Back to Search Start Over

Sinonasal Symptom Outcomes following Endoscopic Anterior Cranial Base Surgery in the Pediatric Population.

Authors :
Carle TR
Wung V
Heaney AP
Chiu HK
Suh JD
Bergsneider M
Wang MB
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

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