Chronic rhinosinusitis (CRS) is a common problem worldwide that results in significant impairment of quality
of life. Endoscopic surgery aims at maintaining physiological function and anatomical structure.
This study aimed to assess the outcome after functional endoscopic sinus surgery (FESS) for chronic
rhinosinusitis with or without nasal polyps using symptom scoring and endoscopic assessment.
Thirty patients having chronic rhinosinusitis CRS with or without nasal polyps underwent endoscopic sinus
surgery in Otolaryngology dept. / Sulaimaniya Teaching Hospital from May 2008 to April 2009 after failure of
medical treatment to resolve the condition for more than 12 weeks. Preoperative symptoms and radiologic
findings were scored as well as the extent of surgery. Post operative endoscopic findings and symptoms
outcome were evaluated.
The common presenting symptoms in order of frequency were nasal obstruction, facial pressure or pain,
purulent nasal or post nasal secretions, headache, hyposmia, Fatigue, cough, and halitosis. All symptom's
scores significantly reduced (t-test P value < 0.000), with exception of cough (t- test P value = 0.023).
Halitosis showed no significant change (t-test P value = 0.103). Patients who had the lowest radiological
scores underwent the least extensive surgery.
In conclusion, most CRS symptoms can be expected to improve significantly after ESS and correlates with
postoperative endoscopic examination of the nasal cavities. Lund-Mackay radiologic scoring can be used as
a predictor of symptom outcome although it correlates weakly with the severity of symptoms preoperatively.