Endoscopic Scoring after Endoscopic Sinus Surgery

Abstract

Objective: 1) Propose a simple endoscopic scoring after endoscopic sinus surgery (ESS). 2) Show the usefulness of the scoring in the postoperative evaluation. Method: Eight-six patients with chronic sinusitis who underwent ESS were enrolled. The patients consisted of 65 men and 21 women, and the mean age was 52.7 years. Fourteen patients with bronchial asthma were included. The postoperative endoscopic scoring (E score) was performed at 1 year after surgery in all patients. Results: E score was assessed in a similar manner as Lund-Mackay CT score. The physical findings of each sinus via the opening were scored; 2 points when the opening was closed, 1 point when the sinus was diseased, 0 point when normal. E score is expressed as a percentage of the maximum score possible. E scores in the patients showed a statistical correlation with the postoperative CT scores ( P < .001). The mean E score showed 22.5%, and was close to the postoperative CT score (20.5%). The mean E score in patients without asthma showed statistically better outcomes than with asthma. Conclusion: A simple endoscopic scoring after ESS has been required although several evaluation methods were advocated. E score is a simple and useful postoperative evaluation method as same as Lund-Mackay CT score in patients after ESS.