Objective: This study aims to investigate the intersection of athlete mental health and postoperative recurrence in athletes patients with chronic sinusitis and nasal polyps (CRSwNP), focusing on the analysis of clinical treatment strategies.

Methods: A cohort of 400 athletes diagnosed with CRSwNP, who underwent nasal endoscopic surgery at our hospital between March 2021 and March 2022, was included in this investigation. Retrospective analysis of clinical treatment data was conducted. Athletes Patients were categorized into the recurrent group (n=136) and the non-recurrent group (n=264). Univariate analysis was applied to identify factors influencing postoperative recurrence among CRSwNP patients. Subsequently, multivariate logistic regression analysis was carried out to determine the independent risk factors. Based on these findings, clinical treatment strategies were devised to address athlete mental health and enhance patient outcomes.

Results: The study revealed a postoperative recurrence rate of 34.0% in CRSwNP patients. Athletes Patients in the recurrent group exhibited a longer disease duration compared to their non-recurrent counterparts. Notably, the recurrent group displayed significantly higher proportions of eosinophil (EOS) infiltration in nasal polyps, bronchial asthma, allergic rhinitis, peripheral blood EOS > 5.3%, and peripheral blood neutrophils (Neu) > 55.5% than the non-recurrent group (P<0.05). Conversely, the proportion of tissue lymphocytes < 30% was lower in the recurrent group. Furthermore, scores for anterior ethmoids (AE), posterior ethmoids (PE), ostiomeatal complex (OMC), and total scores in the recurrent group were significantly elevated compared to the non-recurrent group, with statistically significant differences (P<0.05). Logistic regression results identified concurrent allergic rhinitis, bronchial asthma, EOS infiltration in nasal polyps, sinus CTAE score, PE score, OMC score, total score, tissue lymphocyte proportion <30%, peripheral blood EOS >5.3%, and peripheral blood Neu proportion <55.5% as independent risk factors for postoperative recurrence of chronic sinusitis with nasal polyps (P<0.05).

Conclusion: In the context of athlete mental health and postoperative recurrence in CRSwNP patients, factors such as athlete mental resilience, psychological well-being, and clinical treatment strategies play pivotal roles. This analysis highlights the significance of athlete-specific considerations and recommends the development of tailored prevention and treatment protocols to address both mental health and medical outcomes effectively in this population