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

• Main Authors: Ng, Boon Han Kevin, Sim, Linger, Annamalai, Sentilawathi, Tang, Ing Ping
• Format: Article
• Language: English
• Published: Bentus Publisher 2020
• Subjects: RF Otorhinolaryngology
• Online Access: http://ir.unimas.my/id/eprint/32770/1/A%205-year%20experience%20in%20functional%20endoscopic%20sinus%20surgery%20-%20Copy.pdf; http://ir.unimas.my/id/eprint/32770/; http://www.paom.pl/A-5-year-experience-in-functional-endoscopic-sinus-surgery-under-local-anaesthesia,122045,0,2.html

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.