Vol. 5, Issue 5 (2019)
Functional endoscopic sinus surgery in chronic rhinosinusitis and subjective assessment of its outcome
Author(s): Anish Bava Salim, Shyja, Dali Prabhakaran
Abstract: Rhinosinusitis is a significant health problem which results in large financial burden on society. The study evaluated the prevalence and severity of individual symptoms of chronic rhinosinusitis (CRS) and the impact of endoscopic sinus surgery (ESS) on the symptoms and medication used in patients with CRS. Patients with refractory CRS were assessed prospectively with ESS intervention. We studied the symptoms, change in medical therapy, complications of surgery and effect of other factors like smoking, polyposis and asthma on endoscopy and computed tomography scan scores. A total of 53 patients underwent ESS for CRS. In our study, nasal discharge was the more common symptom observed (41 patients) in the study group and the major clinical sign was hyperaemia of nasal mucosa (41 patients). Further, using FESS technique uncinectomy, anterior ethmoidectomy, posterior ethmoidectomy, maxillary ostia widening, polypectomy and septoplasty were carried out. Endoscopic sinus surgery results in significant improvement in the symptoms of patients with CRS along with a definitive decrease in antibiotic and antihistaminic requirement. We conclude that FESS is an effective treatment for CRS in those who fail to respond to medical treatment.