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Teo NW, Mace JC, Smith TL, et al. Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis. World J Otorhinolaryngol Head Neck Surg. 2017;3(1):24-31doi: 10.1016/j.wjorl.2017.03.001.
Teo, N. W., Mace, J. C., Smith, T. L., & Hwang, P. H. (2017). Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis. World journal of otorhinolaryngology - head and neck surgery, 3(1), 24-31. https://doi.org/10.1016/j.wjorl.2017.03.001
Teo, Neville W, et al. "Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis." World journal of otorhinolaryngology - head and neck surgery vol. 3,1 (2017): 24-31. doi: https://doi.org/10.1016/j.wjorl.2017.03.001
Teo NW, Mace JC, Smith TL, Hwang PH. Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis. World J Otorhinolaryngol Head Neck Surg. 2017 Mar;3(1):24-31. doi: 10.1016/j.wjorl.2017.03.001. Epub 2017 Mar 19. PMID: 28990012; PMCID: PMC5627608.
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World J Otorhinolaryngol Head Neck Surg. 2017 Mar;3(1):24-31. doi: 10.1016/j.wjorl.2017.03.001. Epub 2017 Mar 19.

Impact of endoscopic sinus surgery on otologic symptoms associated with chronic rhinosinusitis.

World journal of otorhinolaryngology - head and neck surgery

Neville W Teo, Jess C Mace, Timothy L Smith, Peter H Hwang

Affiliations

  1. Department of Otolaryngology, Singapore General Hospital, Singapore.
  2. Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
  3. Department of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Portland, OR, USA.

PMID: 28990012 PMCID: PMC5627608 DOI: 10.1016/j.wjorl.2017.03.001

Abstract

OBJECTIVE: To evaluate improvements in otologic symptoms after endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis (CRS), and identify differences in symptoms, if any, between CRS patients with (CRSwNP) and without (CRSsNP) nasal polyposis.

STUDY DESIGN: Prospective multi-center observational cohort study.

SETTING: Academic tertiary medical centers.

SUBJECTS AND METHODS: Adults with medically recalcitrant CRS who elected ESS were enrolled in a prospective, multi-center, observational cohort study between March, 2011 and October, 2014. Preoperative evaluation of subjects included assessment of clinical characteristics, measures of disease severity, and quality of life evaluation using the 22-item SinoNasal Outcome Test (SNOT-22). Postoperative improvement in otologic symptoms (ear fullness, dizziness, ear pain) scores were evaluated and compared between CRSwNP and CRSsNP subgroups.

RESULTS: 395 study patients completed both preoperative and postoperative evaluations, with an average follow-up of 13.9 months after ESS. The prevalence of patients reporting at least one otologic symptom preoperatively (87%) significantly decreased after ESS (63%; p<0.001). Significant postoperative improvement across all otologic scores was also reported (p<0.001). Relative mean improvement in otologic symptom severity was similar for both CRSwNP and CRSsNP, except patients with CRSwNP reported significantly greater postoperative improvement in ear fullness compared to CRSsNP (54% vs. 41%; p=0.039). A total of 61%, 44%, and 43% of patients reported experiencing improvement in "ear fullness", "dizziness" and "ear pain", respectively.

CONCLUSION: Sinus surgery significantly improves otologic symptoms associated with CRS. CRSwNP patients reported slightly greater relief of ear fullness than CRSsNP patients following ESS.

Keywords: Ear symptoms; chronic rhinosinusitis; endoscopic sinus surgery

Conflict of interest statement

Potential Conflicts of Interest: None to report

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