Nasal Rhinosporidiosis- An experience in our institution
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 8, Issue 3
Abstract
Background: Rhinosporidiosis is a rare chronic granulomatous disease caused by Rhinosporidium seeberi belonging to a novel group of fish parasites Mesomycetozoa. Rhinosporidiosis is an age old endemic source which has affected various parts of the world, most notably India and Sri Lanka. It commonly affects nose and nasopharynx. Methods: This is a prospective study of distribution pattern and management of 8 cases of Rhinosporidiosis in department of otorhinolaryngology A. J. Institute of medical science, Mangalore over a period of 1 year (2016-2017) and the behavioural pattern of the disease, its epidemiology, rate of recurrence and outcomes of surgical management were analysed. Results: Our study of 8 patients showed a slightly farmer male preponderance, with a clear cut history of having Bath in rivers and ponds were found to be strongly associated with Rhinosporidiosis. Nasal obstruction and epistaxis were the most common presenting complaints. The majority of cases had been excised endoscopically with partial inferior turbinectomy and cauterization of base under general anesthesia with less bleeding and no recurrence rate. Conclusions: Rhinosporidiosis is strongly associated with male gender, a history of bathing in ponds and rivers .Post-surgical recurrence of rhinosporidial masses can be avoided with careful and complete clearance of the mass and cauterization of the base.
Authors and Affiliations
Deepalakshmi Tanthry, Sunitha Narayana, Rukma Bhandary, PP Devan
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