Maximizing Relief—Evaluating the Efficacy of Functional Endoscopic Sinus Surgery in Chronic Rhinosinusitis Patients: A SNOT-22 Based Study

ARTICLEreduced or lost sense of smell (hyposmia and/or anosmia), headache, fever, halitosis, fatigue, dental pain, cough, ear discomfort, or the presence of pus on nasal examination.A diagnosis is established if a patient presents with either two clinical major symptoms or one major symptom along with at least two minor symptoms. 2hronic rhinosinusitis is a widespread condition that contributes to significant morbidity, social distress, and diminished productivity in both academic and professional settings.Its prevalence varies by IntroductIonChronic rhinosinusitis (CRS), in the field of otorhinolaryngology, is often encountered, having an impact on the quality of life (QOL), affecting overall health, energy levels, and social interactions.It can lead to decreased productivity, with its burden being comparable to that of chronic lung disease and coronary heart disease. 1 Antibiotics and intranasal steroid sprays are frequently recommended, with the majority of cases showing a positive response to medical management.For individuals with persistent symptoms despite medical therapy, functional endoscopic sinus surgery (FESS) is a surgical intervention for managing nasal and paranasal sinus conditions.Rhinosinusitis encompasses a range of conditions where there are acute or chronic inflammatory changes in the respiratory ciliated mucosa lining the nose and paranasal sinuses (PNS).Due to their anatomical continuity, isolated occurrences are uncommon. 2he Rhinosinusitis Task Force of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) categorizes rhinosinusitis based on duration of symptoms and clinical presentation into acute rhinosinusitis (ARS), recurrent acute rhinosinusitis (RARS), subacute rhinosinusitis (SRS), CRS, and patients with acute exacerbation of chronic rhinosinusitis (AECRS).CRS is diagnosed when clinical symptoms persist for >3 months and may include pressure over the face and/or pain, nasal congestion, obstruction and discharge, 1-