Epidemiologic factors and surgical outcomes in patients with nasal polyposis and asthma.

BACKGROUND/AIM: To evaluate the role of epidemiologic factors in surgical outcomes for patients with nasal polyposis (NP) and asthma. METHODS: Data was prospectively collected on patients who underwent endoscopic sinus surgery over a 7-year period. Among patients with chronic rhinosinusitis (CRS) with NP and asthma, surgical outcomes were analyzed according to gender and race. RESULTS: Patients with NP and asthma had significantly higher Lund-Kennedy and SNOT-20 scores--pre- and postoperatively--compared to CRS patients without NP or asthma. Both Caucasians and African-Americans in the CRS with NP/asthma group showed a statistically significant improvement at 6 months. Caucasians continued to have a significant improvement at 12 months, whereas African-Americans did not. There were no differences according to gender. CONCLUSION: In our patient population, African-Americans with NP and asthma had poorer outcomes following functional endoscopic sinus surgery.

Duke Scholars

Author David W Jang Rhinology and Skull Base Surgery