Comparative Evaluation of Chronic Rhinosinusitis P

Authors: Mohit Srivastava Sushant Tyagi Lalit Kumar

Publish Date: 2015/12/18

Volume: 68, Issue: 2, Pages: 173-178

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Abstract

Chronic rhinosinusitis is a common condition in medical practice It is defined as inflammation of the mucosa of nose and paranasal sinuses the fluids within these cavities and/or the underlying bone that has been present with or without treatment for at least 12 weeks duration In 1997 a detailed definition of the syndrome was developed by the Rhinosinusitis Task Force of the American Academy of OtolaryngologyHead and Neck Surgery consisting of the major and minor diagnostic criterias To study the role of conventional radiography nasal endoscopy and computed tomography in the early diagnosis of chronic rhinosinusitis The study was carried out in the Department of Otorhinolaryngology Saraswati Institute of Medical Sciences A total of 100 patients with clinical evidence of sinonasal diseases were evaluated with conventional radiography Nasal endoscopy and computed tomographic evaluation Out of 100 patients 58 were male and 42 were female MF ratio = 1381 Majority of the patients were being in the age group of 21–30 years 30  The most common finding on conventional radiography was opacification of maxillary sinus 42  followed mucosal thickening 26  haziness of the maxillary sinus 19  followed by airfluid level 13  Five basic radiological patterns of sinonasal inflammatory disease are identified among 100 patients These were 1 Infundibular 16  2 Ostiomeatal unit 32  3 Sphenoethmoidal 8  4 Sinonasal polyposis 28  5 Unclassified 16  The sensitivity and specificity of plain film radiography for detecting sinus opacifications was unacceptably low for paranasal sinuses hence conventional radiography should not be used as a single diagnostic tool in preoperative evaluation Nasal endoscopy having sensitivity and specificity almost as good as CT scanning and being an outpatient procedure may reduce unnecessary diagnostic CT scanning procedures It allows an unparalleled vision with brilliant illumination of nose and paranasal sinuses Endoscopic directed procedures have high accuracy due to vision controlled and incomparable guidance in treatment of nasal and nasopharyngeal pathologies CT scan can be reserved as second level investigation for the subgroup of patients with negative endoscopy who remain symptomatic on follow upThis article does not contain any studies with human participants performed by any of the authors This article does not contain any studies with animals performed by any of the authors This article does not contain any studies with human participants or animals performed by any of authors

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