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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 11
“Role and Outcome of Endoscopic Sinus Surgery for Different Sinonasal Diseases- A Retrospective Study”
Salah Uddin Ahmmed, Md. Zakir Hossain, Mejbah Uddin Ahmed, Basir Ahmed, Muhammad Aminul Islam
Published: Nov. 30, 2019 | 34 50
DOI: 10.36347/sjams.2019.v07i11.070
Pages: 3830-3835
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Abstract
Introduction: The indications for functional endoscopic sinus surgery are recurrent acute sinusitis or chronic sinusitis that does not respond to medical therapy. Functional approach is not applicable to all diseases of the Nose and Sinuses. In addition, horizons of Endoscopic Nasal Surgery have grown far beyond FESS and now include other Nasal, Orbital and anterior skull base procedures such as nasal polyposis, endoscopic dacryocystorhinostomy, CSF leak repair, optic nerve decompression. Objective: This study was carried out to observe the role and outcome of endoscopic for different sinonasal diseasess. Study was done in department of ENT & Head-Neck Surgery, Border Guard Hospital, and Dhaka, Bangladesh from March 2019 to November 2019. Methods: This retrospective study was carried out to observe the role and outcome of endoscopic for different sinonasal diseases. Study was done in department of ENT & Head-Neck Surgery, Border Guard Hospital, and Dhaka, Bangladesh from March 2019 to November 2019. Sample size 60 (Sixty) patients included. Results: Sixty patients (60) were included retrospectively for this work. Main presenting symptoms of patients were nasal obstruction (78.33%), nasal discharge (73.33%), headache (51.66%) and recurrent sore throat (50%). In this series, minor complications occurred in 13.3% which includes synechiae, haemorrhage, infection and eccymosis of eye. No major complications like CSF leak, retroorbital haemorrhage, blindness were noted. Only 3 cases (5%) had severe haemorrohage. Most of the patients have got complete symptomatic relief, 5 cases had no improvement. Conclusion: It was concluded that functional endoscopic sinus surgery (FESS) has provided a safe and efficient method for dealing with different sinonasal disease and can be performed with high success rate for alleviation of symptoms with negligible morbidity.