Endoscopic sinus surgery for fungal ball rhinosinusitis in South China: Long-term results and analysis of prognostic factors.

Conclusion: Endoscopic sinus surgery (ESS) treatment has achieved good long-term results in patients in South China with fungal ball rhinosinusitis. Gender (female), age (young), nasal polyps, allergy, high Lund-Mackay scores, prior sinus surgery and diabetes mellitus affect patients' outcomes. Obje...

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Publicado en:Acta Oto-Laryngologica Vol. 132; no. 5; pp. 519 - 525
Autores principales: Xu, Rui, Ma, Ling, Shi, Jianbo, Wen, Weiping, Chen, Hexin, Li, Tianying, Guo, Jiebo, Li, Huabin, Xu, Geng
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2012
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Endoscopic sinus surgery for fungal ball rhinosinusitis in South China: Long-term results and analysis of prognostic factors.
      aug:
        au:
          Xu, Rui
          Ma, Ling
          Shi, Jianbo
          Wen, Weiping
          Chen, Hexin
          Li, Tianying
          Guo, Jiebo
          Li, Huabin
          Xu, Geng
      sug:
        subj:
          Rhinosinusitis Surgery
          Endoscopy
          Rhinosinusitis Prognosis
          Human
          China
          Treatment Outcomes
          Retrospective Design
          Quality of Life
          Short Form-36 Health Survey (SF-36)
          Visual Analog Scaling
          Questionnaires
          Male
          Female
          Sex Factors
          Age Factors
          Nasal Polyps
          Diabetes Mellitus
          Multiple Linear Regression
          Record Review
          Child
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Data Analysis Software
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Conclusion: Endoscopic sinus surgery (ESS) treatment has achieved good long-term results in patients in South China with fungal ball rhinosinusitis. Gender (female), age (young), nasal polyps, allergy, high Lund-Mackay scores, prior sinus surgery and diabetes mellitus affect patients' outcomes. Objective: To evaluate objective testing and quality of life (QOL) outcomes of patients with fungal ball rhinosinusitis before and after ESS in South China and to determine preoperative factors that predict surgical outcomes. Methods: We retrospectively analyzed the outcomes for 330 patients with fungal ball rhinosinusitis after ESS. QOL was assessed using Sinonasal Outcome Test−20 (SNOT-20), Short Form-36 (SF-36) questionnaires and visual analogue scale (VAS). Objective testing was evaluated by Lund-Kennedy endoscopic scoring system. Prognostic factors were determined based on the QOL scores and Lund-Kennedy scores after ESS using a multivariate linear regression. Results: ESS significantly improved the objective testing and QOL outcomes in patients with fungal ball rhinosinusitis ( p < 0.05). Objective outcome: postoperative Lund-Kennedy scores were significantly worse in patients with nasal polyps, allergy and high Lund-Mackay scores ( p < 0.05). QOL outcomes: postoperative SF-36 scores were adversely affected by gender (female), age (young), nasal polyps, allergy and prior sinus surgery ( p < 0.05); postoperative VAS scores were adversely affected by gender (female), nasal polyps, allergy and diabetes mellitus ( p < 0.05).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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