The Association of Patient-Reported Local Allergic Symptoms with Postoperative Outcomes of Chronic Rhinosinusitis

ABSTRACT

OBJECTIVES: Patients with nonallergic rhinitis (Non-AR) or idiopathic rhinitis are common, with both conditions being classified as local allergic rhinitis (LAR). However, the link between LAR and CRS has not been identified. This study aimed to investigate the association of patient-reported local allergic symptoms with the postoperative outcomes of CRS.MATERIALS AND METHOD: We reviewed the medical records of 64 patients who underwent endoscopic sinus surgery for CRS. All patients underwent skin prick test, Multiple Allergosorbent Test, and computed tomography. Sneezing and nasal itching were defined as local allergic symptoms (LAS). We evaluated the relationships between clinical characteristics and recurrence rate of CRS according to the presence or absence of LAS.RESULTS: In Non-AR patients, there was no significant difference in age, sex, and TNSS between the LAS (+) and LAS (−) groups. However, in all patients, the CRS recurrence rate was higher in the LAS (+) group (46.7%) than in the LAS (−) group (15.8%; p=0.02). A similar trend was observed in the Non−AR patients, showing that the CRS recurrence rate was significantly higher in the LAS (+) group (56%) than in the LAS (−) group (16.7%; p=0.024).CONCLUSION: The CRS recurrence rate was higher in patients with LAS regardless of the presence of AR.