Endoscopic sinus surgery compared to continued medical therapy for patients with refractory chronic rhinosinusitis.

ABSTRACT:

Background

The decision to continue medical therapy or recommend endoscopic sinus surgery (ESS) can be challenging in patients with refractory chronic rhinosinusitis (CRS). The objective of this study was to evaluate continued medical therapy vs ESS for patients with refractory CRS who have severe reductions in baseline disease-specific quality of life (QoL).

Methods

This was a prospective longitudinal crossover study between August 2011 and June 2013. All patients were >18 years old, diagnosed with CRS based on guideline recommendations, failed initial medical therapy and elected ESS. While waiting for ESS, all patients received continued medical therapy. The preoperative waiting period outcomes (continued medical therapy) were compared to the postoperative outcomes. The pr

SUBMITTER: Smith KA 

PROVIDER: S-EPMC4182136 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature