Comparison of Effectiveness of Conventional Polypectomy with Functional Endoscopic Sinus Surgery

It is common for rhinologists to face nasal polyposis. When other treatments have failed, patients must undergo Functional Endoscopic Sinus Surgery (FESS) with a microdebrider or traditional equipment to clear out their sinuses and restore normal airflow. Objective: To compare the effectiveness of conventional polypectomy with functional endoscopic sinus surgery in patients presenting to tertiary level care hospital in Islamabad, Pakistan. Methods: This study was conducted at Department of ENT Head and Neck Surgery, Pakistan Institute of Medical Sciences, Islamabad from November 2017 to December 2018. Eighty-eight patients were enrolled and they were randomly into group A and group B assigned for conventional polypectomy and functional endoscopic sinus surgery, respectively. Results: There were 27 (61.4%) males and 17 (38.6%) females and mean age was 34.59 ± 12.00 years in conventional polypectomy and 28 (63.6%) males and 16 (36.5%) females and mean age was 36.64 ± 10.76 years in function endoscopic sinus surgery. The recurrence rate after 6 months in patients underwent conventional polypectomy was 18 (40.9%) and functional endoscopic sinus surgery was 2 (4.5%). Conclusion: The frequency of recurrence of nasal polyps after conventional polypectomy was more than in patients receiving functional endoscopic sinus surgery procedure.