AN ANALYTICAL STUDY OF ANATOMICAL VARIATIONS IN CLINICAL RHINOSINUSITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 35
Abstract
BACKGROUND The term ‘rhinosinusitis’ is defined as inflammation of the mucosa of the nose and paranasal sinuses. Anatomical variations are predisposing factors for causing rhinosinusitis. A precise knowledge of the anatomy of the paranasal sinuses is essential for the clinician. With the advent of Functional Endoscopic Sinus Surgery (FESS) and Coronal Computed Tomography (CT) imaging, considerable attention has been directed toward paranasal region anatomy. Remarkable anatomic variations of nasal septum and lateral of nose region and their possible pathologic consequences should be well defined in order to improve success of management strategies and to avoid potential complications of endoscopic sinus surgery. The objective of this study is to determine the anatomical variations leading to clinical sinusitis and to compare them with normal population. The aim of this study is to analyse the relationship of anatomical variations and rhinosinusitis. MATERIALS AND METHODS It is a descriptive study. Patients admitted in our hospital from 1/1/2016 - 31/7/2017 with symptoms of sinusitis were randomly selected and considered for CT paranasal sinuses for detection of any anatomical variations. Design- This is a case control study. A prospective study of 200 patients was done on the CT scans of patients with clinical sinusitis. RESULTS Anatomical variations leading to sinusitis were Concha Bullosa (43%), Deviated Nasal Septum (34.6%), Agger Nasi (41.12%), Haller Cell (10.28%), Paradoxical Middle Turbinate (10.28%), Large Bulla (7.48%), Onodi Cell (5.61%) and Pneumatised Uncinate (2.8%). CONCLUSION It was concluded that the anatomical variations play a significant role in rhinosinusitis and prior CT PNS is essential for diagnosis and treatment.
Authors and Affiliations
P. B. Kameswara Rao, S. Ramesh
Keywords
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- EP ID EP544840
- DOI 10.14260/jemds/2018/865
- Views 94
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