Abstract

ABSTRACT:
BACKGROUND :
The technique of Endoscopic Sinus Surgery (ESS) has been widely accepted and applied to many diseases of the paranasal sinuses with internationally reported results of this technique having been very good.
OBJECTIVE:
To assess the results & complications of E.S.S. for chronic rhinosinusitis.
PATIENTS AND METHODS:
Forty three patients underwent ESS at Al-Kadhymia Teaching Hospital (Baghdad) for one year period. A thorough history and ENT examinations, endoscopic examinations and CT-scan imaging of the nose & paranasal sinuses were performed.
These patients diagnosed as having chronic rhinosinusitis and prepared for E.S.S. after failure of maximal medical treatment to improve their symptoms. The post operative follow-up period was 3-6 months and evaluated subjectively regarding the outcome of their endoscopic sinus surgery.
RESULTS:
The age ranges from 17 to 53 years, the mean age was (32.44 years ±9.83 STDEV ), the commonest age group affected was between 31-40 years (34.88%),male to female ratio was 1.15:1 The commonest symptom were Headache in 30 patients (69.76%) ,Nasal obstruction in 29 patients (67.44%),Post nasal drip in 18 patients (41.86%).The duration of symptom was 1-5 years in (44.18%) of patients. During surgery all the patients underwent uncinectomy& anterior ethmoidectomy. Major complication not occurred in our study commonest minor complication was synechia 8 patients (18.60%) .Commonest symptoms that improved were ; nasal obstruction 24 out of 29 patients ( 82.75%) which is significant {p-value=0.02} , postnasal drip 7 out of 18 patients ( 38.88%) which is significant {p-value=0.002},while headache 21 out of 30 patients (70%) not significant {p-value=0.077 }
CONCLUSION :
ESS is efficacious in treatment of chronic rhinosinusitis with few minor complications and rare major complications.