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EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY

Hiwa A Abdulkareem

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2010 Volume: 16 Issue: 2 Pages: 68-77
Publisher: Basrah University جامعة البصرة

Abstract

Chronic rhinosinusitis (CRS) is a common problem worldwide that results in significant impairment of qualityof life. Endoscopic surgery aims at maintaining physiological function and anatomical structure.This study aimed to assess the outcome after functional endoscopic sinus surgery (FESS) for chronicrhinosinusitis with or without nasal polyps using symptom scoring and endoscopic assessment.Thirty patients having chronic rhinosinusitis CRS with or without nasal polyps underwent endoscopic sinussurgery in Otolaryngology dept. / Sulaimaniya Teaching Hospital from May 2008 to April 2009 after failure ofmedical treatment to resolve the condition for more than 12 weeks. Preoperative symptoms and radiologicfindings were scored as well as the extent of surgery. Post operative endoscopic findings and symptomsoutcome were evaluated.The common presenting symptoms in order of frequency were nasal obstruction, facial pressure or pain,purulent nasal or post nasal secretions, headache, hyposmia, Fatigue, cough, and halitosis. All symptom'sscores significantly reduced (t-test P value < 0.000), with exception of cough (t- test P value = 0.023).Halitosis showed no significant change (t-test P value = 0.103). Patients who had the lowest radiologicalscores underwent the least extensive surgery.In conclusion, most CRS symptoms can be expected to improve significantly after ESS and correlates withpostoperative endoscopic examination of the nasal cavities. Lund-Mackay radiologic scoring can be used asa predictor of symptom outcome although it correlates weakly with the severity of symptoms preoperatively.

Keywords

EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY