Functional Endoscopic sinus surgery & conventional sinus surgery in Inflammatory Sinonasal diseases

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