A Hospital Based Comprehensive Study to Evaluate the Complications of Various Endoscopic Sinus Surgery in Patients Under General Anaesthesia

Abstract

Background: The work of Endoscopic Sinus Surgery is now at the level of medical care with chronic and recurrent sinusitis. The endoscope even improves postoperative performance management to facilitate the speedy recovery and early detection of any recurrent infections. The purpose of this study was to examine the various complications of endoscopic sinus surgery. Materials & Methods: The study was a prospective study done on 50 patients attending the outpatient department of the Otorhinolaryngology at Government Medical College, Sikar, Rajasthan, India during five months period. All the patients were subjected to a detailed ENT clinical examination. Diagnostic nasal endoscopy was done for all the patients. If there were findings suggestive of sinusitis, osteomeatal complex disease, the patients were subjected to radiological examinations like X-ray Paranasal Sinuses and Computed Tomography Scan Paranasal Sinuses. Results: Age of the patients participated in this study is from 13 years to 60 years. out of 50 patients, 30 were males (60%) and 20 were females (40%). The incidence of major complication and minor complications was 2% & 12% respectively. 30% of the patients underwent anterior ethmoidectomy in addition to uncinectomy and middle meatal antrostomy. 30% of the patients underwent posterior ethmoidectomy also in addition to the above. 16% of the patients underwent frontal recess surgery in addition to uncinectomy, middle meatal antrostomy, anterior and posterior ethmoidectomy. 8% of the patients underwent sphenoidotomy in addition to uncinectomy, middle meatal antrostomy, anterior and posterior ethmoidectomy and 16% of the patients underwent uncinectomy, middle meatal antrostomy, anterior and posterior ethmoidectomy, frontal recess surgery and sphenodotomy. Conclusion: We concluded that with successful endoscopic sinus surgery, a clear understanding of anatomy is essential. Knowledge of anatomic relationships and diversity helps surgeons avoid complications.