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Sinonasal Symptom Outcomes following Endoscopic Anterior Cranial Base Surgery in the Pediatric Population.
- Source :
-
Journal of neurological surgery. Part B, Skull base [J Neurol Surg B Skull Base] 2021 May 17; Vol. 83 (Suppl 2), pp. e312-e317. Date of Electronic Publication: 2021 May 17 (Print Publication: 2022). - Publication Year :
- 2021
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Abstract
- Objective This study aimed to evaluate the impact of endoscopic anterior cranial base (ACB) surgery on sinonasal symptoms in the pediatric population utilizing the Sino-Nasal Outcome Test (SNOT)-22 questionnaire. Design This is a retrospective review. Setting The study was conducted at a tertiary academic medical center. Participants Thirty-four consecutive patients, age 6 to 17 years, M:F 14:20, who underwent endoscopic ACB surgery from July 2008 to August 2019. Ten patients had baseline and a minimum of two subsequent postoperative SNOT-22 questionnaires available for analysis. Main Outcome Measures Baseline and postoperative SNOT-22 scores were compared. The mean change from baseline sinonasal symptom scores in the pediatric and historical adult cohorts was compared. Results The mean baseline SNOT-22 score for our 10 patient cohort was 0.46 out of 5 for each of the first 10 sinonasal-specific questions. This worsened to 1.69 at 1 month and returned to near baseline, 0.7, at 3 months postoperatively. The mean quality-of-life score improved to 0.91 at 1 month and 0.6 at 3 months postoperatively. The mean change from baseline for the following items: need to blow nose, runny nose, postnasal discharge, thick nasal discharge, wake up at night, reduced concentration, and frustrated/restless/irritable were similar to those in our historical adult cohort at 3 months postoperatively. Conclusion Endoscopic ACB surgery in the pediatric population results in increased sinonasal symptom morbidity in the early postoperative period; however, symptoms return to near baseline by ∼3 months, and quality-of-life scores progressively improve in the postoperative period. These trends were similar to those seen in our historic adult cohort.<br />Competing Interests: Conflict of Interest None declared.<br /> (Thieme. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2193-6331
- Volume :
- 83
- Issue :
- Suppl 2
- Database :
- MEDLINE
- Journal :
- Journal of neurological surgery. Part B, Skull base
- Publication Type :
- Academic Journal
- Accession number :
- 35833001
- Full Text :
- https://doi.org/10.1055/s-0041-1729976