Alipanahi Rakhshandeh, Sayyahmelli Mirrahim, Sayyahmelli Sima
Ophthalmology Department, Nikookari Hospital, Tabriz, Iran.
J Pak Med Assoc. 2011 Jun;61(6):537-40.
To evaluate the ocular complication of functional endoscopic sinus surgery in patients with chronic sinus disease.
In a prospective descriptive, cross-sectional study without control group, 53 patients who underwent functional endoscopic sinus surgery for refractory chronic sinus diseases were evaluated. Patients underwent a complete Otolaryngology and Ocular examination and functional endoscopic sinus surgery.
A total of 53 functional endoscopic sinus surgery procedures were included in this study. Mean age of patients was 37.56 +/- 1.74 years (range from 20 to 60); 26 (49.1 per cent) were females and 27 (50.1 per cent) were males. Of these patients, 24 (45.3 per cent) had rhinosinusitis without nasal polyposis, and the rest 29 (54.7 per cent) had rhinosinusitis with nasal polyposis. Among the 53 cases, there were 7 (13.1%) with ocular complications following functional endoscopic sinus surgery; one case (1.9%) of cellulitis, 6 cases (11.3%) of lids swelling and conjunctival injection. It was noted that 83.77% improved postoperatively, concerning pain in the head and face. The difference between postoperative complications and causes (two groups sinusitis with nasal polyp and sinusitis without nasal polyp) was statistically meaningful (p = 0.001). There was not significant difference in post-operative complications between the two age groups; below and above 40 years (p = 0.45).
Functional endoscopic sinus surgery is an effective treatment modality against medical therapy for chronic sinus diseases.
评估慢性鼻窦疾病患者功能性鼻内镜鼻窦手术的眼部并发症。
在一项无对照组的前瞻性描述性横断面研究中，对53例因难治性慢性鼻窦疾病接受功能性鼻内镜鼻窦手术的患者进行了评估。患者接受了全面的耳鼻喉科和眼科检查以及功能性鼻内镜鼻窦手术。
本研究共纳入53例功能性鼻内镜鼻窦手术。患者的平均年龄为37.56±1.74岁（范围为20至60岁）；女性26例（49.1%），男性27例（50.1%）。在这些患者中，24例（45.3%）患有无鼻息肉的鼻窦炎，其余29例（54.7%）患有伴鼻息肉的鼻窦炎。在这53例病例中，有7例（13.1%）在功能性鼻内镜鼻窦手术后出现眼部并发症；1例（1.9%）蜂窝织炎，6例（11.3%）眼睑肿胀和结膜充血。值得注意的是，83.77%的患者术后头部和面部疼痛有所改善。术后并发症与病因（两组：伴鼻息肉鼻窦炎和无鼻息肉鼻窦炎）之间的差异具有统计学意义（p = 0.001）。两个年龄组（40岁以下和40岁以上）术后并发症无显著差异（p = 0.45）。
功能性鼻内镜鼻窦手术是治疗慢性鼻窦疾病的一种有效治疗方式，优于药物治疗。
