Volume : 13, Issue : 04, April – 2026

Title:

CASE STUDY OF RECURRENT CHRONIC RHINOSINUSITIS WITH RARE POST-SURGICAL COMPLICATIONS AND ADVERSE DRUG REACTION

Authors :

Marka Varshitha*, Goreenka Udayasree, Pendem Meghana, Neerudi Avinash, P.Soma sekhar

Abstract :

Recurrent chronic rhinosinusitis (CRS) with post-surgical complications is a rare and challenging clinical condition.[1] CRS generally improves after Functional Endoscopic Sinus Surgery (FESS); however, in some patients, symptoms persist or recur due to abnormal mucosal regeneration, chronic inflammation, and environmental sensitivity.[2,3] This case study reports a 28-year-old male patient presenting with persistent nasal obstruction, facial swelling, recurrent “epistaxis” and fever even after previous sinus surgery.[4] Radiological findings revealed recurrent mucosal hypertrophy and sinus obstruction.[5] During postoperative management, the patient developed an adverse drug reaction to ceftriaxone, which was promptly identified and managed.[6,7] The patient was treated with alternative antibiotics and planned for revision surgery.[3,5] This case highlights the importance of early recognition of surgical failure, rare complications, and drug safety monitoring.[7,8]
Keywords: Recurrent rhinosinusitis, Post- surgical complication, Epistaxis, Adverse drug reaction, Revision FESS

Cite This Article:

Please cite this article in press Marka.Varshitha et al., Case Study Of Recurrent Chronic Rhinosinusitis With Rare Post-Surgical Complications And Adverse Drug Reaction, Indo Am. J. P. Sci, 2026; 13(04).

REFERENCES:

1. Fokkens WJ, Lund VJ, Hopkins C, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2020.
https://www.rhinologyjournal.com/Documents/Supplements/supplement_29.pdf⁠.
2.American Academy of Otolaryngology–Head and Neck Surgery. Clinical Practice Guideline: Adult Sinusitis
https://journals.sagepub.com/doi/full/10.1177/0194599815572097⁠.
3.National Institutes of Health. Endoscopic Sinus Surgery Overview
https://www.ncbi.nlm.nih.gov/books/NBK563202.
4.Mayo Clinic. Chronic Sinusitis – Symptoms and Causes
https://www.mayoclinic.org/diseases-conditions/chronic-sinusitis⁠.
5.PubMed. Recurrent Chronic Rhinosinusitis after Surgery
https://pubmed.ncbi.nlm.nih.gov.
6.World Health Organization. Adverse Drug Reaction Monitoring
https://www.who.int/publications/i/item/9789241549950⁠.
7.Uppsala Monitoring Centre. Pharmacovigilance and ADR Reporting
https://www.who-umc.org/⁠
8.National Health Service. Sinusitis Overview
https://www.nhs.uk/conditions/sinusitis.
9.Centers for Disease Control and Prevention. Sinus Infection (Sinusitis)
https://www.cdc.gov/sinus-infection.
10.National Health Service. Nosebleed (Epistaxis)
https://www.nhs.uk/conditions/nosebleed