Epidemiologic factors and surgical outcomes in patients with nasal polyposis and asthma.

ORL J Otorhinolaryngol Relat Spec

Department of Otolaryngology, Head and Neck Surgery, Medical College of Georgia, Georgia Regents University, Augusta, Ga., USA.

Published: October 2014

Background/aim: To evaluate the role of epidemiologic factors in surgical outcomes for patients with nasal polyposis (NP) and asthma.

Methods: Data was prospectively collected on patients who underwent endoscopic sinus surgery over a 7-year period. Among patients with chronic rhinosinusitis (CRS) with NP and asthma, surgical outcomes were analyzed according to gender and race.

Results: Patients with NP and asthma had significantly higher Lund-Kennedy and SNOT-20 scores--pre- and postoperatively--compared to CRS patients without NP or asthma. Both Caucasians and African-Americans in the CRS with NP/asthma group showed a statistically significant improvement at 6 months. Caucasians continued to have a significant improvement at 12 months, whereas African-Americans did not. There were no differences according to gender.

Conclusion: In our patient population, African-Americans with NP and asthma had poorer outcomes following functional endoscopic sinus surgery.

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http://dx.doi.org/10.1159/000354804DOI Listing

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