A prospective pilot study on the effects of endoscopic sinus surgery on upper and lower airway performance.
FEV
chronic rhinosinusitis and asthma
endoscopic sinus surgery and lower airways
upper and lower airways
Journal
Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale
ISSN: 1827-675X
Titre abrégé: Acta Otorhinolaryngol Ital
Pays: Italy
ID NLM: 8213019
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
05
01
2021
accepted:
19
08
2021
entrez:
20
12
2021
pubmed:
21
12
2021
medline:
24
12
2021
Statut:
ppublish
Résumé
The relationship between chronic rhinosinusitis, asthma and allergic rhinitis is well known, but only recently has the scientific community started to evaluate these as different manifestations of a common pathogenic phenomenon, considering them as a unified airway disease. Twenty-two patients with chronic rhinosinusitis treated with endoscopic sinus surgery (ESS) were included in the study. Sino-nasal assessment questionnaire (SNAQ) investigating subjective evaluation of sino-nasal state was administered to patients, while objective evaluations included nasal endoscopy, sinonasal CT, skin prick tests, nasal cytology, spirometry, bronchodilator responsiveness testing and sputum eosinophil count. All tests were performed before surgery. Two months after surgery, SNAQ questionnaire, nasal endoscopy, spirometry and bronchodilator responsiveness testing were repeated. All patients had significant improvement of subjective status: mean SNAQ score decreased in all from 99.31 to 16.04. Mean Forced Expiratory Volume in the 1 ESS achieved a beneficial effect on upper and lower airway status in patients with chronic rhinosinusitis with or without lower airway diseases. Studio prospettico pilota sugli effetti della ESS sulla performance delle vie aeree superiori e inferiori. La relazione tra rinosinusite cronica, asma e rinite allergica è ben nota, ma solo recentemente la comunità scientifica ha iniziato a considerarle come manifestazioni differenti di un comune evento patogenetico. In questo studio sono stati arruolati 22 pazienti con rinosinusite cronica trattati con chirurgia endoscopica dei seni paranasali (ESS), sottoposti prima dell’intervento chirurgico a Sino-nasal assesment questionnaire (SNAQ) per valutare la sintomatologia soggettiva, endoscopia nasale, TC dei seni paranasali, prick test cutanei, citologia nasale, spirometria con valutazione del volume espiratorio massimo nel 1 secondo (FEV Tutti i pazienti hanno presentato un miglioramento significativo dei parametri soggettivi (riduzione della media del SNAQ da 99,31 a 16,04), e di quelli oggettivi (media del FEV La chirurgia dei seni paranasali ha dimostrato di apportare benefici sia alle alte che alle basse vie aeree in pazienti con rinosinusite cronica, associata o meno a disturbi delle basse vie aeree.
Autres résumés
Type: Publisher
(ita)
Studio prospettico pilota sugli effetti della ESS sulla performance delle vie aeree superiori e inferiori.
Identifiants
pubmed: 34928265
doi: 10.14639/0392-100X-N1361
pmc: PMC8686801
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
544-549Informations de copyright
Copyright © 2021 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy.
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