scholarly journals ANATOMIC VARIATION OF CT SCAN IN CHRONIC RHINOSINUSITIS PATIENTS IN SANGLAH PROVINCIAL GENERAL HOSPITAL

2019 ◽  
Vol 12 (04) ◽  
pp. 2083-2086
Author(s):  
Luh Made Ratnawati ◽  
I Putu Yupindra Pradiptha
Keyword(s):  
General Hospital ◽  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Anatomic Variation ◽  
Anatomical Variation ◽  
Operative Procedure ◽  
Septal Deviation ◽  
Anatomic Variations ◽  
Ostiomeatal Complex ◽  
Nose And Paranasal Sinuses

The anatomical abnormalities of the nose and paranasal sinuses are the most common causes of rhinosinusitis. These anatomical variations can cause obstruction of the ostiomeatal complex (OMC) and interfere with the mucociliary clearance which allows the occurrence of chronic rhinosinusitis. Knowing the anatomic variations of the nose and paranasal sinuses in rhinosinusitis patients whose undergo operative procedure at Sanglah Provincial General Hospital is important because it can be used as a reference for proper intervention to treat rhinosinusitis. This research is a descriptive study in the Ear Nose Throat - Head Neck Departement, Udayana University Medical School / Sanglah Provincial General Hospital Denpasar, from January 2018 to December 2018. The research location is at the ENT clinic, Sanglah Hospital, Denpasar. This research will be conducted in approximately 2 months (January 2019 to February 2019). The sample from this study was all rhinosinusitis patients who underwent operative procedure, both male and female for the period of 1 January – 31 December 2018. Based on the results of the research data, it was found that the most anatomic variation was septal deviation which was 24 people Anatomic variations cause chronic sinusitis by causing obstruction in the ostiomeatal complex (OMC) and affecting the mucociliary transport pattern. The most anatomical variation in this study is septal deviation.

scholarly journals DISTRIBUTION OF ANATOMIC VARIATIONS OF THE NOSE AND PARANASAL SINUSES IN KASHMIRI POPULATION BY COMPUTED TOMOGRAPHY SCAN ANALYSIS.

2021 ◽  
pp. 58-60
Author(s):  
Owais Makhdoomi ◽  
Syed Waseem Abass ◽  
Majid Ul Islam Masoodi
Keyword(s):  
Computed Tomography ◽  
Paranasal Sinuses ◽  
Anatomic Variation ◽  
Disease Process ◽  
Inferior Turbinate ◽  
Anatomic Variations ◽  
Wide Range ◽  
Preoperative Ct ◽  
Kashmiri Population ◽  
Nose And Paranasal Sinuses

Background: Knowledge of anatomy constitutes an integral part of the total management of patients with sinonasal diseases. The aim of this study was to obtain the prevalence of sinonasal anatomic variations in the Kashmiri population and to understand their importance and impact on the disease process, as well as their influence on surgical management and outcome. Materials and Methods: This study is a prospective review of retrospectively performed normal computed tomography (CT) scans of the nose and paranasal sinuses in the adult Kashmiri population at SMHS Hospital. The scans were reviewed by two independent observers. Results: The most common anatomic variation after excluding agger nasi cells were pneumatized Crista Galli, which was seen in 69% of the scans. However, the least common variation seen in this series was Pneumatized inferior turbinate, which was encountered in 1.1 % of the cases. Conclusion: A wide range of regional differences in the prevalence of each anatomic variation exists. Understanding the preoperative CT scan is substantially important because it is the roadmap for the sinus surgeon. Detection of anatomic variations is vital for surgical planning and the prevention of complications.

scholarly journals Correlation Between the Opacification Degree of Paranasal Sinuses on CT, Clinical Symptoms and Anatomical Variations of the Nose and Paranasal Sinuses in Patients with Chronic Rhinosinusitis

2021 ◽  
Author(s):  
Mahdi Niknami ◽  
Elham Emami ◽  
Abdolhosein Mozaffari ◽  
Hashem Sharifian ◽  
Sanaz Safari
Keyword(s):  
Ct Scan ◽  
Chronic Rhinosinusitis ◽  
Nasal Obstruction ◽  
Paranasal Sinuses ◽  
Clinical Symptoms ◽  
Anatomical Variation ◽  
Anatomical Variations ◽  
Clinical Findings ◽  
Nose And Paranasal Sinuses ◽  
Ethmoid Sinuses

Objectives: This study aimed to evaluate the correlation between the opacification degree of the paranasal sinuses on computed tomography (CT) with clinical symptoms, and anatomical variations of the nose and paranasal sinuses in patients with chronic rhinosinusitis (CRS). Materials and Methods: This descriptive prospective study evaluated 100 patients (60 males and 40 females), who were diagnosed with CRS by ENT specialists according to the clinical findings, and were scheduled for a CT scan. The patients were requested to express the severity of their symptoms using a visual analog scale. The CT scans of the paranasal sinuses were assessed for the presence of anatomical variations and scored using the modified Lund-Mackay scoring system for the opacification degree of each sinus. The correlations between the anatomical variations and sinusitis, and also between the severity of symptoms/disease severity and CT scores were statistically analyzed. P<0.05 was considered statistically significant. Results: The most common symptoms were purulent (discolored) nasal drainage and nasal obstruction. Septal deviation was the most common anatomical variation. The maxillary and anterior ethmoid sinuses were the most commonly involved areas. The Spearman’s correlation coefficient showed a significant correlation between the sinus involvement and some of the evaluated symptoms, as well as certain types of anatomical variations (P<0.05). Conclusion: Some specific anatomical variations of the paranasal sinuses may predispose them to sinusitis. The CT scan score can predict the severity of many symptoms such as purulent (discolored) nasal drainage, nasal obstruction, hyposmia/anosmia, halitosis, cough, and fatigue, among the other symptoms of CRS.

scholarly journals Chronic rhinosinusitis and its correlation with endoscopic anatomy of nose and paranasal sinuses: a cross-sectional study

2020 ◽  
Vol 6 (7) ◽  
pp. 1290
Author(s):  
Nachiketa Ghosh ◽  
Debabrata Das ◽  
Sayantani Majumdar ◽  
Arijit Dey ◽  
Debdutta Haldar
Keyword(s):  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Clinical Symptoms ◽  
Anatomical Variation ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Sectional Study ◽  
Cross Sectional ◽  
Endoscopic Findings ◽  
Nose And Paranasal Sinuses

<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis (CRS) is a common condition characterized by inflammation of nose and paranasal sinuses and is associated with significant morbidity and healthcare expenditure. The study was undertaken to evaluate the endoscopic findings in different cases of CRS and correlating those findings with the clinical features and severity of symptoms.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was carried out at the outpatient Department of Otorhinolaryngology, R. G Kar Medical College and Hospital, Kolkata in a span of 18 months. A total of 56 patients who attended the outpatient department during the study period and met the inclusion criteria as well gave consent for participating in the study were taken as the sample size. The data was collected using history taking proforma.  </p><p class="abstract"><strong>Results:</strong> Out of 56 patients, 51.8% were female, the most commonly affected age group was 31-40 years with 28.57% of patients. Majority of the patients 30.40% presented within one year of onset of symptoms, all the variables of clinical symptoms shows positive correlation statistically with the endoscopic findings, the most common anatomical variation was deviated nasal septum (DNS) present in 51.78% patients.</p><p><strong>Conclusions:</strong> A more extensive and detailed study needs to be done to determine conclusively whether the severity of symptoms can be used to predict the severity of disease in patients diagnosed as having chronic rhinosinusitis</p>

Experience with the xylocaine test as a prognostic aid for surgery in Sluder's neuralgia

1995 ◽  
Vol 109 (3) ◽  
pp. 193-195 ◽  
Author(s):  
Syed Akhtar Kamal
Keyword(s):  
Medical Treatment ◽  
Chronic Rhinosinusitis ◽  
Surgical Procedures ◽  
Paranasal Sinuses ◽  
Facial Pain ◽  
Common Symptom ◽  
Septal Surgery ◽  
Nose And Paranasal Sinuses ◽  
Overt Disease

AbstractFacial pain is a common symptom. Patients with this symptom without any overt disease of nose and paranasal sinuses are often diagnosed as having chronic rhinosinusitis. Thirty-six cases were seen and treated surgically by middle turbinectomy or septal surgery in this series. The xylocaine (10 per cent) test seemed to be a good prognostic aid for the surgical procedures. Medical treatment did not seem to relieve the symptoms. Larger series with control trials are recommended in order to establish this practice.

scholarly journals Endoscopic and histological staging: Deciding factors in the treatment of chronic rhinosinusitis

2015 ◽  
Vol 5 (18) ◽  
pp. 115-119 ◽  
Author(s):  
Amalia Neagu ◽  
Codrut Sarafoleanu
Keyword(s):  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Histological Investigation ◽  
Inflammatory Condition ◽  
Therapeutic Decision ◽  
Acute Rhinosinusitis ◽  
Nose And Paranasal Sinuses ◽  
Over Time ◽  
Histological Staging

AbstractChronic rhinosinusitis represents an inflammatory condition of the nose and paranasal sinuses, characterized by two or more symptoms. The diagnosis of acute rhinosinusitis is made, most often, clinically; however, in the case of chronic rhinosinusitis, imaging, bacteriological, as well as the histological investigation are necessary in order to establish the diagnosis and to exclude other diseases that have caused and/or are associated with rhinosinusitis. Different scores (clinical, imagistic) have been described over time, being considered as important factors in the therapeutic decision (surgical or conservative) in patients with chronic rhinosinusitis. The authors present their experience in using and relying on endoscopic and histological scores.

scholarly journals Anatomical variations of maxillary and ethmoid sinus in chronic rhinosinusitis

2018 ◽  
Vol 4 (4) ◽  
pp. 1008
Author(s):  
Karthika Rajeev ◽  
Ravishankara S. ◽  
Chethana C. S. ◽  
Supreetha B. Shenoy ◽  
Jyoti .
Keyword(s):  
Chronic Rhinosinusitis ◽  
Maxillary Sinusitis ◽  
Anatomical Variation ◽  
Anatomical Variations ◽  
Neck Surgery ◽  
Ethmoid Sinus ◽  
Septal Deviation ◽  
Nasal Endoscopy ◽  
Female Ratio ◽  
Postnasal Drip

<p class="abstract"><strong>Background:</strong> The objectives of the study were to compare the anatomical variants of maxillary and ethmoid sinus in CT PNS and diagnostic nasal endoscopy, to determine the incidence of variations of maxillary and ethmoid sinus and to determine the association of anatomical variations with extent of the disease.</p><p class="abstract"><strong>Methods:</strong> Patients with chronic rhinosinusitis attending the outpatient department of otorhinolaryngology, head and neck surgery (ENT-HNS) of KVG Medical College for a period of 12 months from December 2016 to November 2017. 100 consecutive patients with history of CRS subjected for nasal endoscopy and CT-PNS.  </p><p class="abstract"><strong>Results:</strong> The majority of patients were females. Male to female ratio was 1:1.46. Headache and postnasal drip were the main symptoms (76%). Concha bullosa (42.4%) was most common anatomical variation, which was detected in 59(42.4%) patients on CT PNS and DNE. There was statistically significant correlation between right septal deviation and right maxillary sinusitis (p&lt;0.01), left septal deviation and left maxillary sinusitis (p=0.001) and left deviation and left ethmoid sinusitis (p=0.017). We also found correlation between left Haller cells and left ethmoid sinusitis (p=0.003).</p><p><strong>Conclusions:</strong> By using diagnostic nasal endoscopy and CT PNS, anatomic variations can be easily identified and aid as a guide map during functional endoscopic sinus surgeries. </p>

scholarly journals Influence of anatomic variations of the middle nasal meathus on sinonasal diseases

2008 ◽  
Vol 61 (3-4) ◽  
pp. 135-141 ◽  
Author(s):  
Maja Buljcik-Cupic ◽  
Slobodan Savovic ◽  
Jasna Jovicevic
Keyword(s):  
Data Processing ◽  
Chronic Rhinosinusitis ◽  
Correlation Coefficient ◽  
Nasal Septum ◽  
Anatomic Variation ◽  
Middle Turbinate ◽  
Lateral Nasal Wall ◽  
Anatomic Variations ◽  
Duration Of Symptoms ◽  
Middle Nasal Meatus

Introduction The most common anatomic variations of the structures of the middle nasal meatus are variations of agger nasi cells, variations of the middle turbinate, variations of uncinate process, variations of the ethmoidal bulla, deviations and deformations of nasal septum in the region of the middle nasal meatus, Haller's cell (orbitoethmoidal) and Onodi's cell(sphenoethmoidal cell). In 1997, the Otorhinolaryngology-Head Neck Surgery, Tasc Force on Chronic Rhinosinusitis defined chronic sinusitis and nasal disease initially by including sinusitis and rhinitis with one term-chronic rhinosinusitis. This was done because it was apparent to many that nasal disoders often affected the sinuses, and vice versa. Also they established baseline parameters, major and minor signs and symptoms, for definition of rhinosinusitis. Two major factors or one major factor and two minor factors constitute a strong history for rhinosinusitis. Material and methods The following methods were used in the study: 1. Anamnestic data processing about: disease symptoms that were recognired by American Academy for ENT as major and minor criteria in diagnosing nosinusitis; the duration of symptoms; the kind of sinonasal disorder and the secondary disorders. 2. Data processing obtained by anterior/posterior rhinoscopy. 3. Data processing obtained by endoscopic examination. 4. Data processing obtained by CT of paranasal cavities and the nose. The data about anatomic variations were statistically processed by Eives's correlation coefficient that indicates the degree of correlation between sinonasal disorders and anatomic variation. Results By analyzing the obtained data in the examined patients with sinonasal disorders, anatomic variations were present in over 50% of the patients and are defined by percentage. I. The deviation of nasal septum in 83.33% patients. 2. The variations of the form of the middle nasal chonha in 58.92% patients. 3. The presence of agger nasi cells in 50% patients. 4. Variations of the form of ethomoidal bulla in 50% patients. Eives's correlation coefficient i.e. the degree of correlation between sinonasal disorders and the presence of anatomic variation statistically significantly correlate at r >/= ft 05 of anatomic variation of the middle nasal chonha (r =0.23) and the presence of deviation/deformation of nasal septum (r = 0.6) with sinonasal disorders. Discussion and conclusion Anatomic variations of the structures of the middle nasal meatus can additionally complicate the anatomy of the lateral nasal wall and the conditions of the ostiomeatal unit. Therefore we must view these variations as factors predisposing to more rapid and frequent appearance and persistence of chronic inflammations. Also, familiary with the variations in sinonasal anatomy is a prerequisite to safe and effective surgical treatment of sinonasal disease. Recognition of this anatomic variation should minimize catastrophic violation of vital structures such as orbit or skull base.

MORPHOLOGICAL CHARACTERISTICS OF THE MUCOUS MEMBRANE OF THE NOSE AND PARANASAL SINUSES IN CASE OF CHRONIC RHINOSINUSITIS

2020 ◽  
Vol 5 (1) ◽  
pp. 49-60
Author(s):  
Jamolbek Djuraev ◽  
◽  
Ulugbek Khasanov ◽  
Ulugbek Vokhidov
Keyword(s):  
Chronic Rhinosinusitis ◽  
Mucous Membrane ◽  
Nasal Mucosa ◽  
Paranasal Sinuses ◽  
Clinical Condition ◽  
Morphological Characteristics ◽  
Nose And Paranasal Sinuses

Chronic polypous rhinosinusitis is not a fully understood clinical condition and is challenging to treat. Its features are polypous inflammation of the nasal mucosa and paranasal sinuses. The purpose of this study was to identify histopathological options in patients withchronic rhinosinusitis.

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