Abstract
Background: Functional endoscopic sinus surgery is a minimally invasive technique used to restore sinus ventilation and normal function. The most suitable candidates for this procedure have recurrent acute or chronic infective sinusitis, and an improvement in symptoms of up to 90 per cent may be expected following the procedure. Objective: The study has been designed to compare the clinical outcome of functional endoscopic sinus surgery and conventional surgery in the management of inflammatory sinonasal diseases. Study design: This was a prospective study. A combine of both quantitative and qualitative methods was used in conducting the study. Method: Here, a survey method was used to obtain quantitative data from the patients and complication of the operation was observed to obtain qualitative data. Data was collected from a sample that was determined through a semi-purposive method. Results: In the series 9% had synaechia during post operative period and it was 3.3% for FESS and 26.7% for conventional surgery. FESS procedure shows better relief of obstruction, better pain relief and quicker relief of clot than Conventional surgery. In FESS, 56.7% patients reported complete recovery and 43.3% were found symptoms free while in conventional surgery only very few of the patients reported complete recovery. and rest of the patients (93.3%) were symptoms free. Conclusion: The study had shown significant benefits from FESS over conventional surgery. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22011 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 8-14
Highlights
Inflammatory sinonasal diseases are common and well recognized clinical syndrome affecting patient of all ages and gender
Functional endoscopic sinus surgery should be reserved for use in patients in whom medical treatment has failed
Functional Endoscopic Sinus Surgery (FESS) and conventional surgery both are effective treatment for inflammatory sinonasal diseases which fails to respond to adequate medical treatment
Summary
Inflammatory sinonasal diseases are common and well recognized clinical syndrome affecting patient of all ages and gender. Medical treatment is first choice of management. Surgical treatment usually done in those cases who are refractory to medical treatment. Cases of chronic sinus infection, nasal polyps, headache, nasal stuffiness and post nasal discharge are quite common. Severe nasal obstruction was perceived within sixty percent of the study populations before surgery. Functional endoscopic sinus surgery is a minimally invasive technique used to restore sinus ventilation and normal function. The most suitable candidates for this procedure have recurrent acute or chronic infective sinusitis, and an improvement in symptoms of up to 90 per cent may be expected following the procedure
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