{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:56:55Z","timestamp":1780585015469,"version":"3.54.1"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:00:00Z","timestamp":1581465600000},"content-version":"unspecified","delay-in-days":11,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120000304_sec_a1\" sec-type=\"other\"><jats:title>Objective<\/jats:title><jats:p>This paper aims to report our experience with a minimally invasive surgical procedure for the treatment of chronic rhinosinusitis with nasal polyps, performed in a day-surgery setting under local anaesthesia.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120000304_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A retrospective study of 30 patients with chronic rhinosinusitis with nasal polyps was conducted. Sino-Nasal Outcome Test 22 and modified Lund\u2013Kennedy scores were collected. Intra- and post-operative pain was evaluated using a 10-point visual analogue scale.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120000304_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The mean Sino-Nasal Outcome Test 22 score decreased from 41.8 \u00b1 15.8 pre-operatively to 13.3 \u00b1 9.5 post-operatively (<jats:italic>p<\/jats:italic> &lt; 0.001). Accordingly, the mean endoscopic score decreased from 6.8 \u00b1 1.8 to 0.2 \u00b1 0.7 (<jats:italic>p<\/jats:italic> &lt; 0.001). The mean intra-operative pain score was 2.9 \u00b1 3.2, and 29 patients (96.7 per cent) reported no pain in the post-operative period (visual analogue scale score = 0).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120000304_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Our study confirms that minimally invasive surgery represents a safe, repeatable procedure that results in remarkable subjective and objective improvement, without intra- and post-operative pain or discomfort.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120000304","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T07:12:10Z","timestamp":1581491530000},"page":"145-149","source":"Crossref","is-referenced-by-count":4,"title":["Minimally invasive surgery under local anaesthesia for chronic rhinosinusitis with nasal polyps: our experience in older 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