Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery
DOI:
https://doi.org/10.34631/sporl.982Keywords:
chronic rhinosinusitis, functional endoscopic sinus surgery, Lund-Mackay scoreAbstract
Objectives: Functional endoscopic sinus surgery (FESS) is one of the treatments for chronic rhinosinusitis (CRS), with recurrence rates between 4 and 60%. The main goals of this work were to evaluate the results of FESS and to identify independent predictors of disease recurrence after 1 year postoperative.
Material/Methods: A retrospective, single-centre study from 2014 to 2018, that included all CRS patients submitted to FESS. Several variables were used to perform a bivariate and regression analysis.
Results: The recurrence rate after 1 year of surgery was 11%. Smoking and Lund-Mackay score were independent predictive factors for disease recurrence after 1-year postoperative [OR 7.75 (p=0.006; 95% CI 1.8–31.1); OR 1.14 (p=0.042; 95% CI 1.1–1.29)].
Conclusion: CRS patients who were active smokers and those who had higher pre-operative Lund-Mackay scores presented greater recurrence rates after 1 year of FESS.
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