A retrospective review was done on 103 patients. All of these patients were under functional intranasal endoscopic sinus surgery after expectant treatment is ineffective. We devided the patients into different groups according to the result of skin prick and specific
IgE and if there is difference in VAS score, Lund and Kennedy endoscopic score, Lund-Mackay CT score between the groups. We also analysed the symptoms in different chronic
rhinosinusitis patients allerged to variant kinds of
allergen. The SPSS 17.0 software was used to analyze the data. Statistical analysis was performed by t-test, rank order test or χ2 test.
RESULT: The duration of the disease, VAS score of
nasal blockage, score of Lund-Mackay CT and Lund and Kennedy endoscopic before the operation were in no statistical sense after when compared with the two groups of patients with chronic rhiriosinusitis who grouped according the result of skin prick and specific
IgE. The VAS score of facial pressure and
loss of smell was higher in patients with chronic
rhinosinusitis which the skin prick and specific
IgE were positive. The VAS score of nasal discharge was higher in patients with chronic
rhinosinusitis who got negative skin prick and specific
IgE result. The symptoms of chronic
rhinosinusitis improved with operation no matter the group of skin prick and specific
IgE positive or negative and VAS score of
nasal blockage improved significantly in negative group. The symptoms of
sneezing, rhinorrhoea and rhinocnesmus improved after operation among the chronic
rhinosinusitis patients with skin prick and specific
IgE. The number of cockroach
allergy is larger among the patients with chronic
rhinosinusitis without
polyps than the one among the patients with chronic
rhinosinusitis with
polyps.
CONCLUSION: Allergic factor didn't impact much the severity of chronic
rhinosinusitis patients who were failed in expectant treatment, besidesthe postoperative outcomes showed that only influence the severity of nasal discharge, facial pressure and
loss of smell. Different kinds of
allergen were found between the patients of chronic
rhinosinusitis with or without
polyps. No significantly functional endoscopic
sinusitis sugrery outcome were related to the allergic factor. But the allergic factor may interfere the remission of nasal discharge after surgery.