Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34631/sporl.982 |
Resumo: | Objectives: Functional endoscopic sinus surgery (FESS) is one of the treatments for chronic rhinosinusitis (CRS), with recurrence rates between 4 and 60%. The main goals of this work were to evaluate the results of FESS and to identify independent predictors of disease recurrence after 1 year postoperative. Material/Methods: A retrospective, single-centre study from 2014 to 2018, that included all CRS patients submitted to FESS. Several variables were used to perform a bivariate and regression analysis. Results: The recurrence rate after 1 year of surgery was 11%. Smoking and Lund-Mackay score were independent predictive factors for disease recurrence after 1-year postoperative [OR 7.75 (p=0.006; 95% CI 1.8–31.1); OR 1.14 (p=0.042; 95% CI 1.1–1.29)]. Conclusion: CRS patients who were active smokers and those who had higher pre-operative Lund-Mackay scores presented greater recurrence rates after 1 year of FESS. |
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Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus SurgeryRinossinusite Crónica: Fatores Preditores de Recidiva a 1 ano após Cirurgia Endoscópica Nasossinusalrinossinusite crónicacirurgia endoscópica nasossinusalscore de Lund-Mackaychronic rhinosinusitisfunctional endoscopic sinus surgeryLund-Mackay scoreObjectives: Functional endoscopic sinus surgery (FESS) is one of the treatments for chronic rhinosinusitis (CRS), with recurrence rates between 4 and 60%. The main goals of this work were to evaluate the results of FESS and to identify independent predictors of disease recurrence after 1 year postoperative. Material/Methods: A retrospective, single-centre study from 2014 to 2018, that included all CRS patients submitted to FESS. Several variables were used to perform a bivariate and regression analysis. Results: The recurrence rate after 1 year of surgery was 11%. Smoking and Lund-Mackay score were independent predictive factors for disease recurrence after 1-year postoperative [OR 7.75 (p=0.006; 95% CI 1.8–31.1); OR 1.14 (p=0.042; 95% CI 1.1–1.29)]. Conclusion: CRS patients who were active smokers and those who had higher pre-operative Lund-Mackay scores presented greater recurrence rates after 1 year of FESS.Objetivos: A cirurgia endoscópica nasossinusal (CENS) é um dos tratamentos para a rinossinusite crónica (RSC), estando descritas taxas de recidiva entre 4 e 60%. Os objetivos deste trabalho foram avaliar os resultados da CENS e identificar fatores preditores independentes de recidiva da doença após um ano de cirurgia Materiais/Métodos: Estudo retrospetivo que incluiu os doentes com RSC submetidos a CENS entre 2014 e 2018. Diversas variáveis foram usadas para análises bivariadas e de regressão. Resultados: A taxa de recidiva da RSC 1 ano após a cirurgia foi de 11%. As variáveis tabagismo e score de Lund-Mackay são fatores preditores de recidiva após 1 ano de cirurgia [OR 7.75 (p=0.006; IC 95% 1.8–31.1); OR 1.14 (p=0.042; IC 95% 1.1– 1.29)]. Conclusões: Os doentes com RSC que eram fumadores e os com valores mais elevados no score de Lund-Mackay são os doentes com mostraram taxas de recidiva de doença mais elevadas ao final de 1 ano de cirurgia.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2022-06-07info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.982https://doi.org/10.34631/sporl.982Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 60 No. 2 (2022): June; 101-110Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 60 Núm. 2 (2022): Junho; 101-110Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 60 N.º 2 (2022): Junho; 101-1102184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2141https://journalsporl.com/index.php/sporl/article/view/2141/273Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessCosta, Joana Borges daCarção, AndréDuarte, DelfimViana, Miguel2024-06-06T12:57:17Zoai:journalsporl.com:article/2141Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T12:57:17Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery Rinossinusite Crónica: Fatores Preditores de Recidiva a 1 ano após Cirurgia Endoscópica Nasossinusal |
title |
Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery |
spellingShingle |
Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery Costa, Joana Borges da rinossinusite crónica cirurgia endoscópica nasossinusal score de Lund-Mackay chronic rhinosinusitis functional endoscopic sinus surgery Lund-Mackay score |
title_short |
Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery |
title_full |
Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery |
title_fullStr |
Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery |
title_full_unstemmed |
Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery |
title_sort |
Chronic Rhinosinusitis: Predictive Factors for 1-Year-Recurrence After Endoscopic Sinus Surgery |
author |
Costa, Joana Borges da |
author_facet |
Costa, Joana Borges da Carção, André Duarte, Delfim Viana, Miguel |
author_role |
author |
author2 |
Carção, André Duarte, Delfim Viana, Miguel |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Costa, Joana Borges da Carção, André Duarte, Delfim Viana, Miguel |
dc.subject.por.fl_str_mv |
rinossinusite crónica cirurgia endoscópica nasossinusal score de Lund-Mackay chronic rhinosinusitis functional endoscopic sinus surgery Lund-Mackay score |
topic |
rinossinusite crónica cirurgia endoscópica nasossinusal score de Lund-Mackay chronic rhinosinusitis functional endoscopic sinus surgery Lund-Mackay score |
description |
Objectives: Functional endoscopic sinus surgery (FESS) is one of the treatments for chronic rhinosinusitis (CRS), with recurrence rates between 4 and 60%. The main goals of this work were to evaluate the results of FESS and to identify independent predictors of disease recurrence after 1 year postoperative. Material/Methods: A retrospective, single-centre study from 2014 to 2018, that included all CRS patients submitted to FESS. Several variables were used to perform a bivariate and regression analysis. Results: The recurrence rate after 1 year of surgery was 11%. Smoking and Lund-Mackay score were independent predictive factors for disease recurrence after 1-year postoperative [OR 7.75 (p=0.006; 95% CI 1.8–31.1); OR 1.14 (p=0.042; 95% CI 1.1–1.29)]. Conclusion: CRS patients who were active smokers and those who had higher pre-operative Lund-Mackay scores presented greater recurrence rates after 1 year of FESS. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-07 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34631/sporl.982 https://doi.org/10.34631/sporl.982 |
url |
https://doi.org/10.34631/sporl.982 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://journalsporl.com/index.php/sporl/article/view/2141 https://journalsporl.com/index.php/sporl/article/view/2141/273 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
dc.source.none.fl_str_mv |
Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 60 No. 2 (2022): June; 101-110 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 60 Núm. 2 (2022): Junho; 101-110 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 60 N.º 2 (2022): Junho; 101-110 2184-6499 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817546026064543744 |