Abstract:Objective To investigate the objective and subjective assessment of structural remodeling of nasal cavity in chronic rhinosinusitis (CRS) patients and their correlation. Methods Seventy patients with CRS were treated with endoscopic structural remodeling of nasal cavity, including endoscopic submucous septoplasty, radiofrequency volumetric tissue reduction and shift of inferior turbinate, middle turbinoplasty, and functional resection of ostiomeatal complex. The objective assessment of VAS scales and subjective assessments of LundKennedy endoscopic scales and LundMackay CT scales were applied to all the patients before operation and one year after operation. The correlation among different assessment was analyzed. Results The preoperative total scales of VAS were positively correlated with those of LundMackay CT (r=0.39, P<0.01), and the preoperative scales of LundMackay CT were positively correlated with LundKennedy endoscopic scales (r=2.11, P<0.05). But there weren't any correlation between the scale of hyposmia and LundKennedy scale or LundMackay scale. One year after operation, the scales of VAS, LundKennedy, and LundMackay were statistically different from the preoperative ones respectively (P<0.01). Conclusion In CRS patients, the preoperative scales of VAS, CT assessment, and endoscopic evaluation are correlated with each other. One year after operation, the scale of VAS is statistically different from the preoperative one, and positively correlated with the postoperative LundKennedy endoscopic scale, which indicates that an allround evaluation of the patients with CRS is necessary to facilitate the individualization of surgical treatment.