In patients who have failed medical management for chronic rhinosinusitis (CRS), are there greater quality of life (QOL) outcome improvements with further medical therapy or endoscopic sinus surgery (ESS)?
Background: Although it is widely believed that QOL measures are improved with ESS, there is insufficient evidence in the literature comparing various treatments for CRS. This study evaluates outcomes in CRS patients who have failed initial appropriate medical therapy and have elected either to continue medical therapy or to undergo ESS with continued medical management.
Explore this issue:November 2011
Study design: Prospective, nonrandomized cohort study.
Setting: Multi-institutional study involving academic rhinology practices.