A COMPARATIVE STUDY BETWEEN MEDICAL AND SURGICAL TREATMENT OF CHRONIC RHINO SINUSITIS
In setting of severe scarcity of Indian literature on impact of disease and whether there should be any variation in treatment in view of tropical climate, with this study. Our aim is Comparison of symptomatic relief after surgical and medical treatment of chronic rhino sinusitis and Comparison of recurrence rate after surgical and medical treatment. Maximal medical therapy found superior to functional endoscopic sinus surgery in CRS. More symptomatic improvement achieved by maximal medical therapy than surgery in CRS. CRS should be initially targeted with maximal medical therapy and surgery should be considered only if maximal medical therapy fails. Pre-operative and post-operative maximal medical therapy decrease recurrence rate after sinus surgery and improve outcomes of sinus surgery. Though immunotherapy was not included in this study it may give better result in CRS especially in those cases associated with allergic component