LITERATURE REVIEW: ADJOINT-BASED COMPUTATIONAL FLUID DYNAMICS FOR INDIVIDUALIZED SEPTOPLASTY PLANNING IN NASAL SEPTUM DEVIATION

Аннотация

Functional endoscopic sinus surgery (FESS) and Caldwell-Luc operation are both maxillary sinus cyst surgical procedures, and comparison between them regarding effectiveness and status of morbidity is still poorly documented. The retrospective cohort of 75 adults (60 patients underwent FESS and Caldwell-Luc operation was done in 15 patients) operated between 2017 and 2023 due to isolated maxillary sinus mucous retention cysts compared postoperative outcomes such as infraorbital nerve impairment (paresthesia or numbness) and pain (on Visual Analog Scale, VAS) facial edema, operation time, and hospitalization duration. Statistically (compared continuous variables by independent t-test and categorical variables by χ² or Fisher’s exact) analysis at an alpha level of p<0.05 was carried out. FESS patients fared much better compared to patients who underwent Caldwell- Luc surgery. Specifically, infraorbital nerve impairment occurred in only 3 of 60 (5.0%) of the FESS patients versus 4 of 15 (26.7%) of those in the Caldwell-Luc group (p=0.010). Postoperative pain VAS scores were decreased in the FESS group (3.2 ± 1.1) versus those of the Caldwell-Luc group (5.8 ± 1.3; p<0.001). Hospital stays of the FESS group were less (mean 1.8 ± 0.5 days) than those of the Caldwell-Luc group (3.1 ± 0.9 days; p<0.001). Swelling of the face was less with FESS, and surgical time was less in the FESS group (both p<0.05). In conclusion, FESS was revealed to be related to improved perioperative outcomes and less morbidity in comparison to the conventional Caldwell-Luc procedure in managing maxillary sinus cysts. The findings provide justification to apply FESS preferentially to well-chosen patients since it can minimize complications and improve patient recovery in clinical practice. Key words: Maxillary sinus cyst; Functional Endoscopic Sinus Surgery (FESS); Caldwell-Luc procedure; endoscopic sinus surgery; postoperative results