Epidemiologic factors and surgical outcomes in patients with nasal polyposis and asthma.

BACKGROUND/AIM: To evaluate the role of epidemiologic factors in surgical outcomes for patients with nasal polyposis (NP) and asthma.

METHODS

Data was prospectively collected on patients who underwent endoscopic sinus surgery over a 7-year period. Among patients with chronic rhinosinusitis (CRS) with NP and asthma, surgical outcomes were analyzed according to gender and race.

RESULTS

Patients with NP and asthma had significantly higher Lund-Kennedy and SNOT-20 scores--pre- and postoperatively--compared to CRS patients without NP or asthma. Both Caucasians and African-Americans in the CRS with NP/asthma group showed a statistically significant improvement at 6 months. Caucasians continued to have a significant improvement at 12 months, whereas African-Americans did not. There were no differences according to gender.

CONCLUSION

In our patient population, African-Americans with NP and asthma had poorer outcomes following functional endoscopic sinus surgery.