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Abstract:Chronic rhinosinusitis (CRS), an extremely persistent illness, is surgically best treated by

Background: Chronic rhinosinusitis (CRS) is one of the most common health problems which incurs significant medical costs and has severe impact on lower airway diseases and general health of the patient. The aim of this study was to describe the demographic and clinical profile of chronic rhinosinusitis patients. Methods: In this study 94 patients were included. After taking a brief history, their clinical symptoms were assessed using SNSG test (sino nasal symptom grading test). The findings were further confirmed by diagnostic nasal endoscopy. Results: We found that maximum number of patients were in the age group of 18-27 years with a slight male preponderance. Also rural population had more cases of CRS with nasal discharge being the commonest complaint at the time of presentation. After diagnostic nasal endoscopy (DNE) it was found that ethmoidal polyps are more common in CRS patients however more number of CRS patients presented without polyps. Conclusions: We conclude that chronic rhinosinusitis manifests more in male and rural population with nasal discharge and ethomoidal polyps being the most common presentation. The subjective assessment of clinical symptoms could be done by SNSG test; however it further requires detailed studies.

Introduction: Chronic Rhinosinusitis is a heterogenous entity with a number of contributing factors. Anatomical Variations of paranasal sinuses are one of them. CT-scan paranasal Sinuses can be a useful tool in the study of these variations and also in providing a roadmap for endoscopic sinus surgery. Current research aimed to study the anatomical variations in sinonasal area by CT scan paranasal sinuses and to correlate these anatomical variations with chronic rhinosinusitis (CRS). Material and Methods: In this study, 94 patients of CRS, who were refractory to medical treatment for more than 3 months, underwent CT scan paranasal sinus axial and coronal view with axial and coronal views, prior to functional endoscopic sinus surgery. All their information related to clinical findings, investigations was recorded in data sheets and was kept confidential. Scoring of sinus disease was done by Lund & Mackay Scoring System. Results: The most common anatomical variations were Deviated nasal septum (64.89%), concha bullosa (29.74%) and agger nasi cells (13.83%). Maxillary Sinus was the most commonly involved sinus (40.4%). Conclusion: After evaluation of the results obtained, we postulate that anatomical variations may increase the risk of mucosal disease of paranasal sinuses. We therefore, emphasize that CT scan paranasal sinus in patients with persistent symptoms of CRS for diagnosis and preoperative evaluation can be considered as an important investigation where appropriate to aid the clinical and endoscopic examination findings. This will help to facilitate safe and effective endoscopic sinus surgery.