Surgery for chronic rhinosinusitis with ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Surgery for chronic rhinosinusitis with nasal polyps: An update.
Author(s) :
Fieux, M. [Auteur]
Centre Hospitalier Lyon Sud [CHU - HCL] [CHLS]
Université Paris-Est Créteil Val-de-Marne - Faculté de médecine [UPEC Médecine]
Rumeau, C. [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]
Université de Lorraine [UL]
De Bonnecaze, G. [Auteur]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Université de Lorraine [UL]
Papon, J. F. [Auteur]
Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
Mortuaire, Geoffrey [Auteur]
Hôpital Claude Huriez [Lille]
Institute for Translational Research in Inflammation - U 1286 [INFINITE]
Centre Hospitalier Lyon Sud [CHU - HCL] [CHLS]
Université Paris-Est Créteil Val-de-Marne - Faculté de médecine [UPEC Médecine]
Rumeau, C. [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]
Université de Lorraine [UL]
De Bonnecaze, G. [Auteur]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Université de Lorraine [UL]
Papon, J. F. [Auteur]
Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
Mortuaire, Geoffrey [Auteur]
Hôpital Claude Huriez [Lille]
Institute for Translational Research in Inflammation - U 1286 [INFINITE]
Journal title :
European Annals of Otorhinolaryngology, Head and Neck Diseases
Abbreviated title :
Eur Ann Otorhinolaryngol Head Neck Dis
Publication date :
2023-10-21
ISSN :
1879-730X
English abstract : [en]
This update aimed to evaluate surgical indications in the management of chronic rhinosinusitis with nasal polyps (CRSwNP). It was conducted and reported according to the criteria stipulated by the Synthesis Without ...
Show more >This update aimed to evaluate surgical indications in the management of chronic rhinosinusitis with nasal polyps (CRSwNP). It was conducted and reported according to the criteria stipulated by the Synthesis Without Meta-analysis (SwiM) guidelines. From the PubMed-National Library of Medicine database, 1098 articles were identified for the period 2006–2021 using the key words “nasal polyps” and “surgery”. After screening and analysis, 39 publications were selected. The efficacy of surgery on functional improvement in CRSwNP, measured by the specific quality-of-life score SNOT-22, is established, and improvement in olfactory function is expected in 50% of patients. The rate of surgical revision is at least 10–15% at 4 years, but the disease can be controlled for several years, with the interval between primary surgery and symptomatic recurrence exceeding 10 years in some cases. The criteria for surgery are not clearly defined in the literature. However, several authors consider failure of ≥ 8 weeks’ well-conducted local medical treatment and use of more than 2 courses of systemic corticosteroids as a reliable indication. No studies or meta-analyses are currently available to determine the superiority of one surgical technique over another.Show less >
Show more >This update aimed to evaluate surgical indications in the management of chronic rhinosinusitis with nasal polyps (CRSwNP). It was conducted and reported according to the criteria stipulated by the Synthesis Without Meta-analysis (SwiM) guidelines. From the PubMed-National Library of Medicine database, 1098 articles were identified for the period 2006–2021 using the key words “nasal polyps” and “surgery”. After screening and analysis, 39 publications were selected. The efficacy of surgery on functional improvement in CRSwNP, measured by the specific quality-of-life score SNOT-22, is established, and improvement in olfactory function is expected in 50% of patients. The rate of surgical revision is at least 10–15% at 4 years, but the disease can be controlled for several years, with the interval between primary surgery and symptomatic recurrence exceeding 10 years in some cases. The criteria for surgery are not clearly defined in the literature. However, several authors consider failure of ≥ 8 weeks’ well-conducted local medical treatment and use of more than 2 courses of systemic corticosteroids as a reliable indication. No studies or meta-analyses are currently available to determine the superiority of one surgical technique over another.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
Inserm
CHU Lille
Inserm
CHU Lille
Submission date :
2024-02-03T22:18:38Z
2024-03-14T12:49:18Z
2024-03-14T12:49:18Z