Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Chronic sinusitis is a common condition that often requires surgical intervention. This study compares the effectiveness of endoscopic sinus surgery and open sinus surgery in a tertiary care setting. A randomized controlled trial was conducted over six months, involving 100 patients diagnosed with chronic sinusitis. Patients were randomly assigned to either Group A (endoscopic sinus surgery) or Group B (open sinus surgery), with 50 patients in each group. The primary outcome was symptom improvement, measured by the Sinonasal Outcome Test (SNOT‐22). Secondary outcomes included complication rates, recovery time, patient satisfaction and quality of life assessed by the Short Form‐36 (SF‐36) survey. The mean reduction in SNOT‐22 scores was significantly greater in Group A (25.3±5.4) compared to Group B (20.8±6.1) (p=0.015). Group A also had a lower rate of minor complications (10% vs. 24%, p=0.047) and a shorter average recovery time (10.2±2.3 days vs. 15.7±3.5 days, p<0.001). Patient satisfaction was higher in Group A, with 85% reporting good to excellent outcomes, compared to 70% in Group B (p=0.038). Quality of life improvements were also more significant in Group A (12.4±3.2 vs. 9.1±2.9, p=0.008). Endoscopic sinus surgery is associated with better outcomes in symptom relief, recovery and quality of life compared to open sinus surgery, making it the preferred treatment approach for chronic sinusitis.
How to cite this article:
Rakesh Kumar Mishra and Neha Upadhyaya. A Comparative Study of Surgical Techniques for Treatment of Chronic Sinusitis: A Randomized Controlled Trial in Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.562.566
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.562.566