Title: A Clinical Study of Cases Undergoing Functional Endoscopic Sinus Surgery and Its Outcome
Authors: Dr Ahmed Abdul Khabeer, Dr G. Sreekanth, Dr Dipin Kumar V, Dr Abhinav Thaduri, Dr Novshaba
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.116
Abstract
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.
References
- Halawi, A. M., Smith, S. S., & Chandra, R. K. (2013). Chronic rhinosinusitis: Epidemiology and cost. Allergy and Asthma Proceedings, 34(4), 328–334.
- Settipane, R. A., Peters, A. T., & Chandra, R. (2013). Chronic Rhinosinusitis. American Journal of Rhinology & Allergy, 27(3_suppl), S11–S15.
- Meltzer, E. O., & Hamilos, D. L. (2011). Rhinosinusitis Diagnosis and Management for the Clinician: A Synopsis of Recent Consensus Guidelines. Mayo Clinic Proceedings, 86(5), 427–443.
- Baraniuk, J. N., & Maibach, H. (2005). Pathophysiological classification of chronic rhinosinusitis. Respiratory Research, 6(1).
- Greene, L. M., Royal, K. D., Bradley, J. M., Lascelles, B. D. X., Johnson, L. R., & Hawkins, E. C. (2016). Severity of Nasal Inflammatory Disease Questionnaire for Canine Idiopathic Rhinitis Control: Instrument Development and Initial Validity Evidence. Journal of Veterinary Internal Medicine, 31(1), 134–141.
- Boubekri, M., Cheung, I. N., Reid, K. J., Wang, C.-H., & Zee, P. C. (2014). Impact of Windows and Daylight Exposure on Overall Health and Sleep Quality of Office Workers: A Case-Control Pilot Study. Journal of Clinical Sleep Medicine
- Tajudeen, B. A., & Kennedy, D. W. (2017). Thirty years of endoscopic sinus surgery: What have we learned? World Journal of Otorhinolaryngology - Head and Neck Surgery, 3(2), 115–121. doi:10.1016/j.wjorl.2016.12.001
- Hirschmann A. (1903) Uber Endoskopie der nase und deren Nebenhohlen. Archiv fur Laryngologie und Rhinologie; 14: 195-200.
- Maltz M. (1925) New instruments: The sinuscope. Laryngoscope; 35: 805-11.
- ROBERT SLACK, B.SC., F.R.C.S., Royal United Hospital, Bath, England GRANT BATES, B.SC., F.R.C.S., Radcliffe Infirmary, Oxford, England Am Fam Physician. 1998 Sep 1;58(3):707-718.
- Nayak SR, Kirtane MV, Ingle MV. Functional endoscopic sinus surgery- A preliminary study. J Postgrad Med, 1991; 37:31-34.
- Mathews BL, Smith LE, Jones R, Miller C and Brookschmidt JK. Endoscopic sinus surgery- outcomes in 155 cases. Otolaryngol Head Neck Surg. Feb, 1991; 104(2): 244-246.
- Fageeh NA, Peluausa EO, Quarrington A. Functional endoscopic sinus surgery- University of Ottawa experience and an overview. Ann Saudi Med, May 1996; 16(6): 711-714.
- Venkatachalam, V.P. & Bhat, A. Indian J Otolaryngol Head Neck Surg (1999) 52: 13.