Outcome of functional endoscopic sinus surgery in adult patient with sinonasal polyposis

Abstract

Background: Nasal polyps are a common condition. Their etiology remains unclear. Surgical treatment has been refined significantly over the past 20 years with the advent of endoscopic sinus surgery. Objectives: The objective of this study was to assess the efficacy of functional endoscopic sinus surgery in an adult patient with sinonasal polyposis, by measuring the improvement in symptoms during 6 months of follow-up. Furthermore, record complications and recurrence of nasal polyps. Patients and Methods: A prospective study was conducted between November 2018 to January 2021, which included (39) patients whom attended the Outpatient Otorhinolaryngological Department of AL-Karkh General Hospital and AL-Yarmouk Teaching Hospital and suffered from sinonasal polyposis. This study included patients above 18 years (of either sex) with bilateral nasal polyposis and whom medical treatment failed. Those patients were evaluated by history taking, clinical examination, and computer tomography scan of the nose and paranasal sinuses. All patients had functional endoscopic sinus surgery and visual analog scale assessments was done (both pre- and postoperatively), which followed up for up to 24 weeks. Results: About 79.5% of the patient get improvement in nasal blockage and (66.7%) for hyposmia, (90.5%) for nasal discharge, and (80%) for both headache and postnasal drip associated with significant improvement of symptoms score 24 weeks postoperative to preoperative score for nasal block, hyposmia, nasal discharge, and facial pain, except postnasal drip showed no significant difference. The most frequent complication was a recurrence of polyps, followed by synechiae and minor epistaxis. No major complication was recorded. Conclusion: Endoscopic sinus surgery for sinonasal polyposis is an efficient surgical procedure for nasal polyposis, because it provides an approximate field of vision and illumination, good access, and is associated mostly with minor complications.