Haque M R, Hossain M M, Kundu S C, Kabir S, Alam S, Chowdhury W A, Faruque G M
Department of ENT, Mymensingh Medical College Mymensingh.
Mymensingh Med J. 2004 Jan;13(1):39-42.
Endoscopic sinus surgery has become a widely accepted surgical procedure for the treatment of chronic inflammatory sinus diseases. In our study 100 patients were suffering from polyposis treated by functional endoscopic sinus surgery in MMCH. Out of 100 patients 53 patients were suffering from ethmoidal polyp and 47 patients were suffering from antrochoanal polyp between the ages 7 to 45 years. Among antrochoanal polyp 2 patients were found with inverted papilloma and came with recurrence. 40% of the patients came with a follow up visit up to 1 year. 7 out of 53 cases of ethmoidal patient came with recurrence requiring revision FESS. There was no history of patient suffering from asthma or aspirin intolerance. Overall success rate was observed in 91%. Four patients were found with periorbital haematoma and 5 with fat coming out from orbit due to injury of lamina papyraceae.
内镜鼻窦手术已成为治疗慢性炎症性鼻窦疾病广泛接受的外科手术。在我们的研究中，100例患有息肉病的患者在MMCH接受了功能性内镜鼻窦手术治疗。100例患者中，53例患有筛窦息肉，47例患有上颌窦后鼻孔息肉，年龄在7至45岁之间。在上颌窦后鼻孔息肉患者中，发现2例伴有内翻性乳头状瘤且复发。40%的患者进行了长达1年的随访。53例筛窦患者中有7例复发，需要再次进行功能性内镜鼻窦手术。患者无哮喘或阿司匹林不耐受病史。总体成功率为91%。4例患者出现眶周血肿，5例因纸样板损伤导致眶内脂肪脱出。
