title: Complications of endonasal endoscopic sinus surgery for management of nasal polyp and chronic sinusitis.
abstract: Sinusitis is defined as a condition manifested by inflammation of the mucous membrane of the nose & paranasal sinuses, fluid within this cavities and or underlying bone. Chronic rhinosinusitis is diagnosed by the presence of two or more of the following factors facial congestion/fullness, nasal obstruction, nasal discharge or discolored post nasal drainage, hyposmia/anosmia or one major and two of the following minor factors, headache. Halitosis, fatigue, dental pain, cough, ear pressure, fullness. The use of endoscope during surgery of nose & para nasal sinuses improves visualization enable greater preservation of normal structures and reduces the necessity for wide exposure. This cross-sectional study on 50 cases of chronic rhinosinusitis carried out during a period of 6 months. All the cases of both endonasal endoscopic sinus surgery (EESS) group and conventional group assessed clinically endoscopicaly and by imaging both pre and post-operative period. Twenty five cases were EESS group. Twenty five cases of conventional group. Follow-up frequencies are 1st week, 2nd week, 3rd week, 1st month, 3rd months, 6th months. In both type majority of patients in between 21-40 years, most of the cases were male, majority of patients present with headache (80)%, nasal discharge (70%), nasal obstruction (62%), major indication incase of EESS group were ethmoidal polyp 52% & conventional surgery group were chronic sinusitis (56%). Commonest complications were cheek swelling 10(40%) incase of conventional group, crusting 12(84%) in EESS group. Complete recovery incase of EESS were in 21(84%) cases and conventional surgery group 16(64%). Endonasal endoscopic sinus surgery has provided a safe & efficient method for dealing with different sinonasal diseases.
authors.affiliation: Dr Shaker Ahmed, Assistant Professor, Department of Otolaryngology Head & Neck Surgery, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.
authors.forename: S
authors.initials: S
authors.lastname: Ahmed
authors.forename: M P
authors.initials: MP
authors.lastname: Humayun
authors.forename: M A
authors.initials: MA
authors.lastname: Karim
authors.forename: U
authors.initials: U
authors.lastname: Bhattacharjee
authors.forename: M A
authors.initials: MA
authors.lastname: Sattar
authors.forename: M M
authors.initials: MM
authors.lastname: Alam
authors.forename: K H
authors.initials: KH
authors.lastname: Tarafder
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D004724:Endoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000601:surgery*; D012220:Rhinitis / Q000601:surgery*; D012852:Sinusitis / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult