Oviya, V (2022) A Study on the Predictive Value of Sinonasal Outcome Test (SNOT 22) in Assessing the Post Surgical Improvement in Patients with Chronic Rhinosinusitis. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION: Rhinosinusitis is defined as acute or chronic based on the duration of symptoms. Acute being less than 12 weeks duration and chronic is more than 12 weeks. Chronic Rhino Sinusitis is an inflammatory disorder which involves the mucosa of the nose and paranasal sinuses. Chronic sinusitis affects 1 in 8 people in India and about 5-15% of urban population. It‟s prevalence has exceeded than that of any other chronic condition. 134 millions Indians suffer from Chronic Rhinosinusitis as per the estimate by the Indian Institute of Allergy and Infectious diseases (NIAID). World wide CRS affects at least 11% of the population and causes economic burden to the health care systems, to patients and to the economy due to loss of productivity in the workplace. Its prevalence is greater than Ischemic Heart Disease, Diabetes, Chronic Obstructive Pulmonary Disease, Heart failure and stroke and is equivalent to that of peripheral vascular disease, arthritis, back pain, several of which has a lesser impact on patient's quality of life than CRS. AIM OF THE STUDY: 1. To study the predictive value of Sino Nasal Outcome Test (SNOT 22) in assessing the post surgical improvement in patients with Chronic Rhinosinusitis after Functional Endoscopic Sinus Surgery (FESS). 2. To assess the degree and impact of chronic rhino sinusitis in patients quality of life and to measure the treatment response. MATERIALS AND METHODS: STUDY DESIGN: Prospective cohort study. STUDY SETTING: Upgraded Institute of Otorhinolaryngology, Rajiv Gandhi Government General Hospital, Chennai. STUDY PERIOD: November 2020 - December 2021. SAMPLE SIZE : 200. STUDY SUBJECTS: Inclusion criteria: 1. Age > 18 years. 2. Both sexes. 3. Cases diagnosed as Chronic Rhino Sinusitis who remained refractory to medical management (>3 months) including topically administered corticosteroids. Exclusion criteria: 1. Who doesn‟t give informed consent. 2. Patient not willing for follow up. 3. Patient not willing for surgery. 4. Immunocompromised patients. 5. Patients with autoimmune diseases and pre existing systemic granulomatous diseases, cystic fibrosis, ciliary dyskinesias. CONCLUSION: ❖ There was over all improvement in SNOT 22 scores post operatively when compared with preoperative scores which was statistically significant. ❖ The patients who had high symptom score improved considerably well in the post operative period. ❖ This corresponds to the previous similar studies which showed greater improvement in severely affected patients. ❖ SNOT scores were not affected by Age, Sex, or comorbidities like Diabetes and Hypertension. ❖ Allergic history has no influence in SNOT 22 scores. ❖ Smoking has no effect in affecting SNOT 22 scores. ❖ Functional Endoscopic Sinus Surgery creates an opportunity to open windows into the sinuses and improves the post operative topical steroid penetration. ❖ SNOT 22 is a practical measure of assessing whether the patient is benefited from surgery or not. ❖ As CT scans taken in the post operative period shows features suggestive of persistence of sinusitis ,SNOT 22 scores gives an actual idea about the post operative condition of the patient.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221914018 |
| Uncontrolled Keywords: | Predictive Value, Sinonasal Outcome Test (SNOT 22), Post Surgical Improvement, Chronic Rhinosinusitis. |
| Subjects: | MEDICAL > Otolaryngology > MEDICAL > Otolaryngology |
| Depositing User: | Subramani R |
| Date Deposited: | 22 Apr 2022 14:42 |
| Last Modified: | 17 Dec 2023 07:13 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19374 |
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