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Does bilateral inferior turbinate reduction affect long-term quality-of-life outcomes in patients undergoing endoscopic sinus surgery?
Scangas, George A; Bleier, Benjamin S; Husain, Qasim; Holbrook, Eric H; Gray, Stacey T; Metson, Ralph.
Affiliation
  • Scangas GA; Department of Otolaryngology, Harvard Medical School, Boston, MA.
  • Bleier BS; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA.
  • Husain Q; Department of Otolaryngology, Harvard Medical School, Boston, MA.
  • Holbrook EH; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA.
  • Gray ST; Department of Otolaryngology, Harvard Medical School, Boston, MA.
  • Metson R; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA.
Int Forum Allergy Rhinol ; 9(6): 601-606, 2019 06.
Article in En | MEDLINE | ID: mdl-30702220
BACKGROUND: The objective of this study was to evaluate the impact of bilateral inferior turbinate reduction (BITR) on patient-reported quality of life (QOL) following endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS). METHODS: This was a prospective cohort study. Patients with CRS, who were recruited from 10 different otolaryngologic practices between 2011 and 2014, completed the 22-item Sino-Nasal Outcome Test (SNOT-22), Chronic Sinusitis Survey (CSS), and EuroQol 5 Dimension (EQ-5D) survey at baseline, and at 12, 24, 36, and 48 months after ESS. A total of 113 patients who underwent ESS with BITR were compared to 788 patients who underwent ESS without BITR. RESULTS: Significant demographic and comorbid differences between BITR and non-BITR cohorts included age (41 vs 49 years, p < 0.0001), presence of asthma (19% vs 36%, p < 0.0001), prior sinus surgery (22% vs 53%, p < 0.0001), and concurrent septoplasty (80% vs 53%, p < 0.0001), respectively. On univariate analysis, patients who underwent ESS with or without BITR were found to have statistically significant improvement in disease-specific (SNOT-22 and CSS) and general (EQ-5D) QOL scores at years 1 through 4 (p < 0.05). On multivariate regression, however, the performance of BITR was not associated with any improvements in these outcome measures. CONCLUSION: Patients undergoing ESS achieve similar long-term improvement in both disease-specific and general QOL regardless of the performance of concurrent BITR.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Paranasal Sinuses / Quality of Life / Rhinoplasty / Turbinates / Natural Orifice Endoscopic Surgery Type of study: Observational_studies / Qualitative_research / Risk_factors_studies Aspects: Patient_preference Limits: Adult / Female / Humans / Male / Middle aged Language: En Journal: Int Forum Allergy Rhinol Year: 2019 Document type: Article Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Paranasal Sinuses / Quality of Life / Rhinoplasty / Turbinates / Natural Orifice Endoscopic Surgery Type of study: Observational_studies / Qualitative_research / Risk_factors_studies Aspects: Patient_preference Limits: Adult / Female / Humans / Male / Middle aged Language: En Journal: Int Forum Allergy Rhinol Year: 2019 Document type: Article Country of publication: United States