Effectiveness of Kupferberg Classification-Based Treatment Protocol in Post Operative Management of Allergic Fungal Rhinosinusitis

Authors

  • Ahil Chakravarthy.G
  • Shivakumar Senniappan

Keywords:

Kupferberg, Treatment Protocol Post Operative Management CAD/CAM, Allergic Fungal Rhinosinusitis

Abstract

Background: Allergic fungal rhinosinusitis (AFRS) is a chronic condition managed surgically with functional endoscopic sinus surgery (FESS), but effective postoperative care is essential to prevent recurrence. This study evaluates the effectiveness of Kupferberg classification-based management in AFRS postoperative care.

Methods: A total of 65 AFRS patients underwent FESS with polypectomy, followed by a Kupferberg classification-guided steroid regimen. Patients were assessed at POD#5, POD#20, and monthly up to 6 months for symptom improvement and recurrence rates.

Results: Early improvement was seen at POD 5 and POD 20 (mean scores: 0.47, 0.48), but recurrence reached 50.8% by POD 6th month, correlating with poor compliance and inadequate maintenance therapy.

Conclusion: The Kupferberg classification-based protocol aids early symptom control but is insufficient in preventing long-term recurrence. Enhancing adherence strategies through extended steroid tapering and telemedicine follow-ups may improve outcomes.

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References

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Published

2025-05-13

How to Cite

1.
Chakravarthy.G A, Senniappan S. Effectiveness of Kupferberg Classification-Based Treatment Protocol in Post Operative Management of Allergic Fungal Rhinosinusitis. J Neonatal Surg [Internet]. 2025May13 [cited 2025Oct.23];14(7):479-84. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/5727

Issue

Vol. 14 No. 7 (2025): Journal of Neonatal Surgery

Section

Original Article

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