To compare the results of endoscopic sinus surgery with and without microdebrider in patients of nasal polyposis

Abstract

Objective: To compare the results in patients of nasal polyposis undergoing endoscopic sinus surgery with or without the use of microdebrider. Materials and methods: The study was conducted on 40 patients of either sex in age group 15 to 60 years with nasal polyposis. They were divided into two groups (20 each), in group A microdebrider was used and in group B it was not used. Symp-tom scoring of each patient was done on the basis of nasal blockage, headache, olfactory disturbance, nasal discharge and trigeminal pressure pain. Similar scoring was followed for diagnostic endoscopy in which the scoring was done on the basis of extent of polyps, edema of middle turbinate and secretions in middle meatus. Both the left and right sides were examined and scored separately. Results: The symptom and endoscopy scores were significantly higher (p < 0.02 and < 0.0001 respectively) in group B post-operatively on 14th day and after 3 months as compared to group A. Conclusion: Microdebrider assisted endoscopic sinus surgery gives better results.