The Outcome of Endoscopic Sinus Surgery in terms of Olfaction in Patients of Chronic Rhinosinusitis with Polyps

Abstract

Objective: To assess the effectiveness of functional endoscopies sinus surgery in improving olfaction in patients diagnosed with chronic rhinosinusitis with nasal polyps, as measured by changes in Sniffin’s Stick scores and olfaction scores pre and post operatively. Methodology: The clinical observational study was conducted at the ENT department, Services Hospital, Lahore for 6 months from 01-03-2022 to 31-08- 2022. Sixty-six patients (66) diagnosed with chronic rhinosinusitis with nasal polyps were enrolled, and evaluated by using Sniffin’s Stick score and olfaction baseline score. The inclusion criteria were patients aged 10-60 years of age diagnosed with this condition and willing to undergo surgery. Operative time was noted. After surgery, patients were discharged and were followed-up in OPD for 3 months. After 3 months, patients were re-evaluated for Sniffin’s Stick score and olfaction score. Results: The mean age of the patients was 36.18±13.87 years, 49(74.24%) patients were male. On pre-op evaluation the mean Sniffin’s Stick score of the patients was 6.14±0.41 which improved to 7.34±0.41 on postop evaluation. Similarly on pre-op evaluation the mean olfaction score of the patients was 8.30±5.84 which improved to 21.12±5.95 on post-op evaluation. Conclusion: There is significant improved outcome observed in terms snuffiness and olfaction score for functional endoscopic sinus surgery in patents of chronic rhino-sinusitis with nasal polyps

Keywords

• Chronic Rhinosinusitis
• Nasal polyps
• Functional Endoscopic Sinus Surgery
• American Society of Anesthesiologists (ASA)