Abstract

Background: Functional Endoscopic Sinus Surgery (FESS) is a set of minimally invasive surgical techniques which allow direct visual examination and opening of the sinuses. As with any invasive treatment modality an extensive list of complications has been reported in the literature so far. Present clinical study was aimed to study complications of functional endoscopic surgery (FESS) at a tertiary hospital. Material and Methods: Present study was single-center, prospective, observational study, conducted in patients 18-60 years, either gender, with CRS with or without polyps and patients with mucoceles posted & operated for FESS. Results: During study period 120 patients satisfying study criteria were considered for present study. Majority of patients were from 19-30 years age group (45.83 %) followed by 31-40 years age group (28.33 %). Male patients (64.17 %) were more as compared to female (35.83 %). In patients undergoing FESS, multiple surgeries were performed simultaneously such as uncinectomy (100 %), middle meatal antrostomy (100 %), anterior ethmoidectomy (100 %), posterior ethmoidectomy (76.67 %), sphenoidectomy (30 %), frontal recess surgery (25.83 %) & reduction of the middle turbinate (0.83 %). In present study we noted only 1 major complication as CSF leak (0.83 %) which was effectively managed by endoscopy. Few minor complications as synechiae requiring treatment (4.17 %), periorbital emphysema (1.67 %), epistaxis requiring packing (1.67 %), periorbital ecchymosis (0.83 %) & sinus infection (0.83 %), all were managed conservatively & successfully. Conclusion: FESS is one of the most commonly performed operations in otorhinolaryngology and is generally a safe procedure, with a low rate of complications but as with any surgical intervention, it carries risks & major complications may occur.

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