Korean J Otorhinolaryngol-Head Neck Surg.  2017 Mar;60(3):112-119. 10.3342/kjorl-hns.2016.17034.

Nasalance Changes after Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis

Affiliations
  • 1Department of Otorhinolaryngology, School of Medicine, Chungnam National University, Daejeon, Korea. ksrha@cnu.ac.kr

Abstract

BACKGROUND AND OBJECTIVES
The purpose of this study was to examine the effect of endoscopic sinus surgery (ESS) on nasalance in patients with chronic rhinosinusitis (CRS).
SUBJECTS AND METHOD
Eighty-one CRS patients were enrolled. The nasalance scores for oral, oro-nasal, and nasal passages were measured by nasometry and the nasal cavity volume was measured by acoustic rhinometry before and at 1 and 3 months after ESS. We divided the patients into four groups according to the following surgical interventions employed: unilateral anterior ethmoidectomy (group I), bilateral anterior ethmoidectomy (group II), bilateral total ethmoidectomy (group III), and bilateral pansinus surgery (group IV). We also divided the patients into three groups according to the CT scoring system and polyp grading system.
RESULTS
In group III and IV, the nasalance scores for all passages and nasal cavity volume were significantly increased after ESS but did not return to its preoperative level at 3 months after surgery. However, there were no significant changes in nasalance scores or in the nasal cavity volume in group I. Similarly, there were no significant changes in nasalance scores in the mild group (CT scoring system) or no polyp group, whereas the nasalance scores were significantly increased postoperatively in the moderate to severe groups (CT scoring system), and in groups that have nasal polyp group.
CONCLUSION
The nasalance scores and nasal cavity volumes were increased after ESS and remained unchanged until postoperative 3 months. Postoperative changes in nasalance scores were more remarkable in patients who had more severe disease and who underwent more extensive surgery.

Keyword

Endoscopic surgery; Nasal cavity; Nasal polyps; Sinusitis; Voice quality

MeSH Terms

Humans
Methods
Nasal Cavity
Nasal Polyps
Polyps
Rhinometry, Acoustic
Sinusitis
Voice Quality
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