European Journal of Molecular & Clinical Medicine

Abstract

Background: To assess efficacy of functional endoscopic sinus surgery in management of ethmoid polyps.
Materials and Methods: Ninety- two adult patients age ranged 18- 45 years of either gender was selected and FESS was planned under general anesthesia which comprises of anterior ethmoidectomy, posterior ethmoidectomy, middle meatus antrostomy and clearance of frontal recess. Naso-endoscopy was done post operatively on recall visits at 1st week, 2nd weeks, 1st month, 3rd month, 6th month and one year.
Results: Out of 92 patients, males were 52 and females were 40. Pre- operative rhinorrhea score was 3.84 and post- operative score was 2.10, nasal hyperreactivity score was 0.92 and 0.60 pre- operatively and post- operatively respectively, nasal congestion score was 3.54 pre- operatively and 2.12 post- operatively. Anosmia score was 2.34 pre- operatively and 1.15 post- operatively. A significant difference was observed (P< 0.05). Common complications recorded in patients undergoing FESS were CSF leak in 2, synechia in 3 cases and ocular problem in 1 patient. A significant difference was observed (P< 0.05).

Conclusion: Functional endoscopic sinus surgery effectively treated the cases of ethmoid polyps. Only few complications such as CSF leak, synechia and ocular problem were observed