Long-term impact of endoscopic orbital decompression on sinonasal-specific quality of life
Müller SK, Miyake MM, Lefebvre DR, Freitag SK, Bleier BS (2018)
Publication Type: Journal article
Publication year: 2018
Journal
Book Volume: 128
Pages Range: 785-788
Journal Issue: 4
DOI: 10.1002/lary.26812
Abstract
OBJECTIVE: Endoscopic orbital decompression (EOD) is the workhorse surgical intervention for severe thyroid eye disease in Graves disease. Although EOD is a safe and effective procedure, the objective of this study is to determine the impact of orbital decompression on long-term sinonasal-pecific quality of life. METHODS: Retrospective study of 27 patients who underwent EOD by a single surgeon. The primary endpoint was change in preoperative 22-item Sinonasal Outcomes Test (SNOT-22) score at a minimum of 1 year. The secondary endpoint was to determine whether the performance of septoplasty for surgical access in patients without nasal obstruction impacted domain 1 (i.e., rhinologic domain) and total SNOT-22 scores. RESULTS: The mean follow-up was 25.7 ± 11.4 months. Domain 1 scores significantly increased at the first postoperative visit (P ≤ 0.01) and returned to baseline values between 1 and 3 months. At 1 year, significant improvements in both total score and domain 4 and 5 (psychological and sleep dysfunction, respectively) scores were seen (P < 0.01 for all scores). Septoplasty was not associated with a significant change in SNOT-22 score at 1 year (P = 0.48). CONCLUSION: Endoscopic orbital decompression is associated at 1 year with a significant improvement in sinonasal-specific quality of life, which is driven by the psychological and sleep dysfunction domains. Adjunctive septoplasty has no significant impact on SNOT-22 scores. LEVEL OF EVIDENCE: 4. Laryngoscope, 128:785-788, 2018.
Authors with CRIS profile
Sarina Katrin Ursel Müller-Hübner
Department of Otorhinolaryngology – Head and Neck Surgery (HNO-Klinik)
Involved external institutions
Faculdade de Ciências Médicas da Santa Casa de São Paulo
Brazil (BR)
Harvard University
United States (USA) (US)
Brazil (BR)
Harvard University
United States (USA) (US)
How to cite
APA:
Müller, S.K., Miyake, M.M., Lefebvre, D.R., Freitag, S.K., & Bleier, B.S. (2018). Long-term impact of endoscopic orbital decompression on sinonasal-specific quality of life. Laryngoscope, 128(4), 785-788. https://doi.org/10.1002/lary.26812
MLA:
Müller, Sarina Katrin, et al. "Long-term impact of endoscopic orbital decompression on sinonasal-specific quality of life." Laryngoscope 128.4 (2018): 785-788.
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