QUALITY OF LIFE AFTER FUNCTIONAL ENDOSCOPIC SINUS SURGERY

Abstract

Objective:

The aim of the study was to evaluate how functional endoscopic sinus surgery (FESS) modifies patients’ symptom profiles and quality of life.

Materials and methods:

The patients of chronic sinonasal disease (allergic /inflammatory/) attending the Rhinological clinic of Department of Otorhinolaryngology, Nepalgunj Medial College, Banke from 2004-2008 were selected for functional endoscopic sinus surgery (FESS) and were evaluated subjectively regarding the outcome of surgery. Z test of proportion was used to compute statistical significance.

Results:

One hundred and twenty patients were selected. Major complaints were nasal obstruction (80%), nasal discharge (75%) and headache (72.5%). Regarding nasal obstruction, 93.7 % (90/96) responded favorably to surgery while success in nasal discharge was 89.9%. In case of headache, 93.1% (81/87) of patient responded, while patients with post-nasal discharge responded least after surgery (82.8%). The overall results reveal that 87.7% patients were asymptomatic or improved following the surgery.

Conclusion:

Our center reports a subjective improvement of symptoms following FESS compatible with results attained internationally.

Keywords: Chronic sinusitis, outcome, sinus surgery