Endoscopic endonasal surgery for sino-nasal polyposis: A Comparative Study Between General Versus Local Anesthesia Regarding Compliance Of Surgery and acceptance of the patients

Abstract

Introduction: Nasal polyps (NP) are one of the most common inflammatory mass lesions of the nose, affecting up to 4% of the population. Their etiology remains unclear, but they are known to have associations with allergy, asthma, infection, fungus, cystic fibrosis, and aspirin sensitivity. Surgical treatment in general, is reserved for cases refractory to medical treatment (1). When FESS was originally introduced, it was thought that patients should preferably be operated under local/topical anesthesia with combined sedation, and so patients would be able to signal any kind of pain or discomfort, alerting and allowing the surgeon to minimize trauma and complications (2). However, extensive procedures, revision surgeries and uncooperative and pediatric age group patients will warrant use of general anesthesia (GA). Aim of the study: To compare the efficacy of using local versus general anesthesia for endoscopic surgical treatment of Sino nasal polyposis during operation as well as early and late postoperative period together with patient's acceptance for surgery.