metricas
covid
Buscar en
Acta Otorrinolaringológica Española
Toda la web
Inicio Acta Otorrinolaringológica Española Clinical symptoms of chronic rhinosinusitis with nasal polyps (eosinophilic and ...
Journal Information
Vol. 73. Issue 4.
Pages 203-209 (July - August 2022)
Share
Share
Download PDF
More article options
Visits
2
Vol. 73. Issue 4.
Pages 203-209 (July - August 2022)
Original article
Clinical symptoms of chronic rhinosinusitis with nasal polyps (eosinophilic and non-eosinophilic) are related to sinus computed tomography but not to endoscopic findings
Los síntomas clínicos de la rinosinusitis crónica con pólipos nasales (eosinofílicos y no eosinofílicos) se correlacionan con la tomografía computarizada de senos, pero no con los hallazgos endoscópicos
Visits
2
Mohd Shaiful Nizam Mamat Nasira, Mohd Ezane Azizb, Sharifah Emilia Tuan Sharifc, Rohaida Ibrahimd, Baharudin Abdullaha,
Corresponding author
a Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
b Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
c Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
d Department of Otorhinolaryngology, Hospital Tengku Ampuan Afzan, 25100 Kuantan, Pahang, Malaysia
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Abstract
Background

In the clinical assessment of chronic rhinosinusitis with nasal polyps (CRSwNP), evaluation of symptoms, nasoendoscopy findings and sinus computed tomography (CT) scan staging is employed in the management plan. Although prior studies have been done to assess the correlation of the three modalities in CRSwNP, such evaluation in patients with eosinophilic and non-eosinophilic types of CRSwNP requires further investigation. The aim of this study was to correlate the sinus CT scan staging to symptom and endoscopic scores in both types of CRSwNP.

Material and method

Patients with CRSwNP were classified into 2 types, eosinophilic and non-eosinophilic. Both types were assessed by Sino-Nasal Outcome Test 22 (SNOT-22) symptom score, nasal endoscopy Lund Kennedy grading (LK) score and sinus CT Lund Mackay (LM) staging score. All three modalities were correlated.

Results

Forty-four patients were recruited for this study. There was significant correlation between sinus CT and symptom scores in the eosinophilic (r=.51, p=.031) and the non-eosinophilic (r=.76, p<.001) types. There was no significant correlation between symptom and nasoendoscopic scores in the eosinophilic (r=.12, p=.641) and the non-eosinophilic (r=.22, p=.276) types. There was also no significant correlation between sinus CT and nasoendoscopic scores in the eosinophilic (r=.20, p=.418) and the non-eosinophilic (r=.14, p=.508) types.

Conclusions

Sinus CT staging correlates well with the symptom score for both the eosinophilic and the non-eosinophilic types of CRSwNP. The good correlation suggests both modalities are a reliable guide for their evaluation and management planning.

Keywords:
Chronic rhinosinusitis
Nasal polyps
Eosinophilic
Non eosinophilic
Resumen
Antecedentes

En la evaluación clínica de la rinosinusitis crónica con pólipos nasales (RSCPN) la evaluación de los síntomas, los hallazgos nasoendoscópicos y la estadificación de la tomografía computarizada (TC) de senos se utilizan en el plan terapéutico. Aunque se han realizado estudios previos para evaluar la correlación de estas 3 modalidades en la RSCPN, dicha evaluación en los pacientes con tipos eosinofílicos y no eosinofílicos de RSCPN requiere investigación adicional. El objetivo de este estudio fue correlacionar la estadificación de la TC de senos con los síntomas y las puntuaciones endoscópicas en ambos tipos de RSCPN.

Material y método

Los pacientes con RSCPN fueron clasificados en 2 tipos: eosinofílicos y no eosinofílicos. Ambos tipos fueron evaluados utilizando la puntuación para síntomas Sino-Nasal Outcome Test 22 (SNOT-22), la escala de clasificación para endoscopia nasal Lund Kennedy (LK) y la escala de estadificación de la TC Lund Mackay (LM). Las 3 modalidades estuvieron correlacionadas.

Resultados

Este estudio incluyó 44 pacientes. Se encontró una correlación significativa entre la TC de senos y las puntuaciones de los síntomas en los tipos eosinofílico (r=0,51; p=0,031) y no eosinofílico (r=0,76; p<0,001). No se encontró correlación significativa entre las puntuaciones de los síntomas y las puntuaciones nasoendoscópicas en los tipos eosinofílico (r=0,12; p=0,641) y no eosinofílico (r=0,22; p=0,276). Tampoco se encontró correlación significativa entre la TC de senos en los tipos eosinofílico (r=0,20, p=0,418) y no eosinofílico (r=0,14; p=0,508).

Conclusiones

La estadificación de la TC de senos guarda buena correlación con la puntuación de los síntomas para los tipos eosinofílico y no eosinofílico de RSCPN. Dicha buena correlación sugiere que ambas modalidades son directrices fiables para su evaluación y plan terapéutico.

Palabras clave:
Rinosinusitis crónica
Pólipos nasales
Eosinofílico
No eosinofílico

Article

These are the options to access the full texts of the publication Acta Otorrinolaringológica Española
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Acta Otorrinolaringológica Española

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos