Screening for Psychiatric Disorders in Chronic Rhinosinusitis Patients Waiting for Surgery: A Prospective Cross‐Sectional Study
0
Citation
25
Reference
10
Related Paper
Abstract:
ABSTRACT Objective To assess the prevalence of depression, anxiety, insomnia and somatic symptom disorder (SSD) in chronic rhinosinusitis (CRS) patients who were waiting for surgery and to predict these psychiatric disorders using the 22‐item Sinonasal Outcome Test (SNOT‐22). Design A prospective cross‐sectional study. Setting The rhinology ward at our institution, a tertiary hospital. Participants Adult patients (> 18 years) diagnosed with CRS who were admitted to the rhinology ward for endoscopic sinus surgery and were able to understand and complete the study questionnaires. Main Outcome Measures Patient Health Questionnaire‐9 (PHQ‐9), Generalised Anxiety Disorder‐7 (GAD‐7), Insomnia Severity Index (ISI), Patient Health Questionnaire‐15 (PHQ‐15) and SNOT‐22. Results Of the 159 participants recruited, 58 were at risk of depression (defined by PHQ‐9 > 4, while 25 with PHQ‐9 > 9), 49 were at risk of anxiety (defined by GAD‐7 > 4, while 25 with GAD‐7 > 9), 81 were at risk of insomnia (defined by ISI > 7, while 51 with ISI > 14) and 69 were at risk of SSD (defined by PHQ‐15 > 4, while 24 with PHQ‐15 > 9). The SNOT‐22 score was closely correlated with the scores of psychometric tests and was an independent predictor of these psychiatric disorders. Patients with a high SNOT‐22 score (> 30) are likely to be affected by comorbid psychiatric disorders and should be further evaluated by otolaryngologists. Conclusion Depression, anxiety, insomnia and SSD are prevalent in CRS patients. Otolaryngologists should have a low threshold to ask the patient about psychiatric symptoms, especially for patients with an SNOT‐22 score > 30.Keywords:
Rhinology
Patient Health Questionnaire
Depression
Cross-sectional study
Chronic Rhinosinusitis
The frequency of accessory sinus ostia (ASO) has been estimated at between four and 50 per cent in the findings of studies designed for other purposes or from uncontrolled observations. The literature revealed no study specifically designed to determine the prevalence of ASO. We have carried out a prospective cohort study to measure the prevalence of ASO. The prevalence of ASO was determined in rhinology clinic patients and general ENT clinic controls. Overall ASO occurred in four per cent. Seven per cent of rhinology patients and two per cent of controls had ASO. Of the rhinology patients with rhinitis or sinusitis, eight per cent exhibited ASO. The overall prevalence in this study is lower than most quoted figures in the literature. There was increased prevalence of ASO in patients with rhinitis or sinusitis compared to controls. (p<0.05) This study should be regarded as a pilot study and further investigations of the relationship between ASO and nasal disease is merited.
Rhinology
Sinus (botany)
Cite
Citations (39)
<div class="WordSection1"><p><strong>Background:</strong> Several studies have been conducted to forecast the top emergencies that are frequently seen among patients in an ENT clinic. In the past four years, there has been only one study that calculates the prevalence of a specific rhinology disease (allergic rhinitis) in five Middle Eastern countries. The results of the study have demonstrated that 1808 of 33,486 subjects enrolled in the study have fulfilled the case definition of allergic rhinitis. The mentioned study has only reviewed active cases of allergic rhinitis, disinclining other rhinology conditions that patients frequently complain of. The following paper will calculate the prevalence of common rhinology conditions generally in a specialized ENT clinic in the Kingdom of Bahrain over a period of 1 year.</p><p><strong>Methods:</strong> Patients’ information was collected prospectively on monthly basis starting from June 2021 until June 2022. The patients were registered under a senior ENT consultant at a semi-governmental hospital in The Kingdom of Bahrain.</p><p><strong>Results:</strong> Out of 2711 subjects enrolled in the study, 1424 patients have been registered with rhinology related complaints, exhibiting approximately (52.4%) of the total sample size. Allergic rhinitis was the most prevalent clinically diagnosed rhinology disease and Rhinoplasty surgery was the most frequently operated surgery. The socio-demographics of the study measured (52.0%) Higher females ration between Rhinology patients. In contrast, A higher percentage of males attended the clinic for otology/ear consultations (57.2%).</p><p><strong>Conclusions:</strong> Rhinology related consultations is concluded to be more prevalent compared to otology and laryngology.</p></div>
Rhinology
Throat
Demographics
Cite
Citations (0)
Free accessAbstractFirst published online March 1, 2016World Rhinology AbstractsVolume 30, Issue 2https://doi.org/10.2500/ajra.2016.30.4310
Rhinology
Cite
Citations (0)
The proximity of the paranasal sinuses to important anatomical structures creates the potential for serious complications following endoscopic sinus surgery. Over recent years, navigational systems have been developed and are increasingly being used by some centres. We summarise the history and principles of navigational sinus surgery, review the medical literature on the topic, and try to assess what role navigational systems should play in modern day rhinology practice.
Rhinology
Sinus (botany)
Endoscopic sinus surgery
Paranasal Sinus Diseases
Cite
Citations (12)
Rhinology
Laryngology
Cite
Citations (2)
Severe uncontrolled chronic rhinosinusitis with nasal polyps has a negative impact on an individual's quality of life. Therefore, new biologics have emerged for use in specific phenotypes of chronic rhinosinusitis, changing the paradigms of its treatment.To review the current status of biologic treatment indications in chronic rhinosinusitis.The Brazilian Academy of Rhinology brought together different specialists to suggest a course of action, considering its particularities and aspects related to the national reality.Of particular interest for decision making will be the identification of subgroups of patients refractory to pre-existing treatment options and the construction of a strategy that improves their quality of life, with the best cost-benefit ratio.The use of biologics is a valid option for treatment in more severe cases. This strategy must be better understood and improved in the future, with more studies and greater clinical experience.
Rhinology
Chronic Rhinosinusitis
Nasal Polyps
Guideline
Cite
Citations (11)
Measuring ‘outcome’ in rhinology has been challenging investigators for decades. With the introduction of patient-based, quality of life outcomes, investigators have developed rhinologic-specific outcomes tools for allergic rhinitis, nasal obstruction, and chronic rhinosinusitis. Outcomes research in rhinology, however, is a nascent field. This article focuses on outcomes research in the management of chronic rhinosinusitis, especially as it relates to endoscopic sinus surgery. Quality of life outcomes are addressed not only as outcomes but as measures of disease and how they relate to other commonly used measures of disease such as CT and endoscopy.
Rhinology
Chronic Rhinosinusitis
Endoscopic sinus surgery
Cite
Citations (17)
This book emphasizes on five different sections of rhinology, namely, 'Surgical Anatomy', 'Dental-Related Diseases', 'Radiological Imaging', 'Nasal Spaces' and 'Surgical Training'. It incorporates new clinical and research developments as well as future perspectives in the ever-expanding field of rhinology. I dedicate this book to those of you who pick up the torch and by continued research, close clinical observation and the high quality of clinical care as well as publication and selfless teaching, further advance knowledge in rhinology from this point forward. This is intended to be a guide for other books to follow. General otolaryngologist, rhinologist, researchers, specialists, trainees and general practitioners with interest in otolaryngology will find this book useful and interesting.
Rhinology
Cite
Citations (1)
Rhinology
Cite
Citations (0)
Objective Investigate the best predictor of performance of otolaryngology trainees in a rhinology skills lab. Method Cross‐sectional study carried out in February 2012 where 15 trainees from the London otolaryngology training program (year 3‐5) were asked to complete 9 operative tasks on a sheep head model and were assessed by 5 experts on task‐specific and global performance using a previously validated tool. We tested 7 factors as predictors of performance including time (months) in surgical training, time in otolaryngology training and time in rhinology sub‐speciality training, practical rhinology courses attended, total rhinology procedures, procedures as main operating surgeon, and precourse operative global scores from video recordings. Results The task‐specific and global scores correlated well (Pearson 0.66). Six out of the 7 factors did not show correlation with performance at the skills lab (time in surgery, time in otolaryngology, time in rhinology, number of courses, total procedures, and procedures performed, Pearson: 0.19, 0.12, 0.3, 0.11, 0.28, and 0.13, respectively). The only measure that correlated well is precourse performance scored blindly and independently using the same tool based on video recordings of trainees operative procedures (Pearson: 0.62) Conclusion Predicting surgical performance is a multi‐factorial complex process. The assessment process including the tool and assessors have been validated further by showing consistency in scoring the same trainee twice, before and during the course as well as good correlation between task‐specific and global assessment. Previously acquired skills have the highest predictive value.
Rhinology
Cite
Citations (0)