Of 296 patients who underwent function endoscopic sinus surgery
(FF-SS) at Bertha University hospital, 14 (4.7%) patients were identified.
Their principal complaint was recurrent sinusitis with facial pain or headache
thought to be of sinugenic origin. These patients had no osteomeatal
complex (OMC) obstruction on diagnostic nasal endoscopy and also had
unremarkable sinus diseases on computed tomography (CV scan of paranasal
sinuses. The operative procedures were very limited FESS which
inch irlPd middle meatotomies with uncinectomies arid partial turbinectomies
(frontoinferior). These patients had a post operative significant reduction
in severity and number of sinus infections (yellow or green nasal
discharge, nasal blockage, postnasal drainage, asthma, allergies)
(p<0.05), but non had a complete elimination of nasal symptoms. The
pathophysiologic mechanism of recurrent rhinosinusitis in these patients
is probably related to reversible mucosal disease. This report focuses on
a small group of select patients who had specific complaints and had underlying
nasal mucosal disease in the form of allergy or vasomotor rhinitis.
This therapy is not recommended for every patient, but only a small,
selected group of patients who had classic complaints of recurrent sinusitis
and had medical treatment failures even if their nasal endoscopy and
computed tomography scans were norrnaL |
