Abstract:

OBJECTIVE: To investigate the influence of laryngopharyngeal reflux on the improvement of chronic rhinosinusitis (CRS) in patients who underwent endoscopic sinus surgery(ESS). METHODS: A total of 48 patients with CRS without polyposis were controlled for the presence of gastric reflux with Reflux Symptom Index(RSI) and Reflux Finding Scores(RFS) before undergoing primary ESS. Patients with a RSI > 12 and RFS > 7 were included in the reflux(+) and those with either number under these cutoffs in the reflux(-) group. Improvement scores were accepted as being the difference between preoperative and 6 months postoperative Lund-Mackay Radiology Scores (LMRS), Lund-Kennedy Endoscopy Scores (LKES) and Sinusitis Symptom Scores (SSS). RESULTS: No significant difference was seen between improvements in radiology, endoscopy and symptom scores of the reflux(+) and reflux(-) groups (p>0.05). However, preoperative and postoperative 6- month radiology scores were significantly higher in patients with reflux (p<0.01), Postoperative 6-month LKES were significantly higher in reflux(+) patients. No statistically significant differences were found between preoperative, postoperative 6-month SSS in patients with or without reflux. CONCLUSION: laryngopharyngeal reflux was associated with worse radiology and endoscopy scores at the presentation of CRSwithout polyposis,however, had no role on the improvement scores after primary ESS.

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