Functional Endoscopic Sinus Surgery as a primary modalityof treatment for primary and recurrent nasal polyposis

Background: It is important to understand the relationship between diseases of the upper and lower respiratory tracts because of the prevalence of nasal polyp and asthma, their impact on patients’ lives, the resultant burden on the health care system, and the potential benefits of functional endoscopic sinus surgery. Objective of the study was to evaluate the benefits of functional endoscopic sinus surgery (FESS) on bronchial asthma in patients with concomitant nasal polyposis.Methods: A total of 30 patients having nasal polyposis with asthma were taken up in the study. Patients were evaluated in reference to radiographic study of nose and PNS, pulmonary function by spirometry and asthma symptoms by ACT score. FESS was performed in all patients. Post-surgery spirometry and ACT score was done at 3 and 6 months. Results: Maximum patients belonged to the age group of 35-49 years. When compared pre and post-operative ACT score, we observed a mean of 15.7 (pre-operative), 13.6 (at 3 months) and 19.8 (at 6 months). FEV1% score was 74.6 pre-operatively, which was 90.2% at 3 months and 95.5% at 6 months of follow up.Conclusions: FESS has a positive influence in the lower airways function of asthmatic patients. Recorded improvement of the subjective and objective parameters measured, should not only be attributed to alleviation of upper airway symptoms and to concomitant improvement of a patient's quality of life, but also to the positive influence of FESS on the intrinsic mechanisms.

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Adult-onset Woakes’ syndrome: a rare entity

BMJ Case Reports ◽

10.1136/bcr-2020-236894 ◽

2021 ◽

Vol 14 (1) ◽

pp. e236894

Author(s):

Pedro Salvador ◽

Francisco Moreira da Silva ◽

Rui Fonseca

Keyword(s):

Ct Scan ◽

Endoscopic Sinus Surgery ◽

Nasal Polyposis ◽

Sinus Surgery ◽

Nasal Dorsum ◽

Rare Entity ◽

Adult Onset ◽

Aspirin Exacerbated Respiratory Disease ◽

Nasal Pyramid ◽

Recurrent Nasal Polyposis

Woakes’ syndrome (WS) is a rare entity, defined as severe recalcitrant nasal polyposis with consecutive deformity of the nasal pyramid. WS occurs mainly in childhood and its aetiology remains unclear. We report a case of a 68-year old woman, with aspirin-exacerbated respiratory disease, who presented with recurrent nasal polyposis and progressive broadening of the nasal dorsum. CT scan revealed extensive bilateral nasal polyposis and diffuse osteitis, with anterior ethmoidal calcified lesions. The patient underwent revision endoscopic sinus surgery and nasal pyramid deformity was successfully managed without osteotomies.

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NASAL POLYPS;

The Professional Medical Journal ◽

10.29309/tpmj/2018.25.08.48 ◽

2018 ◽

Vol 25 (08) ◽

pp. 1213-1217

Author(s):

Farhan Salam ◽

Damish Arslan ◽

Muhammad Salman Haider Qureshi ◽

Ejaz Ahmad

Keyword(s):

Endoscopic Sinus Surgery ◽

Nasal Polyps ◽

Nasal Polyposis ◽

Postoperative Bleeding ◽

Case Series ◽

Operational Definition ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Male Patients ◽

Age Of Majority

Introduction: Functional Endoscopic Sinus Surgery (FESS) is now undoubtedlythe procedure of choice for surgical treatment of chronic sinusitis and nasal polyposis afterfailure of medical treatment. In order to present the formation of synechie nasal packing isperformed. Moreover, it also helps in supporting the process of wound healing and preventionof postoperative bleeding. Objectives: To determine the frequency of synechiae formation afterfunctional endoscopic sinus surgery (FESS) in patients presenting with nasal polyps. StudyDesign: Descriptive case series. Setting: Department of Otorhinolaryngology at ServicesHospital Lahore. Period: Six months from 03-10-2013 to 02-04-2014. Methodology: A total of150 cases were included in this study. Patients were treated by functional endoscopic sinussurgery (FESS) and were followed at the end of 1st, 2nd, 3rd and 4th week postoperatively forthe development of synechiae (as per operational definition). Results: The age of majority ofpatients was from 20 to 40 years and minimum patients were < 20 years old. Mean age of thepatients was 35.30±10.54 years. Male patients were 80 (53.3%) while female patients were 70(46.7%). Synechiae formation was observed in 28 patients (18.7%). Conclusion: Synechiaeformation was developed in 18.4% of the patients after functional endoscopic sinus surgery.

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