Journal of Otorhinolaryngology and Facial Plastic Surgery
Doi
Abstract
Background: An operation called functional endoscopic sinus surgery (FESS) can improve symptoms with success rates ranging from 67% to 98%. However, post-FESS management is still uncertain, and this expert opinion provides guidelines for managing patients after the surgery.
Aim: This study aimed to evaluate postoperative care in functional endoscopic sinus surgery.
Methods: In the current descriptive cross-sectional study, a questionnaire consisting of 25 questions about pre- and post-FESS considerations in terms of medications, imaging and the follow-up period was designed and 40 expert rhinologists in this field responded to the questions.
Results: Post-operative antibiotics, pre-and post-operative corticosteroids especially in the form of nasal spray, corticosteroid-soaked Gelfoam, saline irrigation in large volumes, and nasal debridement after surgery were recommended by the majority of the surveyed experts. Post-operative imaging was suggested if any adverse event is suspected. Furthermore, oral corticosteroids are suggested for exacerbations. Most of the experts recommend long-term follow-ups.
Conclusion: Based on the findings of the current survey, the experts' practice not only is remarkably variable over each other but also differs from the current guidelines. Further investigations and practical workshops are strongly recommended to improve the experts’ performance in FESS
