• A Holzmüller, H Gudziol, and A Müller.
• Klinik für HNO-Heilkunde/Plastische Operationen, SRH Wald-Klinikum gGmbH Gera. Anne.Holzmueller@wkg.srh.de
• Laryngorhinootologie. 2009 Mar 1; 88 (3): 174-80.

BackgroundA polyposis nasi has distinct impact on a patient's quality of life (QL). There are only few long term studies available regarding the effects of a functional endoscopic sinus surgery (FESS) in patient's QL with polyposis nasi after 7 years average follow-up. Furthermore sex-specific differences in polyposis nasi and FESS should be evaluated.Methods135 patients (33 female, 102 male) with polyposis nasi were included in this study. The mean follow-up was 7 years after performed sinus surgery. To assess the QL, the "Rhinosinusitis-Beeinträchtigungs-Index" (RSBI) was used.ResultsIn average 7 years post FESS a significant improvement in 80.7 % of the patient's QL was reported (n=109)--including functional, emotional, physical items and a general impression provided by the patients' RSBI-questionnaires. No post-FESS differences regarding gender were revealed.ConclusionsPatients with polyposis nasi significantly benefit long-term after FESS in their health-related QL. Revision surgery should not only be indicated by endoscopy, but by patient's QL.

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