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

Maqbool Raza; Atif Rafique; Shahid Farooq Khattak; Muhammad Ali; Adil Aleem; Muhammad Zubair

doi:10.51253/pafmj.v71iSuppl-1.4737

Authors

Maqbool Raza Combined Military Hospital Multan/National University of Medical Sciences (NUMS) Pakistan
Atif Rafique Combined Military Hospital Multan/National University of Medical Sciences (NUMS) Pakistan
Shahid Farooq Khattak Combined Military Hospital Multan/National University of Medical Sciences (NUMS) Pakistan
Muhammad Ali Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Adil Aleem Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Muhammad Zubair Combined Military Hospital Kohat/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71iSuppl-1.4737

Keywords:

Chronic rhino sinusitis, Functional endoscopic sinus surgery, Mucociliary clearance, Nasal polyp, Osteo-meatal complex

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.