Published November 30, 2023 | Version v1
Journal article Open

Evaluating the Risks and Potential Outcomes of Functional Endoscopic Surgery: Observational Research

  • 1. Senior Resident, Department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India
  • 2. Assistant Professor, Department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India
  • 3. Professor and HOD, Department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India

Description

Abstract
Aim: The current study set out to evaluate tertiary hospital-acquired sequelae after functional endoscopic surgery
(FESS).
Methods: The Present investigation was single-center, prospective, observational study, done in Department of
ENT. The study lasted for two years. The current study included 200 patients who met the study criteria during
the study period.
Results: The patients' ages ranged from 19 to 30 years old, making up 46% of the total, with those between 31-
and 40-years old accounting for 29%. More male patients (68%) than female patients (32%). For FESS patients,
the number of procedures done all at once ranged from uncinectomy (100%), middle meatal antrostomy (100%),
anterior ethmoidectomy (100%), posterior ethmoidectomy (76%), sphenoidectomy (32%), frontal recess surgery
(26%), and reduction of the middle turbinate (1%). In this research, endoscopy was able to successfully handle
the two significant problems that occurred, one of which was a cerebrospinal fluid leak (1%). After careful and
effective management, a small number of problems such as periorbital emphysema (3%), sinus infection (1%),
periorbital ecchymosis (1%), and synechiae (5%), which required treatment, were effectively addressed.
Conclusion: Although FESS has a low complication rate and is often a safe surgery, it does have the hazards of
any surgical intervention and serious problems may happen. It is one of the most frequently done procedures in
otorhinolaryngology.

Abstract (English)

Abstract
Aim: The current study set out to evaluate tertiary hospital-acquired sequelae after functional endoscopic surgery
(FESS).
Methods: The Present investigation was single-center, prospective, observational study, done in Department of
ENT. The study lasted for two years. The current study included 200 patients who met the study criteria during
the study period.
Results: The patients' ages ranged from 19 to 30 years old, making up 46% of the total, with those between 31-
and 40-years old accounting for 29%. More male patients (68%) than female patients (32%). For FESS patients,
the number of procedures done all at once ranged from uncinectomy (100%), middle meatal antrostomy (100%),
anterior ethmoidectomy (100%), posterior ethmoidectomy (76%), sphenoidectomy (32%), frontal recess surgery
(26%), and reduction of the middle turbinate (1%). In this research, endoscopy was able to successfully handle
the two significant problems that occurred, one of which was a cerebrospinal fluid leak (1%). After careful and
effective management, a small number of problems such as periorbital emphysema (3%), sinus infection (1%),
periorbital ecchymosis (1%), and synechiae (5%), which required treatment, were effectively addressed.
Conclusion: Although FESS has a low complication rate and is often a safe surgery, it does have the hazards of
any surgical intervention and serious problems may happen. It is one of the most frequently done procedures in
otorhinolaryngology.

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Dates

Accepted
2023-11-22