A Comparative Study between nasal endoscopy and CT PNS in evaluation of chronic nasal obstruction
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 4
Abstract
Introduction: Nasal obstruction is defined as sensation of insufficient airflow through the nose. Nasal obstruction may be the cardinal presenting symptom of many common disease processes, such as rhinitis, sinusitis, septal deviation, adenoid hypertrophy, and nasal trauma. Aims and Objectives: To study the etiopathogenesis of chronic nasal obstruction by evaluating with help of CT and endoscopic findings. Materials and Methods: This study was conducted in the ENT Department, with all patients with chronic nasal obstruction coming to the MGM Hospital, Aurangabad during the year October 2013 and October 2015. Total 50 cases of nasal obstruction are included in this fulfilling following criteria. History of nasal obstruction > 3 months, AGE: 18-60 years of ageStatistical analysis done by Z-test and Chi-square test. Result: Amongst 50 cases of chronic nasal obstruction highest incidence were found in 3rd decade of life i.e. 16 cases (32%) followed by 4th (20%)and 5th (18%) decademale were preponderance i.e. 29 (58%) males and 21 (42%) were female with male to female ratio 1.38:1.all cases (100%) of AC polyp and DNS were diagnosed by In our study, all cases (100%) of AC polyp and DNS were diagnosed by endoscopy, followed by sinusitis 6 (75%) out of 8 cases, 53 haemangiomatous mass 2 (66.66%) out of 3 cases and ethmoidal polyp 3(33.34%) out of 9 cases. All the pathologies (100%) causing obstruction can be diagnosed radio logically (C.T. Scan). Only cases of mucosal thickening and generalized causes of nasal obstruction were not diagnosed with the help of endoscopy. So in the present study by comparing the findings of DNE and CT PNS no significant statistically correlation seen between them i.e. p(>0.05).Which shows there is close association between the findings of endoscopy and CT scan. Conclusion: Nasal endoscopic examination is comparatively equally useful to CT scan examination in diagnosis of cases of chronic nasal obstruction patients.
Authors and Affiliations
Rajendra Bohra, Rajeev Pastapur, Tanvi Patil
Keywords
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