Objective:
To compare recovery outcomes between endoscopic sinus surgery and traditional open sinus surgery in adults with chronic rhinosinusitis and nasal polyps.
Approach:
- Study Design: A retrospective study involving 160 adults treated between January 2020 and December 2022, randomly assigned to either endoscopic (n = 80) or open sinus surgery (n = 80) after failing to respond to at least 12 weeks of standardized medical therapy.
Key Findings:
- Endoscopic surgery had a shorter duration (31.1 ± 4.2 min vs 39.4 ± 5.2 min; P < .05) and less intraoperative blood loss (13.2 ± 3.4 mL vs 34.7 ± 7.9 mL; P < .05).
- Time to nasal mucosal recovery, restoration of nasal ventilation, and length of hospital stay were shorter in the endoscopic group (all P < .05).
- Postoperative complications occurred in 1 patient (1.3%) in the endoscopic group compared to 8 patients (10.0%) in the open group.
- Pain scores were significantly lower in the endoscopic group on postoperative days 1, 2, and 3 (all P < .05).
- Inflammatory markers declined more rapidly in the endoscopic group, with lower CRP and interleukin-6 levels by day 3 (P < .05).
- Measures of immune function showed more favorable values in the endoscopic group (P < .05).
- Sleep outcomes favored the endoscopic group, with shorter latency to sleep, longer total sleep time, and better sleep quality scores (P < .05).
- Quality of life improved significantly more in the endoscopic group across all domains assessed by the WHOQOL-BREF questionnaire (P < .05).
Interpretation:
Limitations:
- The study is retrospective and may have inherent biases.
- Long-term studies are needed to confirm the durability of the findings.
Conclusion:
Sources:
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