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Usefulness of post-operative endoscopic score for optimal treatment selection in recurrent eosinophilic chronic rhinosinusitis

Published online by Cambridge University Press:  24 May 2023

Takahiro Saito Open the ORCID record for Takahiro Saito [Opens in a new window] ,
Ken Okazaki ,
Katsuya Fushimi  and
Kenzo Tsuzuki
Takahiro Saito*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo Medical University, Nishinomiya, Japan
Ken Okazaki
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo Medical University, Nishinomiya, Japan
Katsuya Fushimi
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo Medical University, Nishinomiya, Japan
Kenzo Tsuzuki
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo Medical University, Nishinomiya, Japan
*
Corresponding author: Takahiro Saito; Email: [email protected]
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Abstract

Objective

This study retrospectively analysed post-operative endoscopic scores to determine the optimal post-operative treatment in patients with eosinophilic chronic rhinosinusitis undergoing functional endoscopic sinus surgery.

Methods

In total, 339 adults who underwent initial bilateral functional endoscopic sinus surgery for eosinophilic chronic rhinosinusitis were enrolled. Patients were divided into group A, which required no additional post-operative treatment; group B, which required local/systemic steroids post-operatively; and group C, which further required dupilumab and/or revision surgery.

Results

Sixty-five per cent of patients could be treated with initial functional endoscopic sinus surgery (group A). Post-operative steroids were required in 35 per cent of patients with a post-operative endoscopic score of 30 per cent (group B). Further advanced treatments with dupilumab and/or revision functional endoscopic sinus surgery were required in 10 per cent of patients with a post-operative endoscopic score of 65 per cent (group C).

Conclusion

The post functional endoscopic sinus surgery endoscopic score can be used as an index to determine treatment at the time of eosinophilic chronic rhinosinusitis recurrence.

Keywords

Eosinophiliaoperative proceduresrecurrencerisk factorssteroids
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 2 , February 2024 , pp. 162 - 168
Copyright
Copyright © Hyogo Medical University, 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Takahiro Saito takes responsibility for the integrity of the content of the paper

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