Ausaf Ahmed Khan, Atif Hafeez Siddiqui, Zahid Sohail.
Eff ectiveness of Functional Endoscopic Sinus Surgery (FESS) in the treatment of Chronic Rhino-sinusitis.
Pak J Surg Jan ;30(1):36-9.

Introduction: Chronic rhinosinusitis (CRS) is a common disease that restricts the quality of life of millions of involved patients. Th e aim of the study was to evaluate how functional endoscopic sinus surgery (FESS) modifi es patients symptom profi le and to also confi rm that FESS is the modality of treatment in patients with refractory CRS. Design: Retrospective study. Sett ing and duration: Th is study was conducted at Hamdard University Hospital and other private hospitals of Karachi from January 2010 to July 2013. Methodology: 105 patients with symptoms of CRS were included in the study. Patients were assessed for CRS symptoms preoperatively and postoperatively using grading symptoms. Statistical analysis using Chi square test was done. Results: Leading symptom of CRS was nasal obstruction followed by headache, facial pressure, postnasal drip, purulent nasal discharge, hyposmia/anosmia, halitosis, dental pain, cough, earache. None of the patients had fever as their complaint. Aft er a postoperative follow up of 6 months there was improvement in the symptoms. All minor symptoms had 100% improvement. Nasal obstruction responded best, next followed by facial pain and headaches and PND. (all symptoms Pvalue <0.001). An overall improvement of 86.66% was recorded. Conclusion: Th e restriction of quality of life in patients with CRS is mainly caused by these symptoms, which can be improved in excellent fashion by FESS in majority of the patients.

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