Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis

André Sousa Machado; Francisco Alves De Sousa; Joana Carvalho Da Costa; Ana Silva; Luís Meireles

doi:10.5152/ejra.2023.22075

Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis

Abstract

Objective: The study aimed to assess a possible association between allergic rhinitis and asthma and surgical management of chronic rhinosinusitis. Methods: A retrospective study was carried out to review the clinical charts of adult patients who underwent functional endoscopic sinus surgery as a surgical treatment for chronic rhinosinusitis. Data regarding clinical symptoms, endoscopic findings, and radiological findings were considered. Results: The studied population included 74 patients. An average Lund–Mackay score of 10.59 ± 5.427 was identified with no statistically significant difference between the presence or absence of allergic rhinitis or asthma. There was a statistically significant association between the presence of sneezing attacks, nasal itching, and hyposmia before surgery and the presence of asthma previously diagnosed. There is no statistically significant difference between the Lund–Mackay score before the surgery or the presence of nasal polyposis, asthma, or allergic rhinitis. Overall, we verified a reduced prevalence of symptoms after functional endoscopic sinus surgery with no difference between the groups with and without allergic rhinitis or asthma. Conclusions: There was a statistically significant association between the presence of sneezing attacks, nasal itching, and hyposmia before surgery and the presence of asthma previously diagnosed. We did not find a statistical difference between the degree of regression of nasal polyposis in the sub-samples of patients with allergic rhinitis or asthma. Our findings are also in line with the literature which shows that symptoms improved significantly in both asthmatics and non-asthmatics postoperatively.

Keywords

References

Fokkens W, Lund V, Mullol J, European Position Paper on Rhinosinusitis and Nasal Polyps group. European position paper on rhinosinusitis and nasal polyps 2007. Rhinol Suppl. 2007;20:1-136.
Fokkens W, Lund V, Bachert C, et al. European position paper on rhinosinusitis and nasal polyps. Rhinol Suppl. 2005:1-87.
Fokkens WJ, Lund VJ, Mullol J, et al. European position paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl. 2012;23:1-298.
Hastan D, Fokkens WJ, Bachert C, et al. Chronic rhinosinusitis in Europe--an underestimated disease. A GA(2)LEN study. Allergy. 2011;66(9):1216-1223.
Fokkens WJ, Lund VJ, Hopkins C, et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology. 2020;58(Suppl S29):1-464.
Langdon C, Mullol J. Nasal polyps in patients with asthma: prevalence, impact, and management challenges. J Asthma Allergy. 2016;9:45-53.
Bergeron C, Hamid Q. Relationship between asthma and rhinitis: epidemiologic, pathophysiologic, and therapeutic aspects. Allergy Asthma Clin Immunol. 2005;1(2):81-87.
Kakli HA, Riley TD. Allergic rhinitis. Prim Care. 2016;43(3):465-475.

Reddel HK, Bacharier LB, Bateman ED, Brightling CE, Brusselle GG, Buhl R, et al. Global Initiative for Asthma Strategy 2021: Executive Summary and Rationale for Key Changes. Am J Respir Crit Care Med. 2022;205(1):17-35.
Chester AC, Antisdel JL, Sindwani R. Symptom-specific outcomes of endoscopic sinus surgery: a systematic review. Otolaryngol Head Neck Surg. 2009;140(5):633-639.
Jarvis D, Newson R, Lotvall J, et al. Asthma in adults and its association with chronic rhinosinusitis: the GA2LEN survey in Europe. Allergy. 2012;67(1):91-98.
Bresciani M, Paradis L, Des Roches A, et al. Rhinosinusitis in severe asthma. J Allergy Clin Immunol. 2001;107(1):73-80.
ten Brinke A, Grootendorst DC, Schmidt JT, et al. Chronic sinusitis in severe asthma is related to sputum eosinophilia. J Allergy Clin Immunol. 2002;109(4):621-626.
Anne J, Sreedharan S, Dosemane D, Shenoy V, Kamath PM, Zubair SM, Predictors of Surgical Outcomes After Functional Endoscopic Sinus Surgery in Chronic Rhinosinusitis. Indian J Otolaryngol Head Neck Surg. 2022;74 (Suppl 2):835-841.
Terris MH, Davidson TM. Review of published results for endoscopic sinus surgery. Ear Nose Throat J. 1994;73(8):574-580.
Kennedy DW. Prognostic factors, outcomes and staging and ethmoid sinus surgery. Laryngoscope. 1992;102(Suppl 57):1-18.
Metson RB, Gliklich RE. Clinical outcomes in patients with chronic sinusitis. Laryngoscope. 2000;110(3 Pt 3):24-28.
Mehanna H, Mills J, Kelly B, McGarry GW. Benefit from endoscopic sinus surgery. Clin Otolaryngol Allied Sci. 2002;27(6):464-471.
Chambers DW, Davis WE, Cook PR, Nishioka GJ, Rudman DT. Long-term outcome analysis of functional endoscopic sinus surgery: correlation of symptoms with endoscopic examination findings and potential prognostic variables. Laryngoscope. 1997;107(4):504-510.
Ramadan HH, Hinerman RA. Outcome of endoscopic sinus surgery in children with allergic rhinitis. Am J Rhinol. 2006;20(4):438-440.
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(12):2199-2205.
Marks SC, Shamsa F. Evaluation of prognostic factors in endoscopic sinus surgery. Am J Rhinol. 1997;11(3):187-191.
Prognostic factors, outcomes and staging in ethmoid sinus surgery. Kennedy DW Laryngoscope. 1992;102(12 Pt 2):1-18.

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

André Sousa Machado This is me
0000-0002-8877-8014
Portugal

Francisco Alves De Sousa This is me
0000-0003-4113-3259
Portugal

Joana Carvalho Da Costa This is me
0000-0002-3558-6254
Portugal

Ana Silva This is me
0000-0001-9134-5765
Portugal

Luís Meireles This is me
0000-0002-7698-8663
Portugal

Publication Date

April 30, 2023

Submission Date

August 24, 2022

Acceptance Date

October 22, 2022

Published in Issue

Year 2023 Volume: 6 Number: 1

DOI

https://doi.org/10.5152/ejra.2023.22075

IZ

https://izlik.org/JA73KA24UY

Cite

RIS / Bibtex

APA

Machado, A. S., Alves De Sousa, F., Carvalho Da Costa, J., Silva, A., & Meireles, L. (2023). Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis. European Journal of Rhinology and Allergy, 6(1), 14-20. https://doi.org/10.5152/ejra.2023.22075

AMA

1.Machado AS, Alves De Sousa F, Carvalho Da Costa J, Silva A, Meireles L. Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis. Eur J Rhinol Allergy. 2023;6(1):14-20. doi:10.5152/ejra.2023.22075

Chicago

Machado, André Sousa, Francisco Alves De Sousa, Joana Carvalho Da Costa, Ana Silva, and Luís Meireles. 2023. “Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis”. European Journal of Rhinology and Allergy 6 (1): 14-20. https://doi.org/10.5152/ejra.2023.22075.

EndNote

Machado AS, Alves De Sousa F, Carvalho Da Costa J, Silva A, Meireles L (April 1, 2023) Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis. European Journal of Rhinology and Allergy 6 1 14–20.

IEEE

[1]A. S. Machado, F. Alves De Sousa, J. Carvalho Da Costa, A. Silva, and L. Meireles, “Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis”, Eur J Rhinol Allergy, vol. 6, no. 1, pp. 14–20, Apr. 2023, doi: 10.5152/ejra.2023.22075.

ISNAD

Machado, André Sousa - Alves De Sousa, Francisco - Carvalho Da Costa, Joana - Silva, Ana - Meireles, Luís. “Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis”. European Journal of Rhinology and Allergy 6/1 (April 1, 2023): 14-20. https://doi.org/10.5152/ejra.2023.22075.

JAMA

1.Machado AS, Alves De Sousa F, Carvalho Da Costa J, Silva A, Meireles L. Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis. Eur J Rhinol Allergy. 2023;6:14–20.

MLA

Machado, André Sousa, et al. “Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis”. European Journal of Rhinology and Allergy, vol. 6, no. 1, Apr. 2023, pp. 14-20, doi:10.5152/ejra.2023.22075.

Vancouver

1.André Sousa Machado, Francisco Alves De Sousa, Joana Carvalho Da Costa, Ana Silva, Luís Meireles. Asthma and Allergic Rhinitis in Surgical Outcomes of Chronic Rhinosinusitis. Eur J Rhinol Allergy. 2023 Apr. 1;6(1):14-20. doi:10.5152/ejra.2023.22075