A STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARS

Objective: To share experience of 1000 patients who underwent functional endoscopic sinus surgery (FESS) in 4 different hospitals for various diseases over span of 9 years. Study Design: Prospective observational study. Place and Duration of Study: Sheikh Khalifa Hospital Muzaffarabad, Combin...

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Autores principales: Maqbool Raza, Atif Rafique, Shahid Farooq Khattak, Muhammad Ali, Adil Aleem, Muhammad Zubair
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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Acceso en línea:https://doi.org/10.51253/pafmj.v71iSuppl-1.4737
https://doaj.org/article/dc2d9357a38e4642a68adfde74471bbc
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spelling oai:doaj.org-article:dc2d9357a38e4642a68adfde74471bbc2021-12-02T19:11:55ZA STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARShttps://doi.org/10.51253/pafmj.v71iSuppl-1.47370030-96482411-8842https://doaj.org/article/dc2d9357a38e4642a68adfde74471bbc2021-01-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/4737https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To share experience of 1000 patients who underwent functional endoscopic sinus surgery (FESS) in 4 different hospitals for various diseases over span of 9 years. Study Design: Prospective observational study. Place and Duration of Study: Sheikh Khalifa Hospital Muzaffarabad, Combined Military Hospital Sialkot, Pak Emirates Military Hospital Rawalpindi and CMH Quetta, from Jun 2009 to Jun 2018. Methodology: We included 1000 patients who underwent Functional endoscopic sinus surgery (FESS) in four different military hospitals, suffering with various diseases discussed later. Patients were operated after failure to get response to medical therapy. All the patients had preoperative endoscopic examination and CT-scan paranasal sinuses (PNS) done for disease assessment. Patients were examined post operatively at 1, 15 days and 2 months. All patients were documented for the level of satisfaction at end of 2 months post-operative period. Results: Most patients were suffering from rhino sinusitis 364 (36.4%). Bilateral ethmoidal polyps constituted the second largest group at 289 (28.9%) patients. About 837 (83.7%) of patients were completely free of symptom, 104 (10.4%) with partial improvement whereas, 59 (5.9%) patients did not report any improvement in symptoms. 899 (89.9%) of patients were discharged on their first post operation day meaning less hospital stay and quick recovery. Conclusion: Functional endoscopic sinus surgery (FESS) can be employed to treatment variety of common nasal diseases (chronic rhino-sinusitis, nasal polyps) & non-nasal diseases like cerebrospinal fluid (CSF) rhinorrhea & as approach to skull base. This method of treatment was quite effective in alleviating symptoms of patients.Maqbool RazaAtif RafiqueShahid Farooq KhattakMuhammad AliAdil AleemMuhammad ZubairArmy Medical College Rawalpindiarticlechronic rhino sinusitisfunctional endoscopic sinus surgerymucociliary clearancenasal polyposteo-meatal complexMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss SUPPL-1, Pp 82-86 (2021)
institution DOAJ
collection DOAJ
language EN
topic chronic rhino sinusitis
functional endoscopic sinus surgery
mucociliary clearance
nasal polyp
osteo-meatal complex
Medicine
R
Medicine (General)
R5-920
spellingShingle chronic rhino sinusitis
functional endoscopic sinus surgery
mucociliary clearance
nasal polyp
osteo-meatal complex
Medicine
R
Medicine (General)
R5-920
Maqbool Raza
Atif Rafique
Shahid Farooq Khattak
Muhammad Ali
Adil Aleem
Muhammad Zubair
A STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARS
description Objective: To share experience of 1000 patients who underwent functional endoscopic sinus surgery (FESS) in 4 different hospitals for various diseases over span of 9 years. Study Design: Prospective observational study. Place and Duration of Study: Sheikh Khalifa Hospital Muzaffarabad, Combined Military Hospital Sialkot, Pak Emirates Military Hospital Rawalpindi and CMH Quetta, from Jun 2009 to Jun 2018. Methodology: We included 1000 patients who underwent Functional endoscopic sinus surgery (FESS) in four different military hospitals, suffering with various diseases discussed later. Patients were operated after failure to get response to medical therapy. All the patients had preoperative endoscopic examination and CT-scan paranasal sinuses (PNS) done for disease assessment. Patients were examined post operatively at 1, 15 days and 2 months. All patients were documented for the level of satisfaction at end of 2 months post-operative period. Results: Most patients were suffering from rhino sinusitis 364 (36.4%). Bilateral ethmoidal polyps constituted the second largest group at 289 (28.9%) patients. About 837 (83.7%) of patients were completely free of symptom, 104 (10.4%) with partial improvement whereas, 59 (5.9%) patients did not report any improvement in symptoms. 899 (89.9%) of patients were discharged on their first post operation day meaning less hospital stay and quick recovery. Conclusion: Functional endoscopic sinus surgery (FESS) can be employed to treatment variety of common nasal diseases (chronic rhino-sinusitis, nasal polyps) & non-nasal diseases like cerebrospinal fluid (CSF) rhinorrhea & as approach to skull base. This method of treatment was quite effective in alleviating symptoms of patients.
format article
author Maqbool Raza
Atif Rafique
Shahid Farooq Khattak
Muhammad Ali
Adil Aleem
Muhammad Zubair
author_facet Maqbool Raza
Atif Rafique
Shahid Farooq Khattak
Muhammad Ali
Adil Aleem
Muhammad Zubair
author_sort Maqbool Raza
title A STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARS
title_short A STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARS
title_full A STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARS
title_fullStr A STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARS
title_full_unstemmed A STUDY ON THE ENDOSCOPIC SINUS SURGERY OVER THE PERIOD OF 9 YEARS
title_sort study on the endoscopic sinus surgery over the period of 9 years
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doi.org/10.51253/pafmj.v71iSuppl-1.4737
https://doaj.org/article/dc2d9357a38e4642a68adfde74471bbc
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