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934575.pdf (1.48 MB)

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2024-06-24

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cc-by (c) Rodriguez-Van Strahlen, Camilo, et al. , 2024
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/228677

Systematic Review of Long Term Sinonasal Outcomes in CRSwNP after Endoscopic Sinus Surgery: A call for Unified and Standardized Criteria and Terms

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https://doi.org/10.1007/s11882-024-01154-w

Resum

Purpose of review: To present current evidence in long-term (> 5 years) results after endoscopic sinus surgery (ESS) focusing on Patients Reported Outcome Measures (PROMs) and other sinonasal outcomes while assessing the role of ESS in the treatment of CRSwNP, and identifying outcomes which affect the results of ESS and defining recommendations for future studies. Recent findings: Long-term results of ESS in CRSwNP can be branched in PROMs and other objective measurements. Despite the heterogeneity of reported outcomes make it difficult to perform comparisons and meta-analysis, ESS improves PROMs, including symptoms, QOL and olfaction. Objectives outcomes such as NPS, LMS, type of surgery, or recurrence and revision surgery don't have a clear role in long-term results. Clustering patients suggest asthma, N-ERD, allergy, eosinophil count and IL-5 could have a role in predicting recurrence and severe disease. Long-term studies of CRSwNP treated with ESS are scarce. There is a significant need to standardize the report of results. The use of tools as SNOT-22, NPS, validated smell tests, defined criteria for disease recurrence and control and ESS extension in a unified systematic way could allow better comparisons between treatments in the new era of biologics.

Matèries

Cirurgia, Sinusitis, Sins paranasals

Matèries (anglès)

Surgery, Sinusitits, Paranasal sinuses

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Col·leccions

Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citació

RODRIGUEZ-VAN STRAHLEN, Camilo, ARANCIBIA VERDUGO, Claudio, CALVO HENRIQUEZ, Christian, MULLOL I MIRET, Joaquim, ALOBID, Isam. Systematic Review of Long Term Sinonasal Outcomes in CRSwNP after Endoscopic Sinus Surgery: A call for Unified and Standardized Criteria and Terms. _Current Allergy and Asthma Reports_. 2024. Vol. 24, núm. 8, pàgs. 443-456. [consulta: 6 de maig de 2026]. ISSN: 1529-7322. [Disponible a: https://hdl.handle.net/2445/228677]

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