Abstract

AIM-This study is designed to compare the symptomatic profile of Chronic Rhinosinusitis before and after FESS by SNOT-20 questionnaire.
Materials and Method: An Observational Prospective study was conducted among patients attending the Department of ENT, Head & Neck Surgery AIIMS Bhubneshwar, Study duration of two years. A group of 40 patients with symptom of CRS were included in the study.
Results : Of the total 40 patients enrolled in the study 29 patients (73%) were males and 11 patients (27%) were females. 34 (85%) patients had bilateral CRS and 6 (15%) patients had unilateral sinusitis. Mean SNOT-20 baseline score is 56.93 and post op 6 month mean score is 10.75. There is a significant association (p<0.005) seen between baseline and post op 1 week, 2 week, 1 month, 3 month and 6 month.
Conclusion : In this prospective study we found that 93% patients with symptomatic CRS refractory to medical management had significant improvement (No disease, Mild disease) in the overall symptom score after FESS attempt of 6 month follow up. So FESS does have a beneficial role in patients with Moderate to Severe disease as per SNOT-20 questionnaire.