In-office endoscopic nasal polypectomy: prospective analysis of patient tolerability and efficacy
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RHINOLOGY
In‑office endoscopic nasal polypectomy: prospective analysis of patient tolerability and efficacy Jaime Viera‑Artiles1 · Patricia Corriols‑Noval1 · Eugenia López‑Simón1 · Rocío González‑Aguado1 · David Lobo1 · Roberto Megía1 Received: 9 May 2020 / Accepted: 6 July 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose In-office rhinologic procedures have become popularised in the last decade, especially in North America. Endoscopic nasal polypectomy under local anaesthesia offers instant relief in selected patients with obstructive chronic rhinosinusitis with nasal polyps. We aimed to analyse patient tolerability during the procedure while measuring its effectiveness. Methods A prospective study of patients who underwent in-office microdebrider-assisted polypectomy under local anaesthetic from September 2018 to November 2019 in a Spanish tertiary hospital was performed. The tolerability was measured by monitoring vital signs during the procedure and using a visual analogue scale posteriorly. The effectiveness was calculated through patient-reported outcomes (SNOT-22) and endoscopic evaluation 1 and 6 months follow-up. Results Forty-four patients were included, with a mean age of 60.7 years. The mean visual analogue scale score was 2.76 out of 10 points. Vital signs were steady overall, with a statistically significant reduction (p 4) had higher average LK (8.13 vs 5.91 in VAS
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