Do Endoscopic Sinus Surgery improve Long-Term Outcomes for Chronic Rhinosinusitis (CRS)?

INTRODUCTION Endoscopic sinus surgery (ESS) improves quality of life but previous studies show high recurrence rates. We aim to assess long-term outcomes of tailored ESS. METHODOLOGY Patients undergoing ESS in 2010-2 at a tertiary centre were sent questionnaires at 5 years including SNOT-22, asthma control and medication use. Of 226 patients, 135 (59.7%) responded. RESULTSu202f Patients reportedu202frecurrenceu202fof nasal polyps in 3.9%, revision surgery in 3% and 1 post-operative complication. Compliance with topical medications was 62%. SNOT-22 scores were significantly reduced (p<0.001); 68% patients demonstrated a clinically significant reduction (u22659 points). In patients with asthma, 65% reported improvement post-ESS withu202floweru202ffrequency of inhaler use. CONCLUSION The majority of patients achieved long-term clinically significant reductions in CRS and asthma symptoms post-ESS. Compliance with topical medications was high. Impact on quality of life and disease control reduces the burden on healthcare resources. This needs further evaluation through clinical trials.