Section: 
Original articles
Original articlesComparative efficacy of maxillary sinus surgery in chronic rhinosinusitis in children using SNOT-20 (GAV)
S. I. Alekseenko (1), (2)
(1) Mechnikov Northwest State Medical University Ministry of Healthcare of the Russia, Saint Petersburg, 191015, Russia
(2) Rauchfuss Children’s Municipal Multidisciplinary Clinical Center for High Medical Technologies, Saint-Petersburg, 193036, Russia
UDK: 616.216.1-002.2-053.5-072.1-089.168
DOI: https://doi.org/10.18692/1810-4800-2019-2-8-15
ABSTRACT
The objective of this study is a comparative analysis of the efficacy of surgical interventions with endoscopic and external access in chronic maxillary rhinosinusitis (CMS) in children using SNOT-20 (GAV). The study involved 121 children aged 9 to 17 years. The patients were divided into 2 groups: 1) Caldwell-Luc Surgery (n = 36), 2) endoscopic maxillary sinus surgery (n = 85). The condition of the patients was assessed not earlier than 6 months after surgery using SNOT-20 (GAV) scale. The comparative analysis showed that Caldwell–Luc surgery resulted in significant improvement in the children’s condition according to SNOT-20 (GAV) questionnaire results, except for the frequency of secretory otitis (p = 0.134) and ear pain (p = 0.683). Meanwhile, endoscopic surgery on the maxillary sinus resulted in a significant improvement of all parameters according to SNOT-20 (GAV) including the presence of secretory otitis (p = 0.041) and ear pain (p = 0.008). There were no significant group distinctions in the patients’ condition before the surgery. The maxillary sinus endoscopic surgery provided a statistically significant reduction in the frequency of dizziness (p = 0.038), getting up at night (p = 0.001), reduction of concentration (p = 0.011), ear pain (p = 0.002), as well as emotional depression (p = 0.040) compared with the surgery through external access. Thus, despite the fact that the efficacy of surgical access through the anterior sinus wall remains high, the obtained data indicate a higher safety of endonasal endoscopic access.
Publication date:
28.03.2019
Keywords:
chronic rhinosinusitis, endoscopic rhinosurgery, Caldwell–Luс operation, SNOT-20 (GAV), children. For citation:
Alekseenko S. I. Comparative efficacy of maxillary sinus surgery in chronic rhinosinusitis in children using SNOT-20 (GAV). Rossiiskaya otorinolaringologiya. 2019;18(2):8–15. https://doi.org/ 10.18692/1810-4800-2019-2-8-15