دورية أكاديمية
Predictors and Time Interval of Chronic Rhinosinusitis Recurrence After Endoscopic Sinus Surgery.
| العنوان: | Predictors and Time Interval of Chronic Rhinosinusitis Recurrence After Endoscopic Sinus Surgery. |
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| المؤلفون: | Alaraifi AK; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia., Alanizy B; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia., Alsalamah S; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia., Alraddadi J; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia., Alhedaithy R; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. |
| المصدر: | Turkish archives of otorhinolaryngology [Turk Arch Otorhinolaryngol] 2023 Dec; Vol. 61 (4), pp. 160-165. Date of Electronic Publication: 2024 May 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Galenos Publishing House Country of Publication: Turkey NLM ID: 101682806 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2667-7474 (Electronic) Linking ISSN: 26677466 NLM ISO Abbreviation: Turk Arch Otorhinolaryngol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2021- : İstanbul : Galenos Publishing House Original Publication: Şişli-İstanbul, Turkey : Aves |
| مستخلص: | Objective: Chronic rhinosinusitis (CRS) is a common inflammatory disease that significantly impacts the quality of life. Endoscopic sinus surgery (ESS) is indicated for refractory CRS. This study aims to estimate the predictors of CRS recurrence, and the rates with time intervals of recurrent CRS and revision ESS. Methods: A retrospective cohort study included 516 patients who underwent ESS for CRS at King Abdulaziz Medical City in Riyadh between January 2017 and May 2020. Patients were followed up for 12-48 months postoperatively. The study sample was divided into two groups based on the recurrence status and compared using the appropriate statistical tests. Significant variables were included in the logistic regression model to determine the predictors of CRS recurrence. Results: The recurrence rate of CRS following ESS was 14.5%, with a time interval of 28.31 months, and standard deviation (SD) =18.76. On the other hand, the rate of revision ESS for recurrent CRS was 6.8%, with a time interval of 34.18 months, SD =16. In the multivariable logistic regression model, the significant predictors of recurrent CRS were a high Lund-Mackay (LM) score [odds ratio (OR): 1.055, p=0.04] and a high eosinophil count (OR: 3.619, p=0.03). Almost half of the patients who developed recurrent CRS underwent revision surgery (46.7%). Conclusion: CRS has a considerable recurrence rate despite the high success rate of ESS, and nearly half of the recurrent CRS patients need revision surgery. A high LM score and eosinophilic count significantly increase the likelihood of CRS recurrence. Competing Interests: Conflict of Interest: The authors have no conflicts of interest to declare. (©Copyright 2023 by Turkish Otorhinolaryngology-Head and Neck Surgery Society / Turkish Archives of Otorhinolaryngology is published by Galenos Publishing House.) |
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| فهرسة مساهمة: | Keywords: Sinusitis; chronic disease; endoscopic surgical procedure; multivariate analysis; recurrence; surgical revision |
| تواريخ الأحداث: | Date Created: 20240524 Latest Revision: 20240525 |
| رمز التحديث: | 20240525 |
| مُعرف محوري في PubMed: | PMC11110083 |
| DOI: | 10.4274/tao.2024.2023-10-9 |
| PMID: | 38784953 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2667-7474 |
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| DOI: | 10.4274/tao.2024.2023-10-9 |