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Published on: March 3, 2023
Endoscopic physiologic approach to allergy-associated chronic rhinosinusitis: a preliminary study
D R Nayak1, R Balakrishnan, K D Murty
1Department of ENT-Head and Neck Surgery, Kasturba Medical College, Manipal 576119, Karnataka, India. lib.kmc@manipal.edu
Ear, Nose, & Throat Journal
|July 4, 2001
Summary
Functional endoscopic nasosinus surgery (FENS) offers a superior approach for allergy-associated chronic rhinosinusitis compared to traditional functional endoscopic sinus surgery (FESS). This new technique improves outcomes for patients with nasal allergies.
Area of Science:
- Otolaryngology
- Allergy Immunology
Background:
- Allergy-associated chronic rhinosinusitis (CRS) often shows poor response to conventional functional endoscopic sinus surgery (FESS).
- Altered nasosinus physiology and allergen contamination contribute to treatment resistance in CRS patients with allergies.
Purpose of the Study:
- To introduce and describe the technique of functional endoscopic nasosinus surgery (FENS).
- To compare the efficacy of FENS versus FESS in patients with allergy-associated CRS.
Main Methods:
- A randomized prospective study involving 64 patients with allergy-associated CRS.
- Subjective efficacy assessed using visual analog scores.
- Objective efficacy evaluated via nasal endoscopy.
Main Results:
- Functional endoscopic nasosinus surgery (FENS) demonstrated superior outcomes compared to functional endoscopic sinus surgery (FESS).
- FENS preserves the uncinate process and limits ethmoidal exenteration via a transbullar approach.
- FENS addresses septal and lateral wall pathologies concurrently.
Conclusions:
- FENS is a more effective surgical option than FESS for chronic rhinosinusitis associated with nasal allergies.
- The FENS technique offers advantages in preserving sinonasal structures and correcting multiple pathologies.
