Effect of functional endoscopic sinus surgery on asthma control with nasal polyposis and chronic rhinosinusitis

Year 2018, Volume: 4 Issue: 2, 101 - 105, 04.04.2018

Önder Akdeniz Seyhan Dülger , Dilber Yılmaz Durmaz , Özlem Şengören Dikiş , Tekin Yıldız

https://doi.org/10.18621/eurj.310244

Abstract

Objective.
The purpose of this study is to examine the effect of endoscopic sinus surgeons
on the control of disease in asthma combined with chronic rhinosinusitis. Methods.
Twenty-three asthma patients with chronic rhinosinusitis were evaluated
retrospectively. They were assessed with asthma control test and pulmonary
function tests. Subjective nasal obstruction assessment was done according to
the nasal obstruction symptoms evaluation (NOSE) scale. Other subjective
sinonasal complaints were classified using visual analogue scale (VAS). At postoperative
third month, pulmonary function tests, asthma control test, NOSE and VAS were
reevaluated. Results. According to asthma control test, number of patients
under control, partial controlled and uncontrolled were 2/6/15 preoperatively and
14/4/5 postoperatively, respectively. There was permanent or partial
improvoment in fullness in the nose sniffle of 95.7% according to NOSE. The
most remarkable permanent improvement in the symptoms were seen in the feeling
of pressure in the face of 75%, smell disorders of 66.7% according to sinonasal
visual analogue scale assessment. NOSE and VAS values were significantly
improved postoperatively (p <
0.05). Conclusions. Uncontrolled asthma associated with chronic
rinosinusitis can benefit from functional endoscopic sinus surgery in asthma
control level, nasal blockage symptoms and other sinonasal complaints.

Keywords

asthma, endoscopic sinus surgery, chronic rhinosinusitis, asthma control test

References

• [1] Rice DH. Endoscopic sinus surgery. Otolayngol Head Neck Surg 1994;111:100-10.
• [2] Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2017.
• [3] Gulati SP, Chaudhry D, Kalra V, Wadhera R, Garg A. The role of functional endoscopic sinus surgery (FESS) in patients with asthma with chronic sinusitis. Indian J Otolaryngol Head Neck Surg 2008;60:152-5.
• [4] Thomas M, Kay S, Pike J, Williams A, Rosenzweig JR, Hillyer EV, et al. The Asthma Control Test (ACT) as a predictor of GINA guideline-defined asthma control: analysis of a multinational cross-sectional survey. Prim Care Respir J 2009;18:41-9.
• [5] Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004;130:157-63.
• [6] Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990;13:227-36.
• [7] Proimos E, Papadakis CE, Chimona TS, Kiagiadaki D, Ferekidis E, Yiotakis J. The effect of functional endoscopic sinus surgery on patients with asthma and CRS with nasal polyps. Rhinology 2010;48:331-8.
• [8] Dejima K, Hama T, Miyazaki M, Yasuda S, Fukushima K, Oshima A, et al. A clinical study of endoscopic sinus surgery for sinusitis in patients with bronchial asthma. Int Arch Allergy Immunol 2005;138:97-104.
• [9] Goldstein MF, Grundfast SK, Dunsky EH, Dvorin DJ, Lesser R. Effect of functional endoscopic sinus surgery on bronchial asthma outcomes. Arch Otolaryngol Head Neck Surg 1999;125:314-9.
• [10] Chen FH, Zuo KJ, Guo YB. Li ZP, Xu G, Xu R, et al. Long-term results of endoscopic sinus surgery oriented treatment for chronic rhinosinusitis with asthma. Laryngoscope 2014;124:24-8.
• [11] Ragab S, Scadding GK, Lund VJ, Saleh H. Treatment of chronic rhinosinusitis and its effects on asthma. Eur Respir J 2006;28:68-74.
• [12] Dunlop G, Scadding GK, Lund VJ. The effect of endoscopic sinus surgery on asthma: management of patients with chronic rhinosinusitis, nasalpolyposis, and asthma. Am J Rhinol 1999;13:261-5.
• [13] Chen FH, Deng J, Hong HY, Xu R, Guo JB, Hou WJ, et al. Extensive versus functional endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps and asthma: A 1-year study. Am J Rhinol Allergy 2016;30:143-8.
• [14] Uri N, Cohen-Kerem R, Barzilai G, Greenberg E, Doweck I, Weiler-Ravell D. Functional endoscopic sinus surgery in the treatment of massive polyposis in asthmatic patients. J Laryngol Otol 2002;116:185-9.
• [15] Philips JS, Vowler SL, Salam MA. Endoscopic sinus surgery for ‘sinus headache’. Rhinology 2007;45:14-9.