جراحی آندوسکوپیک سینوسهای پارانازال روشی نوین در درمان بیماریهای بینی و سینوس ها، گزارش 200 مورد

The application of functional endoscopic sinus surgery (FESS) for treatment of chronic paranasal sinus diseases had become widely accepted. The diagnostic and therapeutic potential provided by transnasal endoscopic approach has allowed us to manage a variety of disorders other than inffammatory diseases of the nasal cavity and paranasal sinuses. In this prospective study indications, complications and results of FESS in 200 patients is reported. The pathologic conditions that necessitated surgical intervention were: chronic sinusitis with or without polyposis (88.5 %), antrochoanal polyp(2.97%), inverting papifoma(1.78 %), hemangioma(1.19 %) and meucocele of maxillary sinus (0.59 %). The operative metod was mainly based upon the Messer klinger technique. Major complications occurred only in %59 namely postoperative hemorrhage which was easily controlled. Minor complications occured in 8% of cases that include, periorbital hematoma (1.19 %) r obstruction of the maxillary sinus ostium (1.78%), and synechia between middle turbinate and lateral nasal wall (5.16 %) s which were almost entirely repaired during the post operative follow up. 6-24 month follow ups of our patients revealed a total recovery of rate of 95.88 %, which is comparable to the results of FESS in well know centers through the world .