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Outcome for the first 85 patients treated with the functional endoscopic sinus surgery technique
Rhinology
|December 1, 1995
Summary
Functional endoscopic sinus surgery (FESS) provides significant symptom relief for most patients with chronic sinusitis and nasal polyps. However, objective endoscopic evaluation reveals persistent or residual disease in a notable proportion of cases, suggesting complex underlying causes.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Outcomes
Background:
- Chronic rhinosinusitis and nasal polyposis significantly impact quality of life.
- Medically resistant cases often require surgical intervention.
Purpose of the Study:
- To evaluate the subjective and objective outcomes of functional endoscopic sinus surgery (FESS).
- To assess patient satisfaction and endoscopic findings following FESS for chronic sinonasal diseases.
Main Methods:
- Prospective follow-up of 85 patients undergoing FESS.
- Endoscopic examination and symptom questionnaires administered to 62 patients (105 sides).
- Analysis of outcomes based on pre-operative diagnosis (polyposis, sinusitis) and need for re-operation.
Main Results:
- 82% of patients reported subjective improvement after FESS.
- Objective endoscopic assessment showed 41% of operated sides were normal.
- Residual polyposis (35.9%) and purulent discharge (10.5%) were observed on follow-up.
Conclusions:
- FESS offers immediate relief for medically resistant sinusitis and polyposis.
- Discrepancy between subjective and objective findings highlights need for further research into sinonasal disease aetiologies.
- Ostiomeatal complex obstruction may not fully explain all sinonasal pathologies.