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Doctoral Thesis | Otorhinolaryngology | India | Volume 14 Issue 3, March 2025 | Popularity: 5 / 10
Study of Effectiveness of Functional Endoscopic Sinus Surgery in Management of Nasal Obstruction
Dr. Velagapudi Chandrasekhar, Dr. B. Krishna Santosh, Dr. A. Swathi, Dr. V. S. A. V. Ramana Rao
Abstract: Introduction: Increased incidence of nasal obstruction is because of global climatic change due to increasing air pollution, industrial fumes and allergic factors etc in urban areas. FESS is considered as the procedure of choice for patients as primary treatment or in patients who do not respond to conservative treatment. Objectives: The present study is to assess the effectiveness of FESS on the symptom profile of patients with nasal obstruction before and after surgery. Methods: A prospective study conducted on 30 patient sattending to Otorhinolaryngology department in Konaseema institute of medical sciences and research foundation, Amalapuram. Once the diagnosis and extent of the disease was established, the patients were taken up for FESS after preanaesthetic check - up. During the post - operative follow - up, the severity of symptoms was compared preoperatively and postoperatively using the ?Rhinosinusitis symptom inventory" (RSI) symptom scores. Results: In 86% patients, improvement in the symptom scores was observed by the end of 6 months follow up period. The remaining 14% cases were symptomatic at the end of postoperative 6 months follow up, may be because of delayed healing of sinus mucosa due to recurrent URTI, exposure to environmental dust and pollution and personal habits like smoking. Conclusion: FESS is minimally invasive, safe and effective procedure and has greater impact in the nasal obstruction due to various conditions, as it clears the involved pathology, establishing nasal patency and normal muco - ciliary drainage of the paranasal sinuses.
Keywords: nasal obstruction, nasal sinuses, endoscopy, surgery
Edition: Volume 14 Issue 3, March 2025
Pages: 1547 - 1552
DOI: https://www.doi.org/10.21275/SR25327154903
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