%0 Journal Article
%T Resultados em longo prazo da cirurgia endosc車pica nasossinusal no tratamento da rinossinusite cr nica com e sem p車lipos nasais Long-term outcomes of endoscopic sinus surgery for chronic rhinosinusitis with and without nasal polyps
%A Juliana Gama Mascarenhas
%A Viviane Maria Guerreiro da Fonseca
%A Vitor Guo Chen
%A Caroline Harumi Itamoto
%J Brazilian Journal of Otorhinolaryngology
%D 2013
%I Associa??o Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial
%X Rinossinusite cr nica (RSC) afeta significativamente a qualidade de vida e o tratamento cl赤nico e cir迆rgico visa apenas seu controle cl赤nico. OBJETIVO: Avaliar a qualidade de vida e o controle cl赤nico da RSC em longo prazo em pacientes submetidos 角 cirurgia endosc車pica nasossinusal. M谷TODO: Estudo observacional longitudinal prospectivo que seguiu pacientes com diagn車stico cl赤nico de RSC no pr谷-operat車rio, p車s-operat車rio de 3 meses e depois por no m赤nimo 2 anos ap車s cirurgia nasossinusal endosc車pica com a utiliza  o do question芍rio Sinonasal Outcome Test 22 (SNOT-22) como principal medida de resposta ao tratamento, al谷m da avalia  o do controle cl赤nico a longo prazo. RESULTADOS: Trinta e oito pacientes foram avaliados em todos os intervalos. Houve uma grande melhora dos valores do SNOT-22 entre o pr谷-operat車rio (61,3) e o p車s-operat車rio de 3 (16,9) e 24 meses (32,3). N o houve diferen a estatisticamente significante entre os pacientes com e sem p車lipos nasais. Nota-se pouca propor  o de pacientes controlados em ambos os grupos, e 7,89% foram submetidos 角 cirurgia revisional no per赤odo estudado. CONCLUS O: A cirurgia endosc車pica nasossinusal promoveu importante melhora da qualidade de vida nos pacientes com rinossinusite cr nica, atingindo controle cl赤nico aceit芍vel com baixa necessidade de reinterven  o cir迆rgica, mesmo ap車s dois anos de seguimento p車s-operat車rio. Chronic rhinosinusitis (CRS) significantly affects patient quality of life. Medical and surgical treatments aim to clinically manage the condition. OBJECTIVE: To assess the long-term quality of life and clinical management of CRS in patients submitted to endoscopic sinus surgery. METHOD: This prospective cross-sectional cohort study enrolled 38 patients and looked into the follow-up data of subjects diagnosed with CRS before surgery, three months after surgery, and at least two years after surgery. The Sinonasal Outcome Test 22 (SNOT-22) was used to assess response to treatment and long-term clinical management of the disease. RESULTS: Significant improvements in the SNOT-22 scores were seen between the preoperative (61.3) and postoperative assessments with three (16.9) and 24 (32.3) months. No statistically significant differences were seen when patients with polyps were compared to polyp-free subjects. Few patients were controlled in both groups, and 7.89% of the subjects had revision surgery during the study. CONCLUSION: Endoscopic sinus surgery significantly improved the quality of life of patients with chronic rhinosinusitis. Clinical control of the condition was acceptable, with few patie
%K cirurgia endosc車pica por orif赤cio natural
%K p車lipos nasais
%K qualidade de vida
%K resultado de tratamento
%K sinusite
%K nasal polyps
%K natural orifice endoscopic surgery
%K quality of life
%K sinusitis
%K treatment outcome
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942013000300008