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EFFECTIVENESS OF FUNCTIONAL ENDOSCOPIC SINUS SURGERY FOR THE TREATMENT OFRECURRING AND PRIMARY NASAL POLYPOSIS

Dr Muhammad Faisal Shahzad, Dr Muhammad Awais Watoo, Dr Hafiz Rahil Asif

Objectives: This research work carried out to elaborate the effectiveness of the FESS (Functional Endoscopic Sinus Surgery) in our institute as compared with the past research works for the treatment of the primary and recurring nasal polyposis. Methodology: This research work carried out for a period of complete two years from November 2017 to October 2019 in the ENT Department of General Hospital, Lahore. In this research work, we selected one hundred and sixteen patients from both genders with a range of age from eighteen to sixty year from the OPD of END Department, with NP (Nasal Polyposis) who underwent FESS. Out of total one hundred and sixteen patients, 12.90% (n: 15) were present with recurring NP whereas 87.10% (n: 101) were present with primary NS. We evaluated the patients clinically. We performed the nasal endoscopy before surgery and computed tomography scan of nose as well as paranasal sinuses in each patient to evaluate the extension of disease and assess the surgical anatomy. We followed up the patients three monthly, six monthly and after one year. We assessed the clinical symptoms of NP with the use of nasal endoscopy at very visit for follow up. Results: There were total one hundred and sixteen patients with documented identification of NP. Among them, 64.70% (n: 75) were male patients & 35.30% (n: 41) patients from female gender. The average age of the male patients was 39.10 years and the average age of the female patients was 36.70 years. Only 12.90% (n: 15) patients developed recurring disease in whole one year. Conclusion: There is always preference to the FESS as a main treatment modality for recurring and primary NP. There can be improvement in signs with reduced chances of recurring of the disease in greater than ninety percent patients of this disease. Keywords: FESS, NP, surgery, paranasal sinuses, modality, symptoms.

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