Introduction: Rhinosinusitis is a group of disorders characterised by the inflammation of the mucosa of the nose and paranasal sinuses. Chronic rhinosinusitis is defined by signs and symptoms rather than physical findings.Many host and environmental factors plays role in its etiology.

Objective: To assess various symptoms of chronic rhinosinusitis and to  evaluate FESS for treatment of CRS refractory to medical treatment and its efficacy in management of this challenging disease

Materials and Methods: The Study was conducted from August 2013 to July 2014 in the ENT department of Gandhi Hospital, Secunderabad. A total of 50 patients with Chronic Rhinosinusitis were trated with Functional Endoscopic Sinus Surgery and followed up for 3 months

Results: Nasal obstruction (93.3%) was the most common symptom followed by post nasal drip (83.33%). In most of the cases, uncinectomy and anterior ethmoidectomy were done. Nasal obstruction was the major symptom that responded best to FESS (92.8%) followed by post nasal discharge (86.9%). The least response to FESS was noted for hyposmia (61.1%). There was 90% overall satisfaction after FESS at the end of three months of follow-up.

Keywords: Chronic Rhinosinusitis, Functional Endoscopic Sinus Surgery, Nasal Obstruction, Uncinectomy.

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Dr G. Sreekanth

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