Postoperative Complications of Conventional Polypectomy Versus Endoscopic Sinus Surgery

Abstract

Objective: To compare the postoperative complications of conventional polypectomy versus Endoscopic sinus surgery. Study Design: This is cross sectional study. Setting: Study carried out at E.N.T department, Tertiary care hospital from April 2019 - March 2020. Materials & Methods:  52 out of which 32 were male and 20 were female. Benign nasal polyps within 14 yrs to 80 years from emergency and out- patient department both were included in our study. Only recurrent and neoplastic lesions were not inclusive of this study. Postoperatively the patient was prescribed with oral antibiotics, nasal decongestants and nasal douche with normal saline, followed by local steroids after 1.5 months. The post operative evaluation (both endoscopic and clinical) was done at 2 weeks, 6 weeks and 3 months post operatively and data was recorded. Statistical package for social sciences (SPSS) software version 20.0. Results:  A total of 52 patients were recruited for the study with age ranging from 18 to 40 years.  The mean age was 24.65± SD 4.12. There were 32 (61.53%) males and 20 (38.46%) female patients. Two weeks were observed postoperative complications. The intranasal complications after simple intranasal polypectomy i.e. bleeding (SIP 8(30.76%) Versus ESS 5(19.23%)), crusting (SIP 10(38.46%) Versus ESS 6(23.07%)), Synechiae formation (SIP 3(11.53%) Versus ESS 1(3.84%)), recurrence 0% were observed. At upto 6th weeks observed the intranasal complications after simple intranasal polypectomy i.e. bleeding (SIP 5(19.23%) Versus ESS 2(7.69%)), crusting (SIP 6(23.07%) Versus ESS 2(7.69%)), Synechiae formation (SIP 2(7.69%) Versus ESS 1(3.84%)), recurrence 0% were observed. Three months were observed the intranasal complications after simple intranasal polypectomy i.e. bleeding (SIP 1(3.84%) Versus ESS 0%), crusting (SIP 0% Versus ESS 0%), Synechiae formation (SIP 4(15.38%) Versus ESS 3(11.53%)), recurrence 3(11.53%) were observed only in simple intranasal polypectomy group. While the intraorbital and intracranial complications were not observed.  Conclusion: We would like to conclude our study in favor of ESS to be superior to other intranasal polypectomy procedures in terms of post operative complications.