Objective:-To evaluate clinic-radiological status of chronic rhinosinusitis patients before endoscopic sinus surgery and to compare preoperative and postoperative findings of the patients and to evaluate the effectiveness of the endoscopic sinus surgery in the treatment of chronic rhinosinusitis.Methods:-The study was carried from October 2011 to September 2013 in the Regional Institute of Medical Sciences Imphal.Surgery was performed by different Otorhinolaryngologists of RIMS.Postoperative CT scan of PNS were taken between 3-6 months and the findings compared with those of preoperative using Lund and Mackay staging system (radiologic staging).Nasal endoscopic examination was done at 3 months and 6 months visit using Lund and Mackay staging (endoscopic appearance score) and compared preoperative and postoperative findings.Data was entered in the SPSS program (16th version).Both descriptive and analytical statistic was done.Chi squared test was used to find out the significance of the finding Results:-The common symptoms of the patients of chronic rhinosinusitis recruited in the present study were nasal obstruction (80.77%), facial pain (63.46%), headache (55.77%), nasal discharge (44.23%) and hyposmia (30.77%).The postoperative improvement of symptoms after 6 months was facial pain 90.91%, nasal obstruction 88.10%, headache 86.21% and hyposmia 84.2%.CT PNS showed 100% improvement postoperatively.After 6 months of surgery, there was endoscopy improvement of 81.25% on the left and 80% on the right side for polyps, 89.19% on the left and 96.97% on the right for oedema.Discharge, scarring and crusting were not found 6 months after operation.The only complication reported was synechia in 4 patients.Conclusion:-This study shows better outcome of post-operative result of endoscopic sinus surgery for the treatment of chronic rhinosinusitis.Copy Right, IJAR, 2016,.

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