J Rhinol.  2019 Nov;26(2):86-91. 10.18787/jr.2019.26.2.86.

The Association of Patient-Reported Local Allergic Symptoms with Postoperative Outcomes of Chronic Rhinosinusitis

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Korea. happyjy416@gmail.com
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University Myongji Hospital, Goyang, Korea.

Abstract

BACKGROUND AND OBJECTIVES
Patients with nonallergic rhinitis (Non-AR) or idiopathic rhinitis are common, with both conditions being classified as local allergic rhinitis (LAR). However, the link between LAR and CRS has not been identified. This study 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 itching were defined as local allergic symptoms (LAS). We evaluated the relationships between clinical characteristics and recurrence rate 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 significantly higher 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.

Keyword

Chronic rhinosinusitis (CRS); Allergic rhinitis (AR); Local allergic rhinitis (LAR); Recurrence rate
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