gms | German Medical Science

83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2012, Mainz

Prognostic factors in endoscopic surgery of chronic maxillary sinusitis

Meeting Abstract

  • corresponding author Sorin-Emil Necula - CF Clinical Hospital, Cluj-Napoca, Romania
  • Ermil Tomescu - University of Medicine and Pharmacy, Cluj-Napoca, Romania
  • Marcel Cosgarea - University of Medicine and Pharmacy, Cluj-Napoca, Romania
  • Silviu Albu - University of Medicine and Pharmacy, Cluj-Napoca, Romania
  • Violeta Necula - University of Medicine and Pharmacy, Cluj-Napoca, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod661

doi: 10.3205/12hnod661, urn:nbn:de:0183-12hnod6617

Veröffentlicht: 4. April 2012

© 2012 Necula et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: This article evaluates the impact of risk factors on postoperative outcomes of patients operated for chronic maxillary rhinogenous sinusitis using FESS.

Methods: The study was conducted in a retrospective nonrandomized manner and included patients operated endocopically in ENT Clinic Cluj-Napoca of Cluj County Clinical Hospital between 1998-2004 for chronic rhinogenous maxillary sinusitis. Ten parameters were studied: age, gender, smoking, allergy, asthma, non-steroidal antiinflamatory drugs intolerance, recurrent sinusitis, previous sinus surgery, resection of head of middle turbinate, maxillary mucosa endoscopic status.

Results: The group included 137 patients, 81 males and 56 females. Age ranged from 12 and 67 years, with an average of 43.1 years. 35 patients had allergy (25.54%), 23 (16.78%) asthma, 8 (5.83%) intolerance to aspirin and NSAIDs. Smoking occurred in 31 patients(23.62%, history of episodes of sinusitis and antibiotic treatment presented 73 (53.28%. Rhinosinusal surgery history was found in 30 patients (21.89%). Resection of the head of the middle turbinate was performed in 27 cases (19.70%). Endoscopic sinus mucosa scores were: 0 - 14 cases (10.21%), I - 28 (20.43%), II - 26 (18.97%), III - 34 (24.81%), IV - 35 cases (25.54%). Recurrence was recorded in 8 cases (5.83%). In multivariate analysis smoking was found as an independent predictive factor of postoperative recurrence, p=0.0017. The favorable effect of middle turbinate resection was confirmed as independent by the multivariate analysis, p= 0.0029.

Conclusions: By studying the prognostic factors will be able to obtain a more accurate preoperative documentation, which will facilitate better identification of groups of patients who are susceptible of recurrence.