surgical outcome following functional endoscopic sinus surgery in term of mucociliary transport

ABSTRACT

In patients who develop sinusitis and must undergo nasal and sinus procedures, it is important to recognize the changes that occur within the mucociliary apparatus. Mucociliary transport has been assessed pre and post functional endoscopic sinus surgery [FESS] using saccharin method. The mean preoperative saccharin transport time [STT] in two groups of patients Group II [bilaterally diseased, n = 40] and Group III [unilaterally diseased, n = 20] was 43.9 and 45.8 minutes, respectively, which were significantly longer than that of controls [Group I, n =20] i.e. 15.75 minutes. They were reduced insignificantly two months following FESS and reduced significantly four and six months following FESS. The results suggested that the impairment of mucociliary transport in chronic paranasal sinusitis may be significantly improved following FESS