Hubungan Skor Lund Mackay CT Scan Sinus Paranasal dan VAS (Visual Analogue Scale) Dengan SNOT-22 (Sinonasal Outcome Test‑22) Pada Pasien Rinosinusitis Kronis

Abstract

Introduction : Chronic rhinosinusitis is an inflammatory disease of the nasal and paranasal sinus mucosa lasting more than 12 weeks and significantly affecting patients’ quality of life. Disease severity can be evaluated using radiological assessment with the Lund–Mackay score, subjective symptom assessment using the Visual Analog Scale (VAS), and quality of life measurement using the Sinonasal Outcome Test‑22 (SNOT‑22). Understanding the relationship between radiological findings, subjective symptoms, and quality of life is essential in clinical practice. Methods : This retrospective cross‑sectional analytic study was conducted among patients with chronic rhinosinusitis attending the Otorhinolaryngology outpatient clinics of RS Adam Malik and RS Pendidikan Prof. Charuddin Panusunan Lubis, Universitas Sumatera Utara, from February to June 2025. A total of 30 patients meeting the inclusion criteria were enrolled. Lund–Mackay scores were obtained from paranasal sinus CT scans, while VAS and SNOT‑22 scores were collected using patient‑completed questionnaires. Correlations between variables were analyzed using Spearman’s correlation test. Results : Most patients were female (53.3%) with a mean age of 35.87 years. The Lund–Mackay score ranged from 1 to 24 with a median of 9. The median VAS score was 4, with the majority experiencing moderate symptom severity (53.3%). The median SNOT‑22 score was 24, and most patients had mild impairment of quality of life (60%). A significant positive correlation was found between the Lund–Mackay score and the SNOT‑22 score (r = 0.729; p < 0.001). Additionally, a very strong positive correlation was observed between the VAS score and the SNOT‑22 score (r = 0.875; p < 0.001). Conclusion : There are significant associations between radiological disease severity and subjective symptom burden with quality of life in patients with chronic rhinosinusitis. The Lund–Mackay and VAS scores are useful indicators for assessing disease impact on patients’ quality of life.