Photo Credit: Pornpak Khunatorn
In patients with chronic rhinosinusitis with nasal polyps (CRSwNP) who undergo endoscopic sinus surgery (ESS), poor prognostic factors include asthma, frontal sinus involvement, increased eosinophilia in peripheral blood, and a higher score on the Lund–Mackay (LM) system and Endoscopic Nasal Polyps Score (NPS), according to a retrospective cross-sectional study published in Acta Oto-Laryngologica. Pedro Marques Gomes, MD, and colleagues analyzed data from 130 patients diagnosed with CRSwNP who underwent ESS with a minimum follow-up period of 60 months. Multivariate and regression analyses were employed to assess the predictors of recurrence and revision surgery. The 5-year recurrence rate was 35.4%, and 17.7% of patients required revision surgery. Asthma (P< 0.001), frontal sinus involvement (P< 0.001), LM score (P< 0.001), NPS (P< 0.001), and eosinophilia in peripheral blood (P< 0.001) were identified as predictors of recurrence and revision surgery 5-years post-ESS for CRSwNP.
