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J Neurol Surg B Skull Base 2022; 83(S 02): e312-e317
DOI: 10.1055/s-0041-1729976
Original Article

Sinonasal Symptom Outcomes following Endoscopic Anterior Cranial Base Surgery in the Pediatric Population

Authors

  • Taylor R. Carle

    1   Department of Head and Neck Surgery, University of California, Los Angeles, Los Angeles, California, United States

  • Vivian Wung

    2   David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States

  • Anthony P. Heaney

    3   Department of Medicine, Endocrinology—Diabetes and Metabolism, University of California, Los Angeles, Los Angeles, California, United States

  • Harvey K. Chiu

    4   Department of Pediatrics, Endocrinology, University of California, Los Angeles, Los Angeles, California, United States

  • Jeffrey D. Suh

    1   Department of Head and Neck Surgery, University of California, Los Angeles, Los Angeles, California, United States

  • Marvin Bergsneider

    5   Department of Neurosurgery, University of California, Los Angeles, Los Angeles, California, United States

  • Marilene B. Wang 

    1   Department of Head and Neck Surgery, University of California, Los Angeles, Los Angeles, California, United States
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Abstract

Objective This study aimed to evaluate the impact of endoscopic anterior cranial base (ACB) surgery on sinonasal symptoms in the pediatric population utilizing the Sino-Nasal Outcome Test (SNOT)-22 questionnaire.

Design This is a retrospective review.

Setting The study was conducted at a tertiary academic medical center.

Participants Thirty-four consecutive patients, age 6 to 17 years, M:F 14:20, who underwent endoscopic ACB surgery from July 2008 to August 2019. Ten patients had baseline and a minimum of two subsequent postoperative SNOT-22 questionnaires available for analysis.

Main Outcome Measures Baseline and postoperative SNOT-22 scores were compared. The mean change from baseline sinonasal symptom scores in the pediatric and historical adult cohorts was compared.

Results The mean baseline SNOT-22 score for our 10 patient cohort was 0.46 out of 5 for each of the first 10 sinonasal-specific questions. This worsened to 1.69 at 1 month and returned to near baseline, 0.7, at 3 months postoperatively. The mean quality-of-life score improved to 0.91 at 1 month and 0.6 at 3 months postoperatively. The mean change from baseline for the following items: need to blow nose, runny nose, postnasal discharge, thick nasal discharge, wake up at night, reduced concentration, and frustrated/restless/irritable were similar to those in our historical adult cohort at 3 months postoperatively.

Conclusion Endoscopic ACB surgery in the pediatric population results in increased sinonasal symptom morbidity in the early postoperative period; however, symptoms return to near baseline by ∼3 months, and quality-of-life scores progressively improve in the postoperative period. These trends were similar to those seen in our historic adult cohort.

Keywords

skull base - pediatrics - outcomes


Publication History

Received: 23 August 2020

Accepted: 24 February 2021

Article published online:
17 May 2021

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