrib>Samim, Erdal</creatorcontrib><title>Clinical Predictors of Long-Term Success After Endoscopic Sinus Surgery</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>OBJECTIVE: Determining the clinical predictors of long-term success after endoscopic sinus surgery (ESS) would better guide the management of patients.
METHODS One hundred-thirty chronic rhinosinusitis (CRS) patients were evaluated retrospectively. Overall subjective improvement was 83% with a mean follow-up of 60 months. Eighty percent had anatomic variations; 36.2%, allergy; 55.4%, nasal polyps; and 26.9%, history of previous operation. The improvement was 100%, 94%, 79.5%, and 69.7% in stages 0, I, II, and III, respectively. With other parameters, the success rates were 68.1% and 91.6% with and without allergy, 73.6% and 94.8% with and without polyps, 54.3% and 93.7% with and without previous history of surgery, 84.4% and 82.7% with and without anatomic variations, and 23.8% and 94.4% with and without recurrent polyps.
CONCLUSION: In multivariate Cox regression analysis, allergy (P < 0.05; relative risk, 4.6) and previous polypectomy (P < 0.05; relative risk, 9.9) were found to be predictors of poor prognosis in the long-term follow-up.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nasal Polyps - complications</subject><subject>Nasal Polyps - surgery</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Regression Analysis</subject><subject>Retrospective Studies</subject><subject>Sinusitis - complications</subject><subject>Sinusitis - diagnosis</subject><subject>Sinusitis - surgery</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF1LwzAUhoMobk5_gSC98q560qZJg1dz7EMYTti8DmmSjoyumcmK7N9b7VCvxKtzcZ735ZwHoWsMdxgwvV8C5iTOOM8hBZwxGtMT1MfAWUxzzE5R_xvooYsQNgBAKWPnqIdJxrOEZX00HVW2tkpW0Ys32qq98yFyZTR39TpeGb-Nlo1SJoRoWO6Nj8a1dkG5nVXR0tZNaNd-bfzhEp2Vsgrm6jgH6HUyXo1m8XwxfRoN57FKCE5izbAkJNec01JnLAMiKTBVYAqKcFkQyblJgBiCqWQ5aFmopCyoNAXTNCXpAN12vTvv3hoT9mJrgzJVJWvjmiAYTtM8SaEF0w5U3oXgTSl23m6lPwgM4tOf-PInfvkTtE3dHOubYmv0T-YorAUeOuDdVubwn06xmD0_TtrvedKmoUsHuTZi4xpft7L-vOgD7DaJsw</recordid><startdate>200311</startdate><enddate>200311</enddate><creator>Dursun, Engin</creator><creator>Korkmaz, Hakan</creator><creator>Eryilmaz, Adil</creator><creator>Bayiz, Ünal</creator><creator>Sertkaya, Durdu</creator><creator>Samim, Erdal</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200311</creationdate><title>Clinical Predictors of Long-Term Success After Endoscopic Sinus Surgery</title><author>Dursun, Engin ; Korkmaz, Hakan ; Eryilmaz, Adil ; Bayiz, Ünal ; Sertkaya, Durdu ; Samim, Erdal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2412-d71a448d996fd57504a607cb160c49ab4a99e204e416a780dabc2fb6aeb7d6343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nasal Polyps - complications</topic><topic>Nasal Polyps - surgery</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Regression Analysis</topic><topic>Retrospective Studies</topic><topic>Sinusitis - complications</topic><topic>Sinusitis - diagnosis</topic><topic>Sinusitis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dursun, Engin</creatorcontrib><creatorcontrib>Korkmaz, Hakan</creatorcontrib><creatorcontrib>Eryilmaz, Adil</creatorcontrib><creatorcontrib>Bayiz, Ünal</creatorcontrib><creatorcontrib>Sertkaya, Durdu</creatorcontrib><creatorcontrib>Samim, Erdal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dursun, Engin</au><au>Korkmaz, Hakan</au><au>Eryilmaz, Adil</au><au>Bayiz, Ünal</au><au>Sertkaya, Durdu</au><au>Samim, Erdal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Predictors of Long-Term Success After Endoscopic Sinus Surgery</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2003-11</date><risdate>2003</risdate><volume>129</volume><issue>5</issue><spage>526</spage><epage>531</epage><pages>526-531</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>OBJECTIVE: Determining the clinical predictors of long-term success after endoscopic sinus surgery (ESS) would better guide the management of patients.
METHODS One hundred-thirty chronic rhinosinusitis (CRS) patients were evaluated retrospectively. Overall subjective improvement was 83% with a mean follow-up of 60 months. Eighty percent had anatomic variations; 36.2%, allergy; 55.4%, nasal polyps; and 26.9%, history of previous operation. The improvement was 100%, 94%, 79.5%, and 69.7% in stages 0, I, II, and III, respectively. With other parameters, the success rates were 68.1% and 91.6% with and without allergy, 73.6% and 94.8% with and without polyps, 54.3% and 93.7% with and without previous history of surgery, 84.4% and 82.7% with and without anatomic variations, and 23.8% and 94.4% with and without recurrent polyps.
CONCLUSION: In multivariate Cox regression analysis, allergy (P < 0.05; relative risk, 4.6) and previous polypectomy (P < 0.05; relative risk, 9.9) were found to be predictors of poor prognosis in the long-term follow-up.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>14595275</pmid><doi>10.1016/S0194-59980301576-6</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Child Endoscopy - methods Female Follow-Up Studies Humans Male Middle Aged Nasal Polyps - complications Nasal Polyps - surgery Predictive Value of Tests Prospective Studies Regression Analysis Retrospective Studies Sinusitis - complications Sinusitis - diagnosis Sinusitis - surgery |
| title | Clinical Predictors of Long-Term Success After Endoscopic Sinus Surgery |
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