Journal of AdvancedMedical and Dental Sciences Research

Background: Sinusitis is defined as a condition manifested by inflammation of the mucous membranes of the nasal cavity and paranasal sinuses. The present study was conducted to compare LA with MAC and LA after induction of GA for patients undergoing FESS. Materials & Methods: 108 cases scheduled for FESS of both genders were included. Patients were divided into 2 groups of 54 each. Group I received LA with MAC and group II patients received LA after induction of GA. Parameters such as operative time, surgical time, bleeding, MAP, heart rate and complications was recorded in both groups. Results: Group I had 34 males and 20 females and group II had 28 males and 26 females. The mean surgical time in group I was 70.2 minutes and in group II was 94.2 minutes, operative time was 45.2 minutes in group I and 41.3 minutes in group II. Bleeding time score 0 was seen in 50 in group I and 51 in group II and 1 in 4 in group I and 3 in group II. The common complication was nausea seen in 2 in group I and 1 in group II, vomiting 6 in group I and 5 in group II, headache 5 in group I and 4 in group II. sore throat 7 in group I and 35 in group II and dental numbness 1 in each group. Diclofenac requirement (mg) was 73.1 in group I and 75.2 in group II, time to PACU discharge (mins) was 13.5 in group I and 47.6 in group II, time to home discharge (mins) was 62.5 in group I and 260.1 in group II. The difference was significant (P< 0.05). Conclusion: LA with MAC provided excellent surgical and postoperative profiles in patients undergoing FESS.