Effectiveness of Endoscopic Sinus Surgery for Chronic Rhinosinusitis with Nasal Polyps: Follow-Up on Nasal Obstruction and Recurrence Rates: Nasal Obstruction and Recurrence Rates

Anam Asif; Masoom Mangal; Muhammad sohail Qadir; Usman Aslam; Ghulam Dastgir Khan; Behram Afzal

doi:10.54393/pjhs.v5i06.1642

Authors

Anam Asif Department of Ear, Nose and Throat, Avicenna Medical College and Hospital, Lahore, Pakistan
Masoom Mangal Department of Ear, Nose and Throat, Lahore General Hospital, Lahore, Pakistan
Muhammad sohail Qadir Department of Ear, Nose and Throat, Lahore General Hospital, Lahore, Pakistan
Usman Aslam Department of Ear, Nose and Throat, Avicenna Medical College and Hospital, Lahore, Pakistan
Ghulam Dastgir Khan Department of Ear, Nose and Throat, Sharif Medical and Dental College, Lahore, Pakistan
Behram Afzal Department of Ear, Nose and Throat, Lahore General Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i06.1642

Keywords:

Nasal Obstruction, Endoscopic Sinus Surgery, Chronic Rhinosinusitis, Nasal Polyps

Abstract

Chronic rhinosinusitis with nasal polyps is a significant health issue linked with considerable morbidity and reduced life quality. Endoscopic Sinus Surgery (ESS) is a broadly accepted technique for nasal polyp’s treatment. Objective:To assess and compare nasal obstruction in chronic rhinosinusitis patients with nasal polyp’s pre and post-ESS and to evaluate recurrence rates at 3^rd and 6^th month post-surgery. Methods: The study was conducted as an observational study at Lahore General Hospital ENT Department from June 2019 to June 2020. A total of 88 patients underwent ESS after medical assessment. Nasal obstruction was evaluated using a visual analog scale during follow-up at 2^nd week, 3^rd month and 6^th month. Data were analyzed using SPSS 24.0 with chi-square tests for categorical variables (p<0.05). Results: The mean age of patients was 31.45 ± 11.343 years. At 3^rd month post-operative, 59.1% had no nasal obstruction, while 34.1% had mild obstruction. At 6^th month, 54.5% had no obstruction, and 37.5% had mild obstruction. Recurrence rates were 25% at 3^rd month and 29.5% at 6^th month. Conclusions: Higher nasal obstruction and recurrence rates were noted at 6^th month compared to 3^rd month post-ESS, highlighting the need for long-term follow-up

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