Anatomical variations of Nose and Paranasal Sinuses in Chronic Rhinosinusitis
Journal Title: People's Journal of Scientific Research. - Year 2014, Vol 7, Issue 2
Abstract
The aim of this study was to (a) detect the prevalence of anatomical variations of nose and paranasal sinuses in Chronic Rhinosinusitis (CRS) on ‘Nasal Endoscopy’,and‘Computed Tomography’, (b) correlate between the two investigation modalities and (c) study association of anatomical variations of nose and paranasal sinuses in Chronic Rhinosinusitis. This Cross sectional study was carried out at Tertiary Rural Health Institute ‘NKP Salve Institute of Medical Sciences and Research Centre’ Nagpur, during November 2011 to October 2013. Diagnostic Nasal Endoscopy and Computed Tomography of nose and Paranasal Sinuses of 122 patients of chronic rhinosinusitis were studied and results were statistically analysed using z-test and chi-square test. Mean age of the study population was 35.48 years (SD=16.15) with male predominance. Maxillary sinus (68.03%) was the most commonly affected sinus due to chronic sinusitis followed by anterior ethmiod sinusitis (60.66%). Deviated Nasal Septum was the most common anatomical variation, which was detected in 59(48.30%) patients on Diagnostic Nasal Endoscopy and in 62(50.81%) patients on Computed Tomography. Aggernasii cells, medialised uncinated process and concha bullosa were diagnosed both by Diagnostic Nasal Endoscopy and Computed Tomographic scan with good agreement between the two. Anatomical variations like deviated nasal septum, aggernasii cells, medialised uncinated process, large concha bullosa were statistically significantly associated with chronic rhinosinusitis. Diagnostic nasal endoscopy and CT scan are complimentary in diagnosis of anatomical variations of nose and paranasal sinuses. Some anatomical variations of osteomeatal complex play important role in pathogenesis of chronic rhinosinusitis.
Authors and Affiliations
Nitin Deosthale, Sonali Khadakkar, Bhanupratap Singh , Vivek Harkare, Priti Dhoke, Kanchan Dhote
Keywords
Related Articles
- EP ID EP137042
- DOI -
- Views 101
- Downloads 0
Viral Encephalitis Mimicking Acute Psychosis
Herpes simplex virus type 1 (HSV) is known to cause encephalitis in humans which can be fatal in case of delay in diagnosis or initiation of treatment. It usually presents with fever, headache, seizures and alterations i...
Full Mouth Rehabilitation with Fixed and Removal Prosthesis using Extracoronal Attachments: A Clinical Report
Full mouth rehabilitation always claims careful attention and meticulous treatment planning. It becomes more challenging with the partial edentulism where bilateral segment is found missing. Successful restoration can be...
CAN and its Risk Factors for Type2 DM
Diabetic Neuropathy (DN) is a heterogeneous disorder that encompasses a wide range of abnormalities affecting both proximal and distal peripheral sensory and motor nerves as well as the autonomic nervous system. DN is am...
Impaction of the Maxillary Central Incisor Associated with Supernumerary Tooth: Surgical and Orthodontic Treatment
Impaction of maxillary permanent incisor is not a frequently case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Supernumerary teeth are the main cause of impaction of...
Clinical Profile of Patients with Status Epilepticus from Rural Area
Status epilepticus (SE) is a neurological emergency associated with significant morbidity and mortality, if not treated effectively in time. An attempt was made to generate the baseline data regarding the etiologies and...