@article{Nausheen Qureshi , Nighat Arif_2017, title={Functional Endoscopic Sinus Surgery( FESS)}, volume={21}, url={https://journalrmc.com/index.php/JRMC/article/view/115}, abstractNote={<p>To study the management of the<br>patients of various nasal and para nasal sinuses<br>diseases with endoscopic sinus surgery in terms of<br>age, gender, disease pattern, surgical procedures,<br>complications and recurrence rate.<br>Methods: In this descriptive study 146 patients of<br>different sinonasal disease treated with endoscopic<br>sinus surgery were included. Patients with CSF leak,<br>nasolacrimal duct obstruction , polyps,with and<br>without history of allergy and asthama were<br>included. Patients with mucormycosis, invasive<br>fungal sinusitis, malignancy and very elderly were<br>not included. Pre-operative CT scan was a pre<br>requisite in all patients. Fibreoptic light was passed<br>through the canaliculi to identify the lacrimal sac or<br>after dilating the puncta with a lacrimal probe,it<br>was passed into the superior and inferior canaliculi<br>to know the position of lacrimal sac .The lacrimal sac<br>is located lateral to the maxillary line at its superior<br>edge. Drill was used to create a window.All patients<br>had their visual acuity , colour vision and<br>funduscopy done prior to surgery. Flourescein dye<br>was used for CSF rhinorhea demonstration prior to<br>CSF leak repair preoperatively. On the 4th<br>postoperative day the patients had removal of their<br>crusts and had examination of nasal cavity.<br>Results: Mean age was 33 years. The commonest<br>presenting feature was nasal obstruction and nasal<br>discharge. Most of the patients had allergic fungal<br>sinusitis though we did manage to do isolated cases<br>of sphenoiditis, a couple of DCR and of CSF<br>Rhinnorhea. The most common complication we<br>encountered was recurrence of disease followed by<br>periorbital pain and bruising and pain.<br>Conclusion: Endoscopic sinus surgery is the<br>standard of care in modern rhinology and more work<br>is required in our country to promote its training and<br>use for the betterment of patients.</p>}, number={1}, journal={Journal of Rawalpindi Medical College}, author={Nausheen Qureshi , Nighat Arif}, year={2017}, month={Mar.} }