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European Archives of Oto-Rhino-Laryngology

, Volume 274, Issue 2, pp 795–802 | Cite as

Quality of life before and after sinonasal surgery: a population-based matched cohort study

  • Antti I. AlakärppäEmail author
  • Timo J. Koskenkorva
  • Petri T. Koivunen
  • Olli-Pekka Alho
Rhinology

Abstract

A population-based matched cohort study was conducted to explore how the quality of life (QoL) changes in patients with septal deviation or recurrent/chronic rhinosinusitis after septoplasty (SP) and endoscopic sinus surgery (ESS). We also compared the QoL of the surgical cohort with that of a concurrently collected healthy cohort. We collected data on QoL in a population-based surgical cohort of 160 patients residing in one health care district (population 405,000) in Northern Finland, and in a control cohort comprised of 206 age- and sex-matched randomly selected subjects residing in Finland (population 5,470,000). QoL was assessed at entry and 12 months later with the Sino-Nasal Outcome Test-22 (SNOT-22) and the RAND-36 generic instruments. Seventy-six SP and 84 ESS patients and 206 controls were enrolled. At entry, the mean SNOT-22 scores of the SP and ESS groups were similar (34.9 and 35.1, respectively) and both were significantly worse than the control group (17.7). At 12 months, the mean SNOT-22 score had improved after SP [change 15.7, 95 % confidence interval (CI) 11.4–19.9] and ESS (change 18.0, 95 % CI 12.4–20.9) and almost reached that of the control group, which remained unchanged. The benefit was similar regardless of the surgical indication. At 12 months, mean RAND-36 scores had improved in most domains in both patient groups and remained unchanged in the controls. After appropriate surgical criteria, both SP and ESS are effective in enhancing QoL on the population level, and postoperative QoL almost reaches the level of the control population.

Keywords

Cohort studies Paranasal sinuses Quality of life Sinusitis Nasal surgical procedures Nasal septum 

Notes

Compliance with ethical standards

Conflict of interest

All of the authors declare no conflict of interest.

No external funding. All the procedures in this study were in accordance with regional ethics committee: The Northern Ostrobothnia Hospital District’s ethical committee approved the study protocol; register code 10/2010. Informed consent was obtained from all participants of the study.

Supplementary material

405_2016_4272_MOESM1_ESM.pdf (103 kb)
Supplementary material 1 (PDF 103 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology and Head and Neck SurgeryOulu University HospitalOuluFinland
  2. 2.PEDEGO Research UnitUniversity of OuluOuluFinland
  3. 3.Medical Research Center OuluOuluFinland

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