Faculty Opinions recommendation of Functional endoscopic sinus surgery improved asthma symptoms as well as PEFR and olfaction in patients with nasal polyposis.

Author(s):  
Cesar Picado
Allergy ◽  
2009 ◽  
Vol 64 (5) ◽  
pp. 762-769 ◽  
Author(s):  
A. Ehnhage ◽  
P. Olsson ◽  
K-G. Kölbeck ◽  
M. Skedinger ◽  
B. Dahlén ◽  
...  

Author(s):  
Vijay Gupta ◽  
Arindam Gupta

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.  </p><p class="abstract"><strong>Results:</strong> 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.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>


2018 ◽  
Vol 25 (08) ◽  
pp. 1213-1217
Author(s):  
Farhan Salam ◽  
Damish Arslan ◽  
Muhammad Salman Haider Qureshi ◽  
Ejaz Ahmad

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.


Author(s):  
Raies Ahmad Begh ◽  
Aditiya Saraf ◽  
Kamal Kishore ◽  
Parmod Kalsotra

<p class="abstract"><strong>Background:</strong> This paper aims to assess improvement in quality of life (QOL) after functional endoscopic sinus surgery through questionnaire sino-nasal outcome test (SNOT)-22.</p><p class="abstract"><strong>Methods:</strong> The present study was conducted on 50 patients in Department of ENT and HNS, SMGS Hospital, GMC Jammu during a time period of July 2017 to September 2019. All the patients with age ≥18 years who failed to respond to medical therapy (3 months) and underwent functional endoscopic sinus surgery (FESS) were included in the study. SNOT-22 questionnaire was used to assess the improvement.  </p><p class="abstract"><strong>Results:</strong> In our study, preoperative SNOT scores were higher (54±8.05) but after FESS they reduced significantly at 1st (16.47±5.51), 3rd (13.86±4.19), 6th months (12.9±8.05) post operatively. Chronic rhinosinusitis (CRS) with nasal polyposis group had greater mean difference of SNOT-22 scores (43.93) between preoperative period and 3 months postoperative period than patients grouped as CRS without nasal polyposis (41.47).</p><p class="abstract"><strong>Conclusions:</strong> We concluded that FESS is the best surgical intervention for chronic rhinosinusitis. It significantly improves the quality of life of patients of chronic rhinosinusitis.</p>


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