Effectiveness and Outcomes of Endoscopic Sinus Surgery for Nasal Polyps: A Systematic Review

Hyder Osman Mirghani; Ziyad Abdullah H Almalki; Wejdan Ahmed Aldawsari; Raad Ahmed A Alnami; Danah Mohsen A Albalawi; Ibrahim Abbas Tawfiq; Nouf Abdullah Alshehri; Sarah Hadi S  Atawi; Deema Fahad M Alharbi; Basel H. Bakhamees; Hamad  Khalid Faya; Reem Sulaiman E Alatawi; Hanan Saad Alnawmasi; Abdullah Mohammed A AL Madshush

doi:10.54293/smhj.v4i3.113

Authors

Hyder Osman Mirghani Associate Prof of Internal medicine, University of Tabuk, Tabuk, KSA.
Ziyad Abdullah H Almalki Student, Faculty of Medicine in Tabuk University, Tabuk, KSA.
Wejdan Ahmed Aldawsari Medical student ,College of Medicine and Surgery Tabuk University Tabuk, Saudi Arabia. https://orcid.org/0009-0001-1518-3685
Raad Ahmed A Alnami Faculty of Medicine in King Khalid University , Abha, KSA. https://orcid.org/0009-0002-1840-361X
Danah Mohsen A Albalawi Medical student, College of Medicine and Surgery , University of tabuk Tabuk, Saudi Arabia https://orcid.org/0000-0002-8776-2264
Ibrahim Abbas Tawfiq Medical student, Faculty of medicine in Taibah University, Medina, KSA. https://orcid.org/0009-0006-5197-1845
Nouf Abdullah Alshehri Medical student, College of Medicine and Surgery , University of tabuk, Tabuk, KSA. https://orcid.org/0009-0005-1389-7069
Sarah Hadi S Atawi Medical student, Tabuk university ,Tabuk ,KSA.
Deema Fahad M Alharbi Medical student, Faculty of Medicine in University of Tabuk, Tabuk, KSA.
Basel H. Bakhamees Medical student, Faculty of Medicine, King AbdulAziz University, Jeddah, KSA. https://orcid.org/0009-0009-1501-6885
Hamad Khalid Faya Medical Student, Faculty of Medicine, King Khalid University , Abha, KSA. https://orcid.org/0009-0001-7152-8414
Reem Sulaiman E Alatawi Graduated student, Faculty of Science, King Saud University, Riyadh, KSA.
Hanan Saad Alnawmasi Medical student, college of Medicine and Surgery, university of Tabuk, Tabuk, KSA.
Abdullah Mohammed A AL Madshush Medical intern, tabuk university, tabuk, KSA.

DOI:

https://doi.org/10.54293/smhj.v4i3.113

Keywords:

Endoscopic sinus surgery; Chronic sinusitis; Nasal polyps; Surgical outcomes; Systematic review.

Abstract

Objectives: To investigate the effectiveness and outcomes of endoscopic sinus surgery (ESS) in patients with nasal polyps.

Methods: A thorough search was conducted for pertinent literature using PubMed, SCOPUS, Web of Science, Science Direct, and Wiley Library. Rayyan QRCI was used throughout this extensive procedure.

Results: Our results included nine studies with a total of 780 patients, and 490 (62.8%) were males. The follow-up duration ranged from 4 months to 24 months. All of the included patients underwent ESS for chronic sinusitis with nasal polyps (CRSwNP). Patients with CRSwNP and refractory CRSwNP reported better self-evaluated olfactory function after using ESS, experienced a higher reduction in polyp load, and better quality of life.

Conclusion: Patients with CRSwNP reported significant improvements in quality of life and major symptoms when using ESS. The quality of the available data, as established in this evaluation, is low enough to make firm recommendations for the best course of surgical therapy. From a precision medicine perspective, high-quality studies are needed to phenotype these patients in order to identify which ones will benefit most from each type of medicinal and surgical therapy, including a combination of both, with long-term efficiency being a crucial result.