Evaluation of modified fess in management of chronic rhinosinusitis

الملخص EN

Our purpose was to evaluate the PURPOSR efficacy of modified FunctAXional endoscopic sinus surgery (FESS) in patients with chronic rhinosinusitis (CRS) STUDY DESIGN: Prospective non randomized study.

METHODS.

This study was conducted in the department of Otorhinolaryngology of Ain Shams University Hospitals during the period from October 2003 to June 2007 in which cases presenting with the features of chronic rhinosinusitis were enrolled.

Detailed history physical examination, nasal endoscopic examination and computed tomography (CT) scan of the paranasal sinuses were done for all the cases.

All patients refractory to medical management were subjected to modified functional endoscopic sinus surgery and were followed up for a period ranging from 1 to 3 years to assess the results.

Assessment of symptoms was performed subjectively using visual analogue scoring (VAS).

CT scan findings were scored using the Lund–Mackay system.

Endoscopic examination findings were scored according to the staging system.

proposed by Giger et al., 2004.

The study population comprised of 95 cases The most common symptoms were presence of nasal obstruction and headache.

Modified FESS was done in all the cases.

Recurrence was seen in 9 % of cases.

CONCUUSIONS.

This study shows that modified FESS is effective for the treatment of chronic Rhinosinusitis.