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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

التفاصيل البيبلوغرافية
العنوان: 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
المؤلفون: Borges da Costa, Joana, Carção, André, Duarte, Delfim, Viana, Miguel
المصدر: 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 e Cirurgia de Cabeça e Pescoço; v. 60 n. 2 (2022): Junho; 101-110 ; 2184-6499
بيانات النشر: Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
سنة النشر: 2022
مصطلحات موضوعية: rinossinusite crónica, cirurgia endoscópica nasossinusal, score de Lund-Mackay, chronic rhinosinusitis, functional endoscopic sinus surgery, Lund-Mackay score
الوصف: 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. ; 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.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: Portuguese
Relation: https://www.journalsporl.com/index.php/sporl/article/view/982/806; https://www.journalsporl.com/index.php/sporl/article/view/982
الاتاحة: https://www.journalsporl.com/index.php/sporl/article/view/982
Rights: Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço ; https://creativecommons.org/licenses/by-sa/4.0
رقم الانضمام: edsbas.895E503C
قاعدة البيانات: BASE
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