Abstract:Abstract:ObjectiveTo investigate the relationships among subjective and objective evaluations, patients’ age, followup time after nasal endoscopic surgery in patients suffering from chronic rhinosinusitis with nasal polyps (CRSwNP) of different age groups.Methods192 patients with CRSwNP were included. According to the age, they were divided into adolescent, adult and elderly group. All the patients received nasal endoscopic surgeries including sinus opening, polypectomy, radiofrequency ablation and lateral shift of inferior turbinate, and functional resection of ostimeatal complex. After surgery, they were required to have clinical followup at timepoints of half a month, one month, 3, 6 and 12 months. Subjective evaluation (visual analogy score, VAS) and objective examination (LundKennedy endoscopic score) were performed. The differences of evaluations among different age groups at the same followup time and those of the same group at different followup times were analyzed.ResultsThe differences of VAS scores of nasal obstruction and rhinorrhea were statistically significant (P<0.001) among different groups and at different followup time (3, 6 and 12 months after surgery). The differences of VAS scores of facial fullness sensation among different groups at one month and 3 months after surgery were statistically insignificant (P>0.05), while those at 6 and 12 months were statistically. As for the LundKennedy scores, the differences between the adolescent group and other two groups at half a month, one month were insignificant (P>0.05), while those at 3, 6 and 12 months were all statistically significant (P<0.001).ConclusionThe preoperative evaluation should focus on subjective symptoms and special examinations according to the patient’s age. Surgical procedures for chronic rhinosinusitis with nasal polyps must be individualized for improving the therapeutic effect.
