Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF
  • Original article
  • Open access
  • Published:

Endoscopic endonasal surgery for sinonasal polyposis: a comparative study between general versus local anesthesia regarding compliance of surgery and patients’ acceptance

The Egyptian Journal of Otolaryngology volume 35, pages 241–245 (2019)Cite this article

Abstract

Introduction

One of the most common inflammatory mass lesions of the nose are nasal polyps, which affect up to 4% of the population. Endoscopic surgery under local anesthesia may allow for a day-care surgical procedure for the patient; however, extensive procedures, revision surgeries, and uncooperative, and pediatric age group patients will warrant the use of general anesthesia. The aim of this study is to compare the efficacy of local versus general anesthesia for endoscopic surgical treatment of sinonasal polyposis during operation as well as during early and late postoperative periods together with patient’s acceptance for surgery.

Patients and methods

A total of 60 patients with sinonasal polyposis were divided randomly into two groups. Group 1 underwent endoscopic nasal surgery under local anesthesia and group 2 underwent endoscopic nasal surgery under general anesthesia.

Results

Most of the patients who were operated under local anesthesia showed good acceptance for surgery, short time of surgery, and less bloody field than those who were operated under general anesthesia (the P value was significant regarding bleeding and time during surgery under local anesthesia).

Conclusion

Surgery of sinonasal polyposis under local anesthesia is an effective method for the treatment of nasal polyposis as regards patient acceptance for the surgery, time of surgery with very good surgical field, and less cost procedures.

References

  1. Rajguru R. Nasal polyposis. Current trends. Indian J Otolaryngol Head Neck Surg 2011; 66:16–21.

    Article  PubMed  Google Scholar 

  2. Fedok FG, Ferraro RE, Kingsley CP, Fornadley JA. Operative times, post anesthesia recovery times, and complications during sinonasal surgery using general anesthesia and local anesthesia with sedation. Otolaryngol Head Neck Surg 2000; 122:560–566.

    PubMed  CAS  Google Scholar 

  3. Singh PM, Pahwa D. Anaesthesia for endoscopic endonasal surgery. Tr Anaesth Crit Car 2011; 1:79–83.

    Article  Google Scholar 

  4. Hopkins C, Browne JP, Slack R. The Lund-Mackay staging for chronic rhinosinusitis: how is it used and what does it predict?. Otolryngol Head Neck Surg 2007; 137:555–561.

    Article  Google Scholar 

  5. Lund VJ, Mackay IS. Staging in rhinosinusitis. Rhinology 1993; 31:183–184.

    PubMed  CAS  Google Scholar 

  6. Stammberger H, Posawetz W. Functional endoscopic sinus surgery. concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol 1990; 247:63–76.

    PubMed  CAS  Google Scholar 

  7. Jensen MP, McFarland CA. Increasing the reliability and validity of pain intensity measurement in chronic pain patients. Pain Manag Nurs 1993; 55:195–203.

    CAS  Google Scholar 

  8. Rodriguez CS. Pain measurement in the elderly: a review. Pain Manag Nurs 2001; 2:38–46.

    Article  CAS  PubMed  Google Scholar 

  9. Fromme GA, MacKenzie RA, Gould AB, Lund BA, Offord KP. Controlled hypotension for orthognatic surgery. Anesth Analg 1986; 65:683–686.

    Article  CAS  PubMed  Google Scholar 

  10. Casale M, Cusimano V, Salvinelli F, Setola R, Soda P. Video-rhinohygrometer (VRH). Conf Proc IEEE Eng Med Biol Soc 2006; 1:543–546.

    Article  Google Scholar 

  11. Danielsen A, Gravningsbraten R, Olofsson J. Anaesthesia in endoscopic sinus surgery. Eur Arch Otorhinolaryngol 2003; 260:481–486.

    Article  PubMed  Google Scholar 

  12. Danielsen A, Olofsson J. Endoscopic endonasal sinus surgery. A long-term follow-up study. Acta Otolaryngol (Stockh) 1996; 116:611–619.

    Article  CAS  Google Scholar 

  13. Gurr P, Callanan V, Baldwin D. Laser-Doppler blood flowmetry measurement of nasal mucosa blood flow after injection of the greater palatine canal. J Laryngol Otol 1996; 110:124–128.

    Article  CAS  PubMed  Google Scholar 

  14. Abu-Zaid E, Ahmed M. Role of intraoperative endoscopic sphenopalatine ganglion block in sinonasal surgery. J Med Sci 2007; 7:1297–1303.

    Article  Google Scholar 

  15. Kennedy DW. Functional endoscopic sinus surgery: technique. Arch Otolaryngol 1985; 111:643–649.

    Article  CAS  PubMed  Google Scholar 

  16. Carlson D. The real cost of sinus surgery. 2015. Available at: http://www.youngadultmoney.com/2012/08/24/the-real-cost-of-sinus-surgery. [Accessed on 2018 Sep 9]

  17. Gittelman PD, Jacobs JB, Skorina J. Comparison of functional endoscopic sinus surgery under local and general anesthesia. Ann Otol Rhinol Laryngol 1993; 102:289–293.

    Article  CAS  PubMed  Google Scholar 

  18. Tosun F, Arslan HH, Karslioglu Y. Relationship between postoperative recurrence rate and eosinophil density of nasal polyps. Ann Otol Rhinol Laryngol 2010; 119:455–459.

    Article  PubMed  Google Scholar 

  19. Pujols L, Alobid I, Benitez P. Regulation of glucocorticoid receptor in nasal polyps by systemic and intranasal glucocorticoids. Allergy 2008; 63:1377–1386.

    Article  CAS  PubMed  Google Scholar 

  20. Esmatinia F, Bakhshaei M. Recurrent sinonasal polyposis after the endoscopic sinus surgery. Rev Clin Med 2014; 1:86–92.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology Kasr Al Ainy Hospitals, Faculty of Medicine, Cairo University, 12111, Cairo, Egypt

    Nabil G. Zeid, Ehab A. Zaid, Ahmed Kamel, Ahmed M. El Batawi MD & Kahled Azooz

  2. Department of Otorhinolaryngology, Kafr El Sheikh Hospital, Kafr El Sheikh, Egypt

    Mahmoud A. Abu Hassan

Authors
  1. Nabil G. Zeid
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ehab A. Zaid
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ahmed Kamel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ahmed M. El Batawi MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mahmoud A. Abu Hassan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kahled Azooz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ahmed M. El Batawi MD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zeid, N.G., Zaid, E.A., Kamel, A. et al. Endoscopic endonasal surgery for sinonasal polyposis: a comparative study between general versus local anesthesia regarding compliance of surgery and patients’ acceptance. Egypt J Otolaryngol 35, 241–245 (2019). https://doi.org/10.4103/ejo.ejo_78_18

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/ejo.ejo_78_18

Keywords