Anatomical Variations of the Ostiomeatal Complex as a Cause of Chronic Sinusitis and Correlation with Surgical Results Following Functional Endoscopic Sinus Surgery
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
Introduction: Chronic sinusitis is the most common disease for which consultation of otorhinolaryngologist is sought. The approach to patients with chronic rhinosinusitis is endoscopic surgery which aims at removing the obstruction of the main drainage pathway. The osteomeatal complex (OMC)-based essentially on the concept that such obstruction perpetuates the sinus disease. Aim: To study the anatomical variations of OMC in chronic sinusitis patients. Materials and Methods: Patients with chronic sinusitis with anatomical variations were randomly selected from our outpatients department. Patients with the evidence of chronic sinusitis were treated with functional endoscopic sinus surgery. They were followed for 3 months. The patients were assessed every 2 weeks by questioning them for reduction of symptoms. Results: The most common anatomical variation on computed tomography scan was deviated nasal septum in 62% patients, concha bullosa was found in 38% patients, while medialized uncinate narrowing OMC was seen in 30% patients, enlarged bulla was found in 12% patients, Haller cells were found in 4% patients, and agger cells were found in 2%. Conclusion: Deviated nasal septum was the most common anatomical variation encountered in our study followed by concha bullosa.
Authors and Affiliations
P Venkateswaran, B Muthukumar, Heber Anandan
Keywords
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