ESS Superior to Medical Therapy for QOL in CRS
For patients with chronic rhinosinusitis (CRS), does surgery provide better results for symptom control and quality of life (QOL) than medical treatment alone?
Background: Anecdotal evidence supports the effectiveness of endoscopic sinus surgery (ESS) in improving symptoms of chronic sinusitis, but there has been a lack of prospective control studies. This study prospectively compares the results of ESS with medical therapy for CRS patients who are candidates for ESS based on failed maximal medical therapy.
Study design: Prospective nonrandomized cohort.
Setting: Four tertiary academic rhinology practices: Oregon Health and Science University in Portland; Northwestern University in Chicago; Medical University of South Carolina in Charlestown; and the University of Pennsylvania in Philadelphia.