1. Functional endoscopic sinus surgery in chronic sinusitis--a series of 237 consecutively operated patients
- Author
-
John Jakobsen and Frank Svendstrup
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Anosmia ,Nasal Polyps ,Preoperative Care ,otorhinolaryngologic diseases ,medicine ,Humans ,General anaesthesia ,Prospective Studies ,Sinusitis ,Prospective cohort study ,Child ,Aged ,Aged, 80 and over ,Postoperative Care ,business.industry ,Chronic sinusitis ,Endoscopy ,General Medicine ,Functional endoscopic sinus surgery ,Middle Aged ,medicine.disease ,Surgery ,Stenosis ,Ostium ,Otorhinolaryngology ,Anesthesia ,Chronic Disease ,Female ,medicine.symptom ,business ,Follow-Up Studies - Abstract
From 1989 to 1999, 237 consecutive patients with chronic sinusitis and/or nasal polyposis entered a prospective study on the effect of functional endoscopic sinus surgery (FES). Nasal stenosis associated with massive nasal polyposis was the most frequent problem found in 61% of the patients. The rest had long-lasting symptoms of chronic sinusitis. Duration of symptoms averaged 9.3 years. Most frequent symptoms preoperatively were: nasal stenosis, chronic secretion, anosmia, frontal pain, headache and maxillary pain. All patients had the operation performed under general anaesthesia. 86% of the patients have been operated bilaterally. In 72% the posterior ethmoid was opened, and in 54% the sphenoid was opened. The maxillary ostium has been enlarged in 82% of the patients and the frontal recess opened in 51% of the cases. No serious complications were registered. Annoying bleeding was experienced in 21%, hampering the intended procedure. In three patients rhinoliquore was observed. One case was treated during the procedure; the last two patients were in no need of surgical treatment. At the 1-year follow-up study, 45% of the patients were totally satisfied with the results and without symptoms, and 44% were definitely feeling better.
- Published
- 2000