NASAL POLYPS;

SYNECHIAE FORMATION AFTER FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS) AMONG PATIENTS WITH NASAL POLYPS; A DESCRIPTIVE CASE SERIES

Abstract

Introduction: Functional Endoscopic Sinus Surgery (FESS) is now undoubtedly
the procedure of choice for surgical treatment of chronic sinusitis and nasal polyposis after
failure of medical treatment. In order to present the formation of synechie nasal packing is
performed. Moreover, it also helps in supporting the process of wound healing and prevention
of postoperative bleeding. Objectives: To determine the frequency of synechiae formation after
functional endoscopic sinus surgery (FESS) in patients presenting with nasal polyps. Study
Design: Descriptive case series. Setting: Department of Otorhinolaryngology at Services
Hospital Lahore. Period: Six months from 03-10-2013 to 02-04-2014. Methodology: A total of
150 cases were included in this study. Patients were treated by functional endoscopic sinus
surgery (FESS) and were followed at the end of 1st, 2nd, 3rd and 4th week postoperatively for
the development of synechiae (as per operational definition). Results: The age of majority of
patients was from 20 to 40 years and minimum patients were < 20 years old. Mean age of the
patients was 35.30±10.54 years. Male patients were 80 (53.3%) while female patients were 70
(46.7%). Synechiae formation was observed in 28 patients (18.7%). Conclusion: Synechiae
formation was developed in 18.4% of the patients after functional endoscopic sinus surgery.