A 5-year experience in functional endoscopic sinus surgery under local anaesthesia

Ng, Boon Han Kevin and Sim, Linger and Annamalai, Sentilawathi and Tang, Ing Ping (2020) A 5-year experience in functional endoscopic sinus surgery under local anaesthesia. Polish Annals of Medicine, 28 (2). pp. 1-4. ISSN 2083-5914

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Abstract

I n t r o d u c t i o n : Functional endoscopic sinus surgery (FESS) under local an-aesthesia performed as an office-based procedure is an alternative to general an-aesthesia. It is gaining popularity among otorhinolaryngology – head and necksurgeons.A i m : This study assesses the outcome of FESS performed under local anaesthe-sia in a tertiary centre over a 5-year period.M a t e r i a l a n d m e t h o d s : A retrospective data collection was conducted. All adults who underwent FESS under local anaesthesia for a 5-year period from June 2014 to June 2019 in Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) Department, Sarawak General Hospital, Malaysia were included in this study. Data and information on preoperative assessment, surgical indication, sinuses operated on, intraoperative findings and postoperative complications and follow up were recorded.R e s u l t s a n d d i s c u s s i o n : A total of 150 patients met the inclusion criteria. The most common indication was chronic rhinosinusitis with nasal polyp (78%). All paranasal sinuses were operated on. In 43% of cases local anaesthesia was used alone, while 57% received both local anaesthesia and intravenous anaesthesia. Majority of patients (90%) were discharged home the next day. Four patients (2.7%) developed epistaxis postoperatively which did not require surgical inter-vention.C o n c l u s i o n s : FESS under local anaesthesia is a safe and feasible alternative to general anaesthesia and is well tolerated by patients. Complications of general anaesthesia can be avoided.

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