Correlation between polyp grading system and NOSE scale, Lund MacKay system and Nasometry

Document Type : Original Article

Authors

1 otorhinolaryngology,al-azhar university,faculty of medicine for girls,cairo

2 Department of Otolaryngology, Faculty of Medicine, Al-Azhar University, Egypt.

3 Department of Otolaryngology, Faculty of Medicine, Al-Azhar University, Egypt

4 Department of Phoniatrics, Faculty of Medicine, Al-Azhar University, Egypt.

Abstract

Background: Endoscopic polyp-grading system is commonly used for the assessment of patients with Sino nasal polyposis. However, its strength has not been examined before against any objective measure.
Aim of the Work: To assess the strength of endoscopic polyp-grading system against valid objective measures and to explore the association between both of them, because endoscopic polyp-grading system is a common assessment procedure in patients with Sino nasal polyposis.
Results: Hypo nasality is the main symptoms affect quality of life in all patients (100%) with bilateral Sino nasal polyposis suffered from variable degrees of nasal obstruction. standardized endoscopic polyp-grading system to assess the extent of nasal polyp in clinical practice and to measure the effect of reflected hypo nasality in patients. These grading scales divided patients into 4 groups according to the size and extension of polyp in the nasal cavity. Comparison between the grades of polyp in endoscopic polyp-grading system and NOSE scale, Lund MacKay system, and Nasometry revealed strong positive correlation (P value: 0.000, 0.000, 0.001 respectively).
Relation between patient’s results and types of graft used showed no statistically significant differences between them.
Conclusion: This study showed the endoscopic polyp-grading system can be used as a reliable tool for the assessment of patients with Sino nasal polyposis

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