Nasal Polyps Surgery Success Rate ( New Study )


Nasal Polyps significantly affects the quality of life of patients. Nasal Polyps treatment aims to attain clinical control of the disease, which is defined as the elimi-nation or mitigation of patient symptoms to a point where subjects are no longer bothered by the disease, possibly in combination with a healthy or quasi healthy mucosa requiring only the administration of topical medication.

The severity of symptoms and the impact of the disease upon patient  quality of life can be assessed through the Sinonasal Outcome Test 22 (SNOT-22). This validated tool encompasses all major symptoms included in  the  diagnosis  criteria  set  in  the  European  Position  Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2012 for Nasal Polyps. The SNOT-22 is a repeatable tool and the graphic representation of test results allows for easy visualization of the outcomes of conservative and surgical approaches, as well as  exacerbations observed during follow-up

In recent study, Patients were asked to answer the SNOT-22 questionnaire before surgery (Preop) and two months after surgery. In the review patients followed up for three year and longer were included. Subjects were given a thorough questionnaire that included the SNOT-22, an assessment of the clinical management of the disease, and reports of revision procedures they were submitted to within the timeframe of the study. 

 Sixty patients in preoperative care for endoscopic sinus surgery diagnosed with Nasal Polyps were enrolled in the study.  After signing  informed consent terms, they answered the SNOT-22 questionnaire before surgery and three months after surgery.  40 of the 60 original patients were  found two years  after  surgery  and were included in the second part of the study. Patients followed up for at least 24 months after surgery were included.. Mean time after surgery in the late follow-up of  Nasal Polyps subjects was 29.29 months, with a standard deviation of 2.34 months. The entire sample considered together had a mean POT (late follow-up) of 29 months and a standard deviation of 3.05 months. 

Resutls :

Endoscopic sinus surgery improved the quality of life of the patients with Nasal Polyps enrolled in this study. Despite the worse quality-of-life scores in early postoperative follow-up (three months) when compared to  late  postoperative  care  (24  months  and  longer),  the SNOT-22  and  POT  scores  were  statistically  better  than  before surgery, indicating the improvement in quality of life produced by surgery was sustained in the long term.

Read more : Best way to cure Nasal Polyps naturally at home

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Nasal Polyps after Sinus Surgery ( New Study )

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In recent study, even when different parameters were used to measure postoperative outcomes, the trends in-dicated that the Nasal Polyps would maintain a stable course in most cases. The scores in postoperative care were not statistically different from each other. The mean Sinonasal Outcome Test 22 (SNOT-22) seen in this study were 61.5, 16.7, and 33.5, respectively.  The sharper drop seen in the  preoperative  to  recent  postoperative  follow-up period may have accounted for the statistically significant difference seen between early and late posto-perative follow-up scores, as late follow-up scores in this study were similar to the scores reported before. Statistically significant improvements in quality of life were observed two years after surgery, in addition to gradual deterioration after 4 months of surgery, although not statistically significant.Considering the late follow-up clinical management of Nasal Polyps, more than half of the patients were managed in acceptable  level
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