Minimally invasive surgery under local anaesthesia for chronic rhinosinusitis with nasal polyps: our experience in older adults. Issue 2 (12th February 2020)

• Record Type: Journal Article
• Authors: Casale, M; Costantino, A; Sabatino, L; Luchena, A; Moffa, A; Cassano, M; Rinaldi, V; Baptista, P M
• Is Part Of: Journal of laryngology & otology. Volume 134:Issue 2(2020)
• Page Start: 145
• Page End: 149
• Publication Date: 2020-02-12
• Subjects: Surgery, -- Elderly, -- Nasal Polyps, -- Sinusitis, -- Anesthesia; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215120000304
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Objective: This paper aims to report our experience with a minimally invasive surgical procedure for the treatment of chronic rhinosinusitis with nasal polyps, performed in a day-surgery setting under local anaesthesia. Methods: A retrospective study of 30 patients with chronic rhinosinusitis with nasal polyps was conducted. Sino-Nasal Outcome Test 22 and modified Lund–Kennedy scores were collected. Intra- and post-operative pain was evaluated using a 10-point visual analogue scale. Results: The mean Sino-Nasal Outcome Test 22 score decreased from 41.8 ± 15.8 pre-operatively to 13.3 ± 9.5 post-operatively ( p < 0.001). Accordingly, the mean endoscopic score decreased from 6.8 ± 1.8 to 0.2 ± 0.7 ( p < 0.001). The mean intra-operative pain score was 2.9 ± 3.2, and 29 patients (96.7 per cent) reported no pain in the post-operative period (visual analogue scale score = 0). Conclusion: Our study confirms that minimally invasive surgery represents a safe, repeatable procedure that results in remarkable subjective and objective improvement, without intra- and post-operative pain or discomfort.