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KMID : 0900220190260020086
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대한비과학회지
2019 Volume.26 No. 2 p.86 ~ p.91
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The Association of Patient-Reported Local Allergic Symptoms with Postoperative Outcomes of Chronic Rhinosinusitis
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Park Myung-Jin
Min Hye-Kyu
Kang Dae-Woong
Kim Hyung-Sik
Jung Su-Young
Lee Kun-Hee
Kim Sung-Wan
Min Jin-Young
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Abstract
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Background and Objectives: Patients with nonallergic rhinitis (Non-AR) or idiopathic rhinitis are common, with both conditionsbeing classified as local allergic rhinitis (LAR). However, the link between LAR and CRS has not been identified. Thisstudy aimed to investigate the association of patient-reported local allergic symptoms with the postoperative outcomes of CRS.
Materials and Method: We reviewed the medical records of 64 patients who underwent endoscopic sinus surgery for CRS. All patients underwent skin prick test, Multiple Allergosorbent Test, and computed tomography. Sneezing and nasal itchingwere defined as local allergic symptoms (LAS). We evaluated the relationships between clinical characteristics and recurrencerate of CRS according to the presence or absence of LAS.
Results: In Non-AR patients, there was no significant difference in age, sex, and TNSS between the LAS (+) and LAS (-)groups. However, in all patients, the CRS recurrence rate was higher in the LAS (+) group (46.7%) than in the LAS (-) group(15.8%; p=0.02). A similar trend was observed in the Non-AR patients, showing that the CRS recurrence rate was significantlyhigher in the LAS (+) group (56%) than in the LAS (-) group (16.7%; p=0.024).
Conclusion: The CRS recurrence rate was higher in patients with LAS regardless of the presence of AR.
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KEYWORD
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Chronic rhinosinusitis (CRS), Allergic rhinitis (AR), Local allergic rhinitis (LAR), Recurrence rate
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