A comparative study of anatomical variations in nose and paranasal sinuses to establish the etiological basis of chronic rhinosinusitis
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 9, Issue 1
Abstract
Aim: This observational study aimed at finding the anatomical variations in nose and paranasal sinuses in the patients registered for localized or non-localized diseases in the ENT department of our tertiary care hospital and to search whether these variations were actively involved in the etiology of the diseases. Material and Methods: We analyzed 100 patients attending the ENT outdoor department, fulfilling the specific inclusion criteria from December, 2015 to December, 2016 for 1 year and comprised into 2 specific groups, one with chronic rhinosinusitis (CRS) and other group with no sinonasal diseases of same age group. Anatomical variations in nose and paranasal sinuses were noted on CT scan imaging. Result: The rates of anatomical variations in two groups were calculated separately and compared with each other. Septal deviation is the commonest anatomical variation of nose and paranasal sinuses followed by agger nasi cell, concha bullosa respectively. There were no significant statistical differences between the groups concerning the rates of all these mentioned variations. Conclusion: This study using computed tomography scan as the main tool underlined the fact that sinonasal area has very high rate of anatomical variations. Careful assessment of CT in patients is necessary, especially in those undergoing FESS (Functional Endoscopic Sinus Surgery).
Authors and Affiliations
S Singh, A K Garg, N Veereddy
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