Factors Associated with Revision Sinus Surgery in Patients with Chronic Rhinosinusitis

Journal of Personalized Medicine

Gerold Besser¹  David T. Liu¹  Karina Bayer¹  Selmir Hamidovic¹  Christian A. Mueller¹ 

[1] Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna, 1090 Vienna, Austria;

关键词: chronic rhinosinusitis;    functional endoscopic sinus surgery;    ESS;    CRSsNP;    CRSwNP;    sinus surgery;   

DOI  :  10.3390/jpm12020167

来源: DOAJ

【 摘 要 】

Endoscopic sinus surgery (ESS) is performed in patients diagnosed with Chronic Rhinosinusitis (CRS) refractory to primary medical therapy to achieve adequate disease control. This study aimed to assess which factors and phenotypes of CRS are associated with revision surgery in patients undergoing ESS. This retrospective, single-center study included 667 patients undergoing ESS between 2012 and 2015. We performed group comparisons to detect differences between CRS patients undergoing primary or revision surgery and computed binary logistic regression models. Logistic regression analysis revealed higher odds for revision surgery in CRS patients with older age (p-value < 0.001), male gender (p-value = 0.011), diagnosis of AERD (p-value = 0.005), and presence of asthma (p-value < 0.001) or allergies (p-value = 0.031). Confirming previous studies, we found that the factors of age, CRSwNP, AERD, allergies, and asthma are associated with revision ESS and identified surgical techniques that were predominantly used in revision cases.

【 授权许可】

Unknown