The effect of endoscopic sinüs surgery on quality of life

Year 2003, Volume: 11 Issue: 3, 65 - 71, 10.06.2003

Mustafa Akarçay Ahmet Kızılay Murat Cem Miman Yaşar Çokkeser Orhan Özturan

Abstract

Objectives: We assessed the effects of endoscopic sinüs surgery on quality of life of patients with nasal polyposis or chronic sinusitis.Patients and Methods: Thirty patients 5 females, 25 males; mean age 36 years; range 17 to 58 years who undervvent endoscopic sinüs surgery were prospec- tively evaluated. The diagnoses were nasal polyposis in 15 patients and chronic sinusitis in 15 patients.Primary and revision operations were performed in 23 patients and seven patients, respectively. The quality of life was evaluated before and six months after surgery with the use of the Chronic Sinusitis Survey CSS , and Medical Outcomes Study Short Form-12 SF-12 . Prior to administration, the two questionnaires were translat- ed and adapted to Turkish. Computed tomography CT findings were scored before and six months after surgery according to the Lund-Mackay system. The results of the surveys were compared with CT scores.Results: The postoperative SF-12 and CSS scores of ali the patients improved significantly. Computed tomography scores were not found in correlation with improvements in the SF-12 and CSS scores.Conclusion: Endoscopic sinüs surgery results in significant improvement in the quality of life of patients with nasal polyposis and chronic sinusitis, which may not be reflected by CT scores.

Keywords

Chronic disease, endoscopy, health surveys, nasal polyps, quality of life, questionnaires, severity of illness index, sinusitis/surgery, tomography, X-ray computed

Endoskopik sinüs cerrahisinin yaşam kalitesi üzerine etkisi

Abstract

Amaç: Endoskopik sinüs cerrahisinin nazal polip vekronik sinüzitli hastaların yaflam kalitesi üzerine etkisi arafltırıldı.Hastalar ve Yöntemler: Endoskopik sinüs cerrahisiuygulanan 30 hasta ileriye dönük olarak değerlendirildi. Onbefl hastada tanı nazal polipozis, 15 hastada kroniksinüzit idi. Yirmi üç olguda primer, yedi olguda revizyon cerrahisi uygulandı. Ameliyat öncesinde ve ameliyattan altı ay sonra hastaların yaflam kalitesi, Medical Outcomes Study Short Form-12 SF-12 ve Chronic Sinusitis Survey CSS anketleri ile değerlendirildi.Uygulamadan önce her iki anketin Türkçeye çevrilmesi ve uyumluluğu sağlandı. Ayrıca ameliyat öncesi veameliyattan altı ay sonraki bilgisayarlı tomografi BT bulguları Lund ve Mackay sistemine göre s k o r l a n d ı .Anket sonuçları ve BT skorları arasında korelasyona r a fl t ı r ı l d ı .Bulgular: Ameliyat sonrasında tüm olguların SF-12ve CSS skorlarında anlamlı düzelme gözlendi. Ancak BT skorlarındaki iyileflme yaflam kalitesi skorlarındaki iyileflmeler ile uyumlu bulunmadı.Son u ç : Endoskopik sinüs cerrahisi nazal polipozis vekronik sinüzitli hastaların yaflam kalitesi üzerinde belirgin iyileflme sağlamasına rağmen yaflam kalitesindekiartıfl BT skorlarıyla korelasyon göstermeyebilir

Keywords

Kronik hastalık, endoskopi, sağlık anketi, burun polibi, yaflam kalitesi, anket, hastalık fliddeti indeksi, sinüzit/cerrahi, bilgisayarlı tomografi

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