Pre-operative assessment:
Complete blood counts, Absolute Eosinophil Count (AEC), and total Serum
Immunoglobulin (IgE) levels were assessed, along with a Quality-of-life
questionnaire-Sino- nasal Outcome Test (SNOT- 20). The standard
reference level of serum IgE in our institute was 0-100 IU/ml, and in
AFRS, as per standard,>500 IU/ml was considered elevated.
The standard reference range for AEC in our Institute was 40 -440
mm3. In AFRS, as per standard, a value of more than
500mm3 was considered elevated. Nasal polyps were
graded by endoscopy according to Kupferberg’s grading
system.7Patients were given a course of antibiotics
(Roxithromycin 150 mg twice a day for ten days) and a short course of
oral steroid (8 mg Methylprednisolone for five days followed by 4 mg
methylprednisolone for five days) one week prior to endoscopic sinus
surgery.