Skip to main content
Log in

The role of functional endoscopic sinus surgery (FESS) in patients with asthma with chronic sinusitis

  • Main Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

25 patients of bronchial asthma with chronic sinusitis were operated with the aim to evaluate the efficacy of functional endoscopic sinus surgery (FESS) on asthma symptoms. The mean postoperative daytime asthma symptom scores, nocturnal asthma symptom scores, mean postoperative nocturnal awakening scores and number of asthma attacks reduced significantly (p<0.001). The mean FEV1 observed postoperatively showed significant increase (p<0.001). 21 patients reported overall significant improvement in the asthma. 6 patients were completely taken off from all sort of anti-asthmatic drugs [inhalational corticosteroids (ICS) + long acting β2 agonist (LABA) ]. In 3 patients there was significant / substantial decrease in the dosage of anti-asthma drugs. It is concluded that FESS is a viable option for improving the control of asthma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Senior BA, Kennedy DW (1996) Management of sinusitis in the asthmatic patient. Ann Allerg Asthma Immunol 77: 6–19

    Article  CAS  Google Scholar 

  2. Dodge RR, Burrows B (1980) The prevalence and incidence of asthma and asthma — like symptoms in a general population sample. Am Rev Respir Dis 122:567–575

    PubMed  CAS  Google Scholar 

  3. Gottlieb MS (1925) Relation of intranasal disease in the production of bronchial asthma. JAMA 85:105

    Google Scholar 

  4. Slavin RG (1994) Sinopulmonary relationships. Am J Otolaryngol 15:18–25

    Article  PubMed  CAS  Google Scholar 

  5. Slavin RG (1992) Asthma and sinusitis. J Allerg Clin Immunol 90:534–537

    Article  CAS  Google Scholar 

  6. Slavin RG, Cannon RE, Friedman WH, Palitang E, Sundram M (1980) Allergy grand rounds-Sinusitis and bronchial asthma. J Allerg Clin Immunol 66: 250–257

    Article  Google Scholar 

  7. Fuller C, Richards W, Gilsanz V, Schoettler J, Church JA (1990) Sinusitis in status asthmaticus. J Allerg Clin Immunol 85:222

    Google Scholar 

  8. Rackemann FM, Weille FL (1939) Nasal sinusitis and asthma. Arch Otolaryngol 29:1051–1061

    Google Scholar 

  9. Stammberger H, Kopp W, Dekornfeld TJ, Hawke M (1991) Functional Endoscopic Sinus Surgery — The Messerklinger Technique. Philadelphia: B.C. Decker; 453–457

    Google Scholar 

  10. Nishioka GJ, Cook PR, Davis WE, Mckinsey JP (1994) Functional endoscopic sinus surgery in patients with chronic sinusitis and asthma. Otolaryngol Head Neck Surg 110:494–500

    PubMed  CAS  Google Scholar 

  11. Park AH, Lau J, Stankiewicz J, Chow J (1998) The role of functional endoscopic sinus surgery in asthmatic patients. J Otolaryngol 27:275–280

    PubMed  CAS  Google Scholar 

  12. Slavin RG (1992) Asthma and sinusitis. J Allerg Clin Immunol 90:534–537

    Article  CAS  Google Scholar 

  13. Szentivanyi A (1968) The beta adrenergic theory of the atopic abnormality in bronchial asthma. J Allergy 42: 203

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. P. Gulati.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gulati, S.P., Chaudhry, D., Kalra, V. et al. The role of functional endoscopic sinus surgery (FESS) in patients with asthma with chronic sinusitis. Indian J Otolaryngol Head Neck S 60, 152–155 (2008). https://doi.org/10.1007/s12070-008-0037-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-008-0037-6

Keywords

Navigation