A STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARS

Abstract

Objective: To share experience of 1000 patients who underwent functional endoscopic sinus surgery (FESS) in 4 different hospitals for various diseases over span of 9 years. Study Design: Prospective observational study. Place and Duration of Study: Sheikh Khalifa Hospital Muzaffarabad, Combined Military Hospital Sialkot, Pak Emirates Military Hospital Rawalpindi and CMH Quetta, from Jun 2009 to Jun 2018. Methodology: We included 1000 patients who underwent Functional endoscopic sinus surgery (FESS) in four different military hospitals, suffering with various diseases discussed later. Patients were operated after failure to get response to medical therapy. All the patients had preoperative endoscopic examination and CT-scan paranasal sinuses (PNS) done for disease assessment. Patients were examined post operatively at 1, 15 days and 2 months. All patients were documented for the level of satisfaction at end of 2 months post-operative period. Results: Most patients were suffering from rhino sinusitis 364 (36.4%). Bilateral ethmoidal polyps constituted the second largest group at 289 (28.9%) patients. About 837 (83.7%) of patients were completely free of symptom, 104 (10.4%) with partial improvement whereas, 59 (5.9%) patients did not report any improvement in symptoms. 899 (89.9%) of patients were discharged on their first post operation day meaning less hospital stay and quick recovery. Conclusion: Functional endoscopic sinus surgery (FESS) can be employed to treatment variety of common nasal diseases (chronic rhino-sinusitis, nasal polyps) & non-nasal diseases like cerebrospinal fluid (CSF) rhinorrhea & as approach to skull base. This method of treatment was quite effective in alleviating symptoms of patients.

Keywords

• chronic rhino sinusitis
• functional endoscopic sinus surgery
• mucociliary clearance
• nasal polyp
• osteo-meatal complex