Author
Dr. Aishwarya Tiwari, Dr. Nasima Khatoon, Mr. Prashant Saraswat
Keywords
Endoscopic Sinus Surgery; Functional Endoscopic Sinus Surgery; Chronic Rhinosinusitis; Sinonasal Surgery; Postoperative Outcomes; Rhinology.
Abstract
Functional endoscopic sinus surgery (FESS) has become the preferred surgical approach for the treatment of chronic rhinosinusitis and other sinonasal disorders that are unresponsive to medical therapy. The minimally invasive nature of endoscopic sinus surgery allows precise visualisation and removal of diseased sinus tissues while preserving surrounding anatomical structures. Advances in surgical instrumentation, imaging guidance systems, and postoperative care strategies have significantly improved the safety and effectiveness of this procedure. This cross-sectional analytical study examines clinical outcomes associated with endoscopic sinus surgery among 178 patients. Image-guided FESS demonstrated the highest postoperative symptom improvement scores (F=6.08, p=0.002). Endoscopic sinus surgery significantly improves sinonasal symptoms and patient quality of life. Postoperative care strategies such as nasal irrigation and regular endoscopic follow-up were also associated with improved long-term outcomes.
References
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[3] Dewey, J., et al. (2025). Efficacy of endoscopic sinus surgery for chronic rhinosinusitis: a systematic review of systematic reviews. European Archives of Oto-Rhino-Laryngology, 1–15.
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[6] Jiang, R. S., et al. (2014). Electrolyzed acid water nasal irrigation after functional endoscopic sinus surgery. American Journal of Rhinology & Allergy, 28(2), 176–181.
[7] Kaur, S. (2018). Evaluating and Comparing Clinical Outcomes of Image-Guided Sinus Surgery (Doctoral dissertation, Grand Canyon University).
[8] Lee, J. Y., & Lee, S. W. (2007). Influence of age on the surgical outcome after endoscopic sinus surgery for chronic rhinosinusitis. The Laryngoscope, 117(6), 1084–1089.
[9] Navaratnam, A. V., et al. (2023). Safety of day-case endoscopic sinus surgery in England. Clinical Otolaryngology, 48(2), 191–199.
[10] Rudmik, L., et al. (2014). Long-term utility outcomes in patients undergoing endoscopic sinus surgery. The Laryngoscope, 124(1), 19–23.
[11] Shafique, M. A., et al. (2024). Standard Instruments Versus Microdebrider in Endoscopic Sinus Surgery. Annals of King Edward Medical University, 30(4), 362–368.
[12] Sobol, S. E., Wright, E. D., & Frenkiel, S. (1998). One-year outcome analysis of functional endoscopic sinus surgery for chronic sinusitis. Journal of Otolaryngology-Head & Neck Surgery, 27(5), 252.
[13] Tajudeen, B. A., et al. (2017). Quality-of-life improvement after endoscopic sinus surgery in patients with obstructive sleep apnea. Allergy & Rhinology, 8(1).
[14] Walner, D. L., et al. (2002). Clinical outcome of pediatric endoscopic sinus surgery. American Journal of Rhinology, 16(3), 151–154.
[15] Watelet, J. B., et al. (2004). Objective outcome after functional endoscopic sinus surgery: prediction factors. The Laryngoscope, 114(6), 1092–1097.
[16] Arockia, V. J., Vettriselvan, R., Rajesh, D., Velmurugan, P. R. R., & Cheelo, C. (2025). Leveraging AI and Learning analytics for enhanced distance learning: transformation in education. In AI and learning analytics in distance learning (pp. 179-206). IGI Global Scientific Publishing.
[17] Ashifa, K. M. (2019). Developmental initiatives for persons with disabilities: Appraisal on village-based rehabilitation of Amar Seva Sangam. Indian Journal of Public Health Research & Development, 10(12), 1257–1261.
[18] Rasi, R. A., & Ashifa, K. M. (2019). Role of community-based programmes for active ageing: Elders self-help group in Kerala. Indian Journal of Public Health Research & Development, 10(12).
[19] Ashifa, K. M. (2020). Effect of substance abuse on physical health of adolescents. European Journal of Molecular & Clinical Medicine, 7(2), 3155–3160.
[20] Ashifa, K. M. (2020). Physical health hazards of schizophrenia patients. Systematic Reviews in Pharmacy, 11(12), 1848–1850.
[21] Ashifa, K. M. (2021). Analysis on the determinants of health status among tribal communities. Journal of Cardiovascular Disease Research, 12(3), 531–534.
[22] Ashifa, K. M. (2021). Health status of primitive tribal women in India. Journal of Cardiovascular Disease Research, 12(5), 772.
[23] Ashifa, K. M. (2022). A situation analysis of the social well-being of elderly during the COVID-19 pandemic. International Journal of Health Sciences, 6(3), 10156–10163.
[24] Ashifa, K. M., & Ramya, P. (2019). Health afflictions and quality of work life among women working in fireworks industry. International Journal of Engineering and Advanced Technology, 8(6S3), 1723–1725.
[25] Basha, R., Pathak, P., Sudha, M., Soumya, K. V., & Arockia Venice, J. (2025). Optimization of quantum dilated convolutional neural networks: Image recognition with quantum computing. Internet Technology Letters, 8(3), e70027.
[26] Catherine, S., Gupta, N., Gopi, E., & Swadhi, R. (2025). Enhancing Patient Engagement and Outcomes Through Digital Transformation: Machine Learning in Medical Marketing. In Impact of Digital Transformation on Business Growth and Performance (pp. 285-312). IGI Global Scientific Publishing.
[27] Devi, M., Manokaran, D., Sehgal, R. K., Shariff, S. A., & Vettriselvan, R. (2025). Precision Medicine, Personalized Treatment, and Network-Driven Innovations: Transforming Healthcare With AI. In AI for Large Scale Communication Networks (pp. 303-322). IGI Global Scientific Publishing.
[28] A S Aneeshkumar, (2018). Substantiation Study for Disease Prediction, Journal of Emerging Technologies and Innovative Research (JETIR), 5(7), pp. 249-254.
[29] Elkin, N., Mohammed, A. K., Kilincel, S., Soydan, A. M., Tanriver, S. C., Celik, S., & Ranganathan, M. (2025). Mental health literacy and happiness among university students: A social work perspective to promoting well-being. Frontiers in Psychiatry, 16, 1541316.
[30] Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025). Striking a Balance: Mental Health Challenges and Work-Life Integration among Women Faculty in Indian B-Schools. Texila International Journal of Public Health, 13(2).
[31] Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025). Strategic Role of Human Resource Management in Enhancing Occupational Health and Safety Practices in Business Schools in India. Texila International Journal of Public Health, 13(2).
[32] Jenifer, R. D., Vettriselvan, R., Saxena, D., Velmurugan, P. R., & Balakrishnan, A. (2025). Green Marketing in Healthcare Advertising: A Global Perspective. In AI Impacts on Branded Entertainment and Advertising (pp. 303-326). IGI Global Scientific Publishing.
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[34] Mustafa, N., Zahoor, H., Gamil, R. E., Ashifa, K. M., & Safaei, M. (2026). Empowering future caregivers: the role of self-leadership in reducing stress among nursing students. International Journal of Innovation and Learning, 39(1), 74-103.
[35] Natraj, N. A., Abirami, T., Ananthi, K., Venice, J. A., Chandru, R., & Rathish, C. R. (2024). The Impact of 5G Technology on the Digital Supply Chain and Operations Management Landscape. In Applications of New Technology in Operations and Supply Chain Management (pp. 289-311). IGI Global Scientific Publishing.
[36] Ranganathan, M., Jacob, A., Ashifa, K. M., Kumar, G. J., Anthony, M., Vijay, M., & Kumari, R. B. (2024). An investigation of the effects of chronic stress on attention in parents of children with neurodevelopmental disorders. Universal Journal of Public Health, 12(1), 37–50.
[37] Shanthi, H. J., Gokulakrishnan, A., Sharma, S., Deepika, R., & Swadhi, R. (2025). Leveraging Artificial Intelligence for Enhancing Urban Health: Applications, Challenges, and Innovations. In Nexus of AI, Climatology, and Urbanism for Smart Cities (pp. 275-306). IGI Global Scientific Publishing.
[38] Swadhi, R., Gayathri, K., Suresh, N. V., Catherine, S., & Velmurugan, P. R. (2025). Leveraging Machine Learning for Enhanced Patient Engagement and Outcomes: Revolutionizing Healthcare Marketing. In Impact of Digital Transformation on Business Growth and Performance (pp. 313-340). IGI Global Scientific Publishing.
[39] Swadhi, R., Velmurugan, P. R., Mahalingam, U., Keerthana, R., & Padmavathy, N. (2026). Embedding Fairness and Resilience: Human-Centered Leadership in AI-Driven Workplaces. In Centering Positive Organizational Cultures Through Human-Centered Leadership (pp. 139-162). IGI Global Scientific Publishing.
[40] Venice, J. A., Arivazhagan, D., Suman, N., Shanthi, H. J., & Swadhi, R. (2025). Recommendation systems and content personalization: algorithms, applications, and adaptive learning. In AI for Large Scale Communication Networks (pp. 323-348). IGI Global Scientific Publishing.
[41] Venice, J. A., Vettriselvan, R., Rajesh, D., Suresh, N. V., & Abirami, P. (2025). Enabling personalized learning and adaptive systems through strategic management: cloud integration in education. In Bridging Academia and Industry Through Cloud Integration in Education (pp. 49-72). IGI Global Scientific Publishing.
[42] Venice, J. A., Vettriselvan, R., Jain, S., Madusudanan, K., & Aarthy, C. C. J. (2025). Performance Evaluation and Metrics in Blockchain Powered AI/ML: Data Analytics for Cognitive Internet of Things (CIoT). In Transforming Education With AI-Powered Personalized Learning (pp. 143-178). IGI Global Scientific Publishing.
[43] Venice, A., Swadhi, R., Gayathri, K., Chandra, P., & Sajana, K. P. (2026). Rehabilitation Robotics and Adaptive Motion Planning for Patient-Centric Care. In Intelligent Motion Control for Human-Centered Systems (pp. 51-76). IGI Global Scientific Publishing.
[44] Vettriselvan, R. (2025). Harnessing innovation and digital marketing in the era of industry 5.0: resilient healthcare SMEs. In The Future of Small Business in Industry 5.0 (pp. 163-186). IGI Global Scientific Publishing.
[45] Vettriselvan, R., & Anto, M. R. (2018). Pathetic health status and working condition of Zambian women. Indian Journal of Public Health Research & Development, 9(9), 259-264.
[46] Vettriselvan, R., & Rajan FSA, A. J. (2019). Occupational Health Issues Faced by Women in Spinners. Indian Journal of Public Health Research & Development, 10(1).
[47] Vettriselvan, R., Deepan, A., Jaiswani, G., Balakrishnan, A., & Sakthivel, R. (2025). Health Consequences of Early Marriage: Examining Morbidity and Long-Term Wellbeing. In Social, Political, and Health Implications of Early Marriage (pp. 189-212). IGI Global Scientific Publishing.
[48] Vettriselvan, R., Ramya, R., Selvalakshmi, V., Jyothi, P., & Velmurugan, P. R. (2026). Empowering Patients through Knowledge: Educational Strategies in Rehabilitation. In Holistic Approaches to Health Recovery (pp. 263-290). IGI Global Scientific Publishing.
[49] Vijayalakshmi, M., Subramani, A. K., Vettriselvan, R., Catherin, T. C., & Deepika, R. (2025). Sustainability and Responsibility in the Digital Era: Leveraging Green Marketing in Healthcare. In Digital Citizenship and Building a Responsible Online Presence (pp. 285-306). IGI Global Scientific Publishing.
[50] Vijayalakshmi, M., Subramani, A. K., Vettriselvan, R., Velmurugan, P. R., & Hasine, J. (2025). Strategic Collaborations in Medical Innovation and AI-Driven Globalization: Advancing Healthcare Startups. In Navigating Strategic Partnerships for Sustainable Startup Growth (pp. 85-110). IGI Global Scientific Publishing.
[51] 49. Zahoor, H., Mustafa, N., Ashifa, K. M., Safaei, M., & El Gamil, R. (2025). Unlocking resilience: Emotional intelligence and self-leadership shape stress perception among health students. International Journal of Innovation and Learning, 38(4), 395–419.
Received : 26 February 2026
Accepted : 28 April 2026
Published : 01 May 2026
DOI: 10.30726/esij/v13.i2.2026.1320021