Abstract
The pathological condition and postoperative course after endoscopic sinus surgery were investigated in patients with chronic sinusitis complicated by asthma. Out of all sinusitis cases operated on during the course of one year, asthma complications were present in 38 cases (14.3%). The improvement in the sinusitis following endoscopic sinus surgery was associated with some improvement in asthma in most cases. In cases complicated by non-atopic adult-type asthma, the sinusitis is usually quite serious in nature. Elevated peripheral eosinophil counts, a positive past history of aspirin-induced asthma, and otitis media complications are often present. In several cases, recrudescence occured about 1 year after the operation. Based on these findings, we recommend that follow-ups and ongoing treatment be provided for a prolonged postoperative period in cases of chronic sinusitis complicated by asthma, especially those cases complicated by non-atopic adult-type asthma.
