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Original Research

RMJ. 2024; 49(3): 599-602


Frequency of complications in endoscopic sinus surgery: while using all preventive measures documented in literature.

Tallat Najeeb, Nisa Siddiqui, Saleem Ahmed, Azam Khan, Abdul Hameed Bhatti.




Abstract

Objective: To assess the rate of different complications of endoscopic sinus surgery and to identify the factors linked to these complications.
Methodology: This prospective descriptive cross-sectional study included 52 patients who underwent endoscopic sinus surgery between 2020 and 2022, without a control group. The study evaluated patient symptoms, recurrent cases, intraoperative and postoperative complications. To analyze the data, a univariate analysis was conducted using SPSS 22.
Results: Out of 52 patients, 30 (57.7%) were females and 22 (42.03%) males. The most prevalent diagnosis was ethmoidal polyps, accounting for 42.03% of the cases, followed by chronic rhinosinusitis at 38.5% and allergic fungal rhinosinusitis at 11.5%. Recurrent cases made up 5.77% of the total. Fortunately, none of the patients experienced any major complications. Only 15.38% (8 out of 52) of the patients developed minor complications like post-operative adhesions and temporary anosmia.
Conclusion: When patients are properly prepared before surgery, endoscopic sinus surgery produces significantly better outcomes with minimal complications. Improvement in symptoms is expected in more than 90% of patients with a minimal risk of recurrence and complications.

Key words: Chronic sinusitis, complications, endoscopic sinus surgery, CSF leak, hemorrhage.






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