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Effect of FESS on asthma patients with nasal polyposis and chronic sinusitis

Önder Akdeniz, Seyhan Us Dülger, Ozlem Sengoren, Dilber Durmaz Yilmaz, Mehmet Karadag
European Respiratory Journal 2016 48: PA4201; DOI: 10.1183/13993003.congress-2016.PA4201
Önder Akdeniz
2Autolaryngology, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
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Seyhan Us Dülger
1Pulmonary Diseases, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
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Ozlem Sengoren
1Pulmonary Diseases, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
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Dilber Durmaz Yilmaz
1Pulmonary Diseases, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
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Mehmet Karadag
1Pulmonary Diseases, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
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Abstract

Background: Chronic sinusitis with nasal polyps and asthma is a common clinical refractory airway disease. Comprehensive treatment of nasal endoscopic surgery including nasal endoscopic surgery and medication, which can significantly improve nose-pulmonary symptoms and make sinusitis and asthma easier to be controlled by medication.

Method: This study involved 23 asthma patients with nasal polyposis and chronic sinusitis. They were assessed with asthma control test (ACT) and pulmonary function test. Subjective nasal obstruction assessment was done according to the nasal obstruction symptoms rating scale (NOSE).

Other subjective sinonasal complaints were classified using VAS carts (visual analogue scale). Functional endoscopic sinus surgery (FESS) was performed. Pulmonary function tests, clinical control levels of asthma, NOSE and sinonasal changes were reevaluated at the postoperative 3rd month.

Results: Mean FEV1 (74.2%±11.9, 87.6%±9.4) and FVC (70.8%±10.4, 87.8%±10) increased significantly three months after operation, however mean FEV1/FVC (87.6±5.4, 83.90±8.0) did not change (p<0.05).

According to ACT, number of patients under control and uncontrolled were 8/17 and 15/6 preoperatively and postoperatively respectively. There was an improvement in nasal congestion or stuffiness (69.5%), nasal blockage or obstruction (65.2%), trouble breathing through nose (73.9%), trouble

sleeping (52.1%), unable to get enough air through nose during exercise

or exertion (43.4%); all differences were significant (p<0.05).

Conclusion: Uncontrolled asthma associated with nasal polyp and chronic rinosinusitis can benefit from FESS in terms of pulmonary function test, asthma control level, nasal blockage symptoms and other sinonasal complaints.

  • Asthma - management
  • Spirometry
  • Surgery
  • Copyright ©the authors 2016
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Effect of FESS on asthma patients with nasal polyposis and chronic sinusitis
Önder Akdeniz, Seyhan Us Dülger, Ozlem Sengoren, Dilber Durmaz Yilmaz, Mehmet Karadag
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4201; DOI: 10.1183/13993003.congress-2016.PA4201

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Effect of FESS on asthma patients with nasal polyposis and chronic sinusitis
Önder Akdeniz, Seyhan Us Dülger, Ozlem Sengoren, Dilber Durmaz Yilmaz, Mehmet Karadag
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4201; DOI: 10.1183/13993003.congress-2016.PA4201
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