Anju, R (2022) A Prospective study on the Quality of Life Outcomes of Patients with Chronic Rhinosinusitis After Functional Endoscopic Sinus Surgery. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
INTRODUCTION: The first attempt at nasal endoscopy is largely credited to Hirschman in 1901 who used a modified cystoscope to examine the nasal cavity. Subsequently, Reichert performed what would be regarded as the first endoscopic procedure; rudimentary maxillary sinus manipulations with a 7 mm endoscope through an oroantral fistula. In 1925, Maltz promoted use of nasal endoscopes for diagnostic evaluation of the sinonasal cavity and coined the term ‘sinuscopy’. The creation of the Hopkins rod system in the 1960s was perhaps the major turning point in the field of sinonasal endoscopy. Professor Harold H. Hopkins developed the rod optic endoscope system as well as several other inventions such as the zoom camera lens and fiberoptic gastroscope. The new telescope design resulted in markedly enhanced light delivery and superior optical quality allowing exceptional detailing of the sinonasal cavity. Using this new innovation, Messerklinger subsequently composed a landmark book in 1978 on diagnostic endoscopy of the nose from his work studying mucociliary clearance in fresh cadavers. AIMS AND OBJECTIVES: 1. To assess the various symptoms of chronic rhinosinusitis before functional endoscopic sinus surgery 2. To compare the various symptoms of chronic rhinosinusitis before and after functional endoscopic sinus surgery. 3. To assess quality of life outcome in patients of chronic rhinosinusitis after functional endoscopic sinus surgery using SNOT22. 4. To confirm functional endoscopic sinus surgery as a standard treatment modality in chronic rhino sinusitis patients refractory to medical treatment. MATERIALS AND METHODS The study will be conducted in the out-patients and in-patients in the department of Otorhinolaryngology, Thanjavur Medical College Hospital, Thanjavur. The study subjects will be from the patients with chronic sinusitis attending the ENT OPD at Thanjavur Medical College Hospital, Thanjavur during the 19 months period (JANUARY 2020 TO AUGUST 2021). INCLUSION CRITERIA:- 1. Patients above 18 years of age 2. All cases of CRS, including allergic and infective, with symptoms for at least 12 weeks 3. Patients not responding to 3 weeks of medical therapy like antibiotics, decongestants,antihistaminics and steroid nasal spray EXCLUSION CRITERIA:- 1. Patients with any nasal mass;previous sinus surgery. 2. Patients with chronic sinusitis who responded to medical treatment. 3. Patients with clinical evidence of sinusitis of dental origin,traumatic origin and fungal sinusitis. 4. Patients with chronic disease such as cystic fibrosis, primary ciliary dyskinesia, immune deficiencies and suspected malignancy. CONCLUSION: ❖ FESS is the best available treatment modality for Chronic Rhinosinusitis. Symptomatic relief was successfully established in 86.66%of patients. ❖ FESS plays an important role in improving the quality of life of patients suffering from chronic rhinosinusitis ❖ The preoperative Non Contrast Computed Tomography of nose and paranasal sinuses revealed the disease/infection predominantly involved the anterior ethmoids and infundibulum and of rhinogenic in origin followed by the posterior ethmoids and maxillary sinus. ❖ The common procedures that were done bilaterally in most of the cases were uncinectomy, MMA and anterior ethmoidectomy. ❖ In the hands of an experienced surgeon the post operative complications of FESS are minimal. ❖ Post FESS after the period of 6 months follow up no medical treatment was required by most of the patient.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221914201 |
| Uncontrolled Keywords: | Quality of Life, Chronic Rhinosinusitis, Functional Endoscopic Sinus Surgery. |
| Subjects: | MEDICAL > Otolaryngology > MEDICAL > Otolaryngology |
| Depositing User: | Subramani R |
| Date Deposited: | 12 May 2021 16:25 |
| Last Modified: | 17 Dec 2023 11:02 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/16521 |
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