الفهرس 
Review of LiteratureOnly 14 pages are availabe for public view
 |  | from | 299 |  |  |
| | | from | 299 | | |
Abstract
This study was established to evaluate objectively and subjectively the effect of FESS alone and FESS associated with septoplasty and/ or turbinectomy in order to clarify the effect of FESS.
Conclusions:
1- FESS is a very efficient procedure to improve the Sino nasal symptoms and to normalize the Sino nasal condition when used as a single procedure. This efficiency becomes more significant when FESS is accompanied by removal of a previously present anatomical obstructing factor as septal deviation or turbinate hypertrophy.
2- Nasal endoscopy plays a key role in the diagnosis and management of patient with Sino nasal disease. Not only did nasal endoscopy identify abnormalities in patients who had normal CT scans of the nose and paranasal sinuses, but it also contributed additional information about those patients who had abnormal CT scans. Moreover examination of the Sino nasal area by nasal endoscopy is one of the reliable ways to estimate treatment success as the surgeon can see whether the Sino nasal area is free of disease or not.
3- FESS has a significant effect to improve the nasal patency either subjectively, by the rhinomanometry, which is augmented by the removal of an anatomical obstructing factor.
4- Rhinomanometry has a significant clinical role to evaluate patients with Sino nasal diseases pre- and post FESS when we take the unilateral nasal resistance in consideration.
5- Increased ventilation and drainage of secretion following FESS improve olfactory dysfunction caused by Sino nasal diseases. The improvement is augmented by the removal of an anatomical obstructing factor as septal deviation or hypertrophied turbinate.
6- The ciliary beat frequency was found to be obviously reduced preoperatively due to the infectious process.
7- The CBF improves markedly after FESS reaching the normal range 6 months postoperatively which is an evidence of diminished infection and a restoration of normal nasal physiology which in turn strongly support the rationale for FESS.
8- The CBF has a linear pattern of improvement after Fess with the most rapid rate between the 4th and 6th month postoperatively. From this we stress upon the benefit of longer follow up duration by objective methods even if clinical examinations revealed normal findings.