ASSESSMENT OF OUTCOME OF FUNCTIONAL ENDOSCOPIC SINUS SURGERY IN PATIENTS WITH CHRONIC SINUSITIS WITH OR WITHOUT SINONASAL POLYPOSIS

Abstract

Introduction:- Chronic rhinosinusitis is a multifactorial disease causing inammation of sino-nasal mucosa. Functional endoscopic sinus surgery (FESS) causes less morbidity, complication and less recurrence rates. This study aims to assess various presenting symptoms, nasal endoscopic and Computed tomography (CT) ndings, to compare relief of various symptoms & to conrm the effectiveness of FESS as standard modality of treatment. Methodology:- In this study we include 100 cases of chronic sinusitis with or without sinonasal polyposis age between 15 to 65 years attending otorhinolaryngology outpatient department which full our inclusion criteria & undergoing Functional endoscopic sinus surgery. All the patients were pre- & post-operatively evaluated clinically using Rhinosinusitis symptom inventory score in to major & minor criteria, radiologically and endoscopically. The overall result reveal male is to fe Results:- male ratio was 1:1.27. Preoperatively on CT scan and endoscopic examination most commonly involved sinus was max illary sinus 99% & anterior ethmoid sinus (70%), most common anatomical variation was Deviated nasal septum/spur seen in (98%) & Concha bullosa in (82%). Most common symptoms observed was Nasal obstruction (93%), headache (81%) & Nasal discharge (72%). Post-operatively 91.66% of the patients were asymptomatic at the end of the 3 months with p value <0.0001 (statistically signicant) and 8.33% of patients were still symptomatic at the end of 3 months. No major complication directly related to FESS occurred. Conclusion:- In conclusion FESS is minimally invasive, safe and effective procedure & has better impact in relieving symptoms of chronic rhinosinusitis, as it clears only the involved sinus pathology, establishing normal mucociliary drainage of the paranasal sinuses