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Article
Incidence of Recurrent Nasal Polyposis After Endoscopic Polypectomy

Authors: Harith Fathi Hameed --- Lateef Hussien Alwan --- Safaa Sahib Naji
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 4 Pages: 801 -809
Publisher: Babylon University جامعة بابل

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Abstract

This a prospective study done to provide reference information about the incidence of recurrent nasal polyposis and associated risk factors among 30 patients operated on by means of Endoscopic Sinus Surgery between Jan. 2012 –Jan 2014. These patients presented in otorhinolaryngology dept. in Hilla General Teaching Hospital presented with symptoms and signs of sinonasal polyposis not responding to medical treatment, the diagnosis confirmed by history taken, clinical examination which involved: anterior and posterior rhinoscopy, flexible and rigid nasoendoscopy, with radiological examinations as plain X-ray films and CT- scan of nose &paranasal sinuses (mainly coronal view) taken to all patients to see middle meatal complex. Then the patients underwent polypectomy by means of Endoscopic Sinus Surgery, after that follow-up done during mean period of 12 months (range 3 months – 24 months) included: regular flexible & rigid nasoendoscopy. In our study we estimated the incidence of recurrent nasal polyposis after Endoscopic Sinus Surgery which was 30% and highlighted the risk factors affected this incidence as: age (mostly affected patients at 4th& 5th decade 66.67%), gender (males more than females 3.5:1), presence of some conditions (allergic rhinitis in 33.33%,allergic fungal sinusitis in 22.22%,childhood asthma in 22.22%, eczema in 11.11%, aspirin intolerance in 11.11%, and Samter's triad in 11.11%), previous nasal surgery(simple polypectomy) in 44.44%, and polyp extension as extensive polyposis in 77.78% .


Article
Quality of life after functional endoscopic sinus surgery in patients with chronic rhinosinusitis
نوعية الحياة بعد جراحة الجيوب الأنفية بالمنظار الوظيفية لدى المرضى الذين يعانون من التهاب الجيوب الأنفية المزمن

Authors: Umed Khalid Hasan --- Arsalan Awlla Mustafa Shem
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 2 Pages: 172-179
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Chronic Rhinosinusitis characterized by inflammation of the mucosa of the nose and paranasal sinuses. The degree of sinonasal inflammation as measured by CT- scan or endoscopy fails to correlate with the extent of symptoms experienced by the individual patient. This study aimed to evaluate the effect of functional endoscopic sinus surgery in improving symptoms profile and quality of life for patients complaining of chronic rhinosinusitis.Methods: A prospective clinical study extended from January 2013- January 2015 & included 30 patients above 18 years old of chronic rhinosinusitis without polyp who were treated by functional endoscopic sinus surgery. The data were collected and interpreted using Sinonasal Assessment questionnaire -11 (SNAQ-11).Results: A total of 30 patients were included in the study; 18 patients were males (60%), and 12 patients were females (40%). Most of the patients (40%) were among the age group 25-34 years. The result shows no significant association between age and mean difference in SNAQ-11 score. The main preoperative complaint of our patients was the nasal obstruction (100% of patients), followed by nasal congestion (93.3%), and least complaint was sneezing (20%) and earache (20%). There was a statistically significant association between the patient's symptoms and SNAQ-11 score with a significant reduction in the total SNAQ-11 score after surgery.Conclusion: Functional endoscopic sinus surgery performed for chronic rhinosinusitis cases has been associated with significant improvement in the quality of life after 12 months follow up & the best outcome was for nasal obstruction.

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