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Functional Endoscopic Sinus Surgery: Experience with Fifty Patients Suffering From Chronic Rhinosinusitis, A descriptive study | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 26, Issue 3, 2013, Pages 267-272 | ||
| Authors | ||
| Ehab Taha Yaseen; Ali Abed | ||
| Abstract | ||
| Abstract: Background: Chronic rhinosinusitis (CRS) can be considered as one of the most frequent problems that can be faced in the practice of otolaryngology. The cornerstone of accurate diagnosis and treatment of chronic rhinosinusitis is a thorough history and complete physical examination, including nasal endoscopy supported by CT examination. Objectives: To identify the commonest age group affected by CRS, the symptoms and signs of CRS, to compare the findings of CT scans with endoscopic and operative findings and to reveal the most common operative steps performed in functional endoscopic sinus surgery (FESS). Patients and method: A cross sectional descriptive study conducted in Al-Yarmouk Teaching Hospital enrolled 50 patients presented with medically resistant CRS. Data collected from the patients using a questionnaire formula and all of them were subjected to endoscopic examination. CT scan of the nose and paranasal sinuses in coronal view was arranged for all of them. All the patients subjected to endoscopic sinus surgery. Results: The commonest age group affected by CRS was in those between 21-30 years (40%), the mean age was 30.4 years with male to female ratio 1.27:1. The commonest chief complaint was nasal obstruction (46%). The commonest endoscopic finding was septal deviation (86%). The commonest CT finding was inferior turbinate hypertrophy (72%).Uncinectomy and middle meatal antrostomy were the commonest surgical procedures performed (94%). Conclusions: The commonest age group affected by CRS is 21-30 years. Males are more affected by CRS than females. Nasal obstruction is the commonest symptoms suffered by the patients. Septal deviation is the commonest endoscopic finding. Hypertrophy of the inferior turbinate is the commonest CT finding. Uncinectomy and middle meatal antrostomy are the commonest surgical procedures done. Key words: Chronic rhinosinusitis, CT, Endoscopic sinus surgery, paranasal sinuses. | ||
| Keywords | ||
| Chronic Rhinosinusitis; Endoscopic sinus surgery; paranasal sinuses | ||
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