A RANDOMIZED CONTROL TRIAL ON COMPARATIVE STUDY OF MICRODEBRIDER ASSISTED ENDOSCOPIC SINUS SURGERY WITH CONVENTIONAL INSTRUMENTS AND ITS IMPACT ON THE PULMONARY FUNCTION TEST

Dr. Gayathri. S, Dr Asim P A

Abstract


INTRODUCTION
The nasal airways and their closely associated paranasal sinuses are an integral part of the respiratory tract. 1 -5. A
close association has been suggested between sinusitis and lower respiratory disorders like bronchial asthma. It is known that chronic
sinusitis coexists in as many as 40 –75 % of patients with asthma. Study done by Shaaban et al had shown that allergic rhinitis was associated
with increased onset of bronchial hyper responsiveness, and less chance for remission except in those treated for rhinitis⁶.
AIMS AND OBJECTIVES
The Aim of this study is to assess the extent of improvement in chronic sinusitis following surgical treatment in the form of ESS (either with
microdebrider or using conventional technique) and also if it can bring about a signi􀃶cant improvement in the pulmonary function tests of
patients
CONCLUSION
1. In both methods after surgery, there was statistically considerable difference symptomatically in Microdebrider assisted endoscopic
sinus surgery than the conventional method
2. In both the methods radiological score difference was good without any statistical difference. Hence both methods are equally good for
clearing disease.
3. In both the methods endoscopic score difference was good without any statistical difference. Hence both methods are equally good for
clearing disease.
4. There were no surgical complications in any of the method
5. In both methods after surgery, there was statistically considerable difference in FEV1 values in microdebrider assisted endoscopic sinus
surgery than conventional method. Hence microdebrider assisted ESS is considered better in terms of addressing coexistence of lower


Keywords


Microdebrider symptomatically conventional endoscopic

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References


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