Efficacy functional endoscopic sinus surgery (FESS) for the treatment of chronic rhinosinusitis

Abstract

Objective: To assess the efficacy and quality of life after functional endoscopic sinus surgery (FESS) in individuals who have chronic rhinosinusitis. Methods: This prospective study was held in the department of ENT of Aziz Bhatti Shaheed Teaching Hospital and ENT, Head and Neck Surgery department, Pak International Medical College and Peshawar Institute of Medical Sciences (PIMS), Hayatabad Peshawar for the duration from September 2021 to September 2022. The study had 80 patients in total who underwent FESS surgery. Inclusion criteria: radiographically and clinically suggested disease of the paranasal sinuses and nose, such as rhinosporidiosis, nasal polyposis, chronic recurrent acute sinusitis and patients who are not improving after receiving the proper surgical care (antral lavage) and medical care. Exclusion criteria: Nasal and paranasal sinus Malignant conditions. Patients with acute sinusitis who have been diagnosed with intracranial complications and patients with intracranial complications. The data was analyzed with SPSS 21.0. Results: There were 80 patients in total. In this study, ethmoid polyps were operated in 30 (37.5%) patients, chronic rhinosinusitis in 23 (28.8%), Antrochoanal polyps in 12 (15%) patients, rhinosporidiosis in 10 (12.5%) patients, and in 5 (6.2%) patients with inverted papilloma’s were operated.