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Endoscopic Sinus Surgery (ESS) Outcome in the Treatment of Chronic Sinusitis: Southeast Nigeria Experience

Obasikene CN1, Obasikene Godwin2*, Afiadigwe EE2, Ibiam Frances A3, Adekwu Amali4, Ezeanolue BC5

Background: Endoscopic Sinus Surgery (ESS) is becoming the preferred procedure for Chronic Rhinosinusitis (CRS) that are not responding to medical treatment because of its good outcome. However, most otorhinolarhingologists are still offering their patients open sinus surgeries for fear of poor outcome and complications.

Objective: To determine the outcomes and of endoscopic sinus surgery for Chronic Rhinosinusitis (CRS) that are not responding to medical treatment. Design: This was a retrospective study that analysed the outcome of the patients who had ESS in the Southeast Nigeria.

Setting: Otorhinolaryngology department of Nnamdi Azikiwe University Teaching Hospital Nnewi, Southeast Nigeria.

Subjects: Twenty patients were seen within 2018 to 2020 and their information was retrieved from their case notes. The patient’s demographic information; pre-operative symptoms and signs; paranasal sinus Computed Tomography (CT) findings; operative indications; surgery procedures and complications; short and long-time patients’ reported outcome were used from the patient’s folder. The descriptive analysis of the information obtained was performed using SPSS version 22.

Results: There was a satisfactory patient reported outcome for all the patients. Our patients are still under follow up. One out of the 8 asthmatics presented with recurrent nasal stuffiness but the patient responded to steroid nasal decongestant. Also, one of the two patients with fungal sinusitis had recurrence after 1 year of post endoscopic surgery. Patient had repeated endoscopic sinus surgery and repeated doses of oral fluconazole.

Conclusion: Our outcome measures are good and patients should be encouraged to do functional endoscopic sinus surgery instead of the conventional open paranasal sinus surgery when necessary.