Endoscopic Extended Sinus Surgery for Patients with Severe Chronic Rhinosinusitis with Nasal Polyps, the Choice of Mucoplasty: A Systematic Review

Sahlstrand-Johnson P, Hopkins C, Ohlsson B, Ahlner-Elmqvist M. The effect of endoscopic sinus surgery on quality of life and absenteeism in patients with chronic rhinosinuitis - a multi-centre study. Rhinology. 2017;55(3):251–61. https://doi.org/10.4193/rhino16.126.

Article  CAS  PubMed  Google Scholar 

Orlandi RR, Kingdom TT, Smith TL, Bleier B, DeConde A, Luong AU, et al. International consensus statement on allergy and rhinology: rhinosinusitis 2021. Int Forum Allergy Rhinol. 2021;11(3):213–739. https://doi.org/10.1002/alr.22741.

Article  PubMed  Google Scholar 

Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R, Reitsma S, et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology. 2020;58(Suppl S29):1–464. https://doi.org/10.4193/rhin20.600.

Article  PubMed  Google Scholar 

Bachert C, Han JK, Wagenmann M, Hosemann W, Lee SE, Backer V, et al. EUFOREA expert board meeting on uncontrolled severe chronic rhinosinusitis with nasal polyps (CRSwNP) and biologics: definitions and management. J Allergy Clin Immunol. 2021;147(1):29–36. https://doi.org/10.1016/j.jaci.2020.11.013.

Article  CAS  PubMed  Google Scholar 

Rudmik L, Soler ZM, Hopkins C, Schlosser RJ, Peters A, White AA, et al. Defining appropriateness criteria for endoscopic sinus surgery during management of uncomplicated adult chronic rhinosinusitis: a RAND/UCLA appropriateness study. Rhinology. 2016;54(2):117–28. https://doi.org/10.4193/rhino16.023.

Article  PubMed  Google Scholar 

Zhang L, Zhang Y, Gao Y, Wang K, Lou H, Meng Y, et al. Long-term outcomes of different endoscopic sinus surgery in recurrent chronic rhinosinusitis with nasal polyps and asthma. Rhinology. 2020;58(2):126–35. https://doi.org/10.4193/rhin19.184.

Article  CAS  PubMed  Google Scholar 

Alobid I, Colás C, Castillo JA, Arismendi E, Del Cuvillo A, Gómez-Outes A, et al. Spanish consensus on the management of chronic rhinosinusitis with nasal polyps (POLIposis NAsal / POLINA 2.0). J Investig Allergol Clin Immunol. 2023;0. Online ahead of print. https://doi.org/10.18176/jiaci.0910.

Bai J, Huang JH, Price CPE, Schauer JM, Suh LA, Harmon R, et al. Prognostic factors for polyp recurrence in chronic rhinosinusitis with nasal polyps. J Allergy Clin Immunol. 2022;150(2):352-361.e7. https://doi.org/10.1016/j.jaci.2022.02.029.

Article  CAS  PubMed  PubMed Central  Google Scholar 

• Huang Y, Zhang N, Xu Z, Zhang L, Bachert C. The development of the mucosal concept in chronic rhinosinusitis and its clinical implications. J Allergy Clin Immunol Pract. 2022;10(3):707–15. https://doi.org/10.1016/j.jaip.2021.10.054. Comment: Clinical commentary review that defines the mucosal concept and reviews the tissue and molecular mechanisms of inflammation in CRSwNP, reinforcing that chronic rhinosinusitis is a mucosal nasal disease.

Article  PubMed  Google Scholar 

Bachert C, Zhang N, Hellings PW, Bousquet J. Endotype-driven care pathways in patients with chronic rhinosinusitis. J Allergy Clin Immunol. 2018;141(5):1543–51. https://doi.org/10.1016/j.jaci.2018.03.004.

Article  PubMed  Google Scholar 

Bachert C, Marple B, Hosemann W, Cavaliere C, Wen W, Zhang N. Endotypes of chronic rhinosinusitis with nasal polyps: pathology and possible therapeutic implications. J Allergy Clin Immunol Pract. 2020;8(5):1514–9. https://doi.org/10.1016/j.jaip.2020.03.007.

Article  PubMed  Google Scholar 

Cardell LO, Stjärne P, Jonstam K, Bachert C. Endotypes of chronic rhinosinusitis: Impact on management. J Allergy Clin Immunol. 2020;145(3):752–6. https://doi.org/10.1016/j.jaci.2020.01.019.

Article  PubMed  Google Scholar 

Jonstam K, Alsharif S, Bogaert S, Suchonos N, Holtappels G, Jae-Hyun Park J, et al. Extent of inflammation in severe nasal polyposis and effect of sinus surgery on inflammation. Allergy. 2021;76(3):933–6. https://doi.org/10.1111/all.14550.

Article  PubMed  Google Scholar 

Shen PH, Weitzel EK, Lai JT, Wormald PJ, Lin CH. Retrospective study of full-house functional endoscopic sinus surgery for revision endoscopic sinus surgery. Int Forum Allergy Rhinol. 2011;1(6):498–503. https://doi.org/10.1002/alr.20081.

Article  PubMed  Google Scholar 

•• Alsharif S, Jonstam K, van Zele T, Gevaert P, Holtappels G, Bachert C. Endoscopic sinus surgery for type-2 CRSwNP: an endotype-based retrospective study. Laryngoscope. 2019;129(6):1286–92. https://doi.org/10.1002/lary.27815. Comment: First surgical study that phenotypes patients for the surgical indication and describes reboot surgery, spreading the concept of mucosal inflammation and its complete resection as the basis for better clinical outcomes.

Article  PubMed  Google Scholar 

•• Moreno-Luna R, Martin-Jimenez DI, Callejon-Leblic MA, Gonzalez-Garcia J, Maza-Solano JM, Porras-Gonzalez C, et al. Usefulness of bilateral mucoplasty plus reboot surgery in severe type-2 chronic rhinosinusitis with nasal polyps. Rhinology. 2022;60(5):368–76. https://doi.org/10.4193/rhin22.131. Comment: This prospective study is the first article to demonstrate the medium-term efficacy of reboot surgery plus bilateral mucoplasty in patients with severe type-2 CRSwNP, with better results in terms of quality of life and mucosal healing than reboot surgery isolated, at one year after the procedure.

Article  CAS  PubMed  Google Scholar 

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097.

Article  PubMed  PubMed Central  Google Scholar 

Phillips B, Ball C, Sackett D, Badenoch C, Straus S, Haynes B, et al. Oxford centre for evidence-based medicine: levels of evidence. In: Centre for Evidence-Based Medicine of University of Oxford. 2009. https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009. Accessed 20 May 2023.

National Institute for Health and Clinical Excellence. Methods for the development of NICE public health guidance, appendix F. 3rd ed. London: National Institute for Health and Clinical Excellence; 2012.

Google Scholar 

Pirola F, Pace GM, Giombi F, Heffler E, Paoletti G, Nappi E, et al. Outcomes of non-mucosa sparing endoscopic sinus surgery (partial reboot) in refractory chronic rhinosinusitis with nasal polyposis: an academic hospital experience. Laryngoscope. 2023;133(7):1584–9. https://doi.org/10.1002/lary.30422.

Article  PubMed  Google Scholar 

Arancibia C, Langdon C, Mullol J, Alobid I. Twelve-year long-term postoperative outcomes in patients with chronic rhinosinusitis with nasal polyps. Rhinology. 2022;60(2):109–17. https://doi.org/10.4193/rhin21.148.

Article  CAS  PubMed  Google Scholar 

Calus L, Van Bruaene N, Bosteels C, Dejonckheere S, Van Zele T, Holtappels G, et al. Twelve-year follow-up study after endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyposis. Clin Transl Allergy. 2019;9:30. https://doi.org/10.1186/s13601-019-0269-4.

Article  PubMed  PubMed Central  Google Scholar 

Chen FH, Deng J, Hong HY, Xu R, Guo JB, Hou WJ, et al. Extensive versus functional endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps and asthma: a 1-year study. Am J Rhinol Allergy. 2016;30(2):143–8. https://doi.org/10.2500/ajra.2016.30.4271.

Article  PubMed  Google Scholar 

DeConde AS, Suh JD, Mace JC, Alt JA, Smith TL. Outcomes of complete vs targeted approaches to endoscopic sinus surgery. Int Forum Allergy Rhinol. 2015;5(8):691–700. https://doi.org/10.1002/alr.21541.

Article  PubMed  PubMed Central  Google Scholar 

Zhang Z, Adappa ND, Doghramji LJ, Chiu AG, Lautenbach E, Cohen NA, et al. Quality of life improvement from sinus surgery in chronic rhinosinusitis patients with asthma and nasal polyps: QOL after FESS in asthma and nasal polyps. Int Forum Allergy Rhinol. 2014;4(11):885–92. https://doi.org/10.1002/alr.21406.

Article  PubMed  Google Scholar 

Proimos E, Papadakis CE, Chimona TS, Kiagiadaki D, Ferekidis E, Yiotakis J. The effect of functional endoscopic sinus surgery on patients with asthma and CRS with nasal polyps. Rhinology. 2010;48(3):331–8. https://doi.org/10.4193/rhino09.123.

Article  CAS  PubMed  Google Scholar 

Jankowski R, Pigret D, Decroocq F, Blum A, Gillet P. Comparison of radical (nasalisation) and functional ethmoidectomy in patients with severe sinonasal polyposis. A retrospective study. Rev Laryngol Otol Rhinol (Bord). 2006;127(3):131–40.

CAS  PubMed  Google Scholar 

Batra PS, Kern RC, Tripathi A, Conley DB, Ditto AM, Haines GK, et al. Outcome analysis of endoscopic sinus surgery in patients with nasal polyps and asthma. Laryngoscope. 2003;113(10):1703–6. https://doi.org/10.1097/00005537-200310000-00008.

Article  PubMed  Google Scholar 

Stammberger H, Posawetz W. Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol. 1990;247(2):63–76. https://doi.org/10.1007/bf00183169.

Article  CAS  PubMed  Google Scholar 

Moreno-Luna R, Gonzalez-Garcia J, Maza-Solano JM, Molina-Fernandez E, Pinheiro-Neto CD, Del Cuvillo BA, et al. Free nasal floor mucosal grafting after endoscopic total ethmoidectomy for severe nasal polyposis: a pilot study. Rhinology. 2019;57(3):219–24. https://doi.org/10.4193/rhin18.178.

Article  CAS  PubMed  Google Scholar 

Ramkumar SP, Marks L, Lal D, Marino MJ. Outcomes of limited versus extensive surgery for chronic rhinosinusitis: a systematic review and meta-analysis. Int Forum Allergy Rhinol. 2023;0. Online ahead of print. https://doi.org/10.1002/alr.23178.

DeConde AS, Mace JC, Levy JM, Rudmik L, Alt JA, Smith TL. Prevalence of polyp recurrence after endoscopic sinus surgery for chronic rhinosinusitis with nasal polyposis. Laryngoscope. 2017;127(3):550–5. https://doi.org/10.1002/lary.26391.

Article  PubMed  Google Scholar 

Gomes SC, Cavaliere C, Masieri S, Van Zele T, Gevaert P, Holtappels G, et al. Reboot surgery for chronic rhinosinusitis with nasal polyposis: recurrence and smell kinetics. Eur Arch Otorhinolaryngol. 2022;279(12):5691–9. https://doi.org/10.1007/s00405-022-07470-z.

Article  PubMed  Google Scholar 

López-Enríquez S, Porras-González C, Moreno-Luna R, Ebert CS, Alba G, Santa-María C, et al. Tissue-specific activated regulatory lymphocytes immunophenotype in chronic rhinosinusitis with nasal polyps. Arch Bronconeumol. 2023;59(5):337–40. https://doi.org/10.1016/j.arbres.2022.12.013.

Article  PubMed  Google Scholar 

Porras-Gonzalez C, Palacios-Garcia JM, Sanchez-Gomez S, Maza-Solano JM, Alba G, Sanchez-Margalet V, et al. Transcriptional analysis of nasal polyps fibroblasts reveals a new source of pro-inflammatory signaling in CRSwNP. Rhinology. 2023;61(2):180–9. https://doi.org/10.4193/rhin22.309.

Article  CAS  PubMed  Google Scholar 

Palacios-García J, Porras-González C, Moreno-Luna R, Maza-Solano J, Polo-Padillo J, Muñoz-Bravo JL, et al. Role of fibroblasts in chronic inflammatory signalling in chronic rhinosinusitis with nasal polyps-a systematic review. J Clin Med. 2023;12(9):3280. https://doi.org/10.3390/jcm12093280.

Article  CAS 

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