Anatomical variations (AVs) of the nose and paranasal sinuses (NPS) are quite common findings on CT scans. However, their effect on chronic rhinosinusitis (CRS) is still controversial. The objectives of this study is to estimate the prevalence of AVs of the NPS on CT scans and to assess the association between multiple versus single variant and CRS. A cross-sectional study was conducted in the Al-Ramadi Teaching Hospital during the period from January 1, 2018, to March 31, 2019. We reviewed the CT scans of the patients with suggestive symptoms and signs of CRS. Out of 203 CT scans, there were 153 (75.4%) scans associated with AVs of the NPS (group A). Seventy-eight with and 75 without radiological features of sinusitis. While group B (n=50 24.6%) were not detected any variants, 24 with and 26 without features of sinusitis. There was no statistically significant difference between the two groups (p-value>0.05). There were 11 AVs detected. The septal deviation of 63% was the commonest one. Most of the AVs of the NPS were multiple (2 or more) 99 (64.7%). Forty-nine (49.5%) of them were associated with features of sinusitis. There was a statistically significant difference (p-value <0.05) between those with multiple and those with single AVS concerning the radiological features of sinusitis. In conclusion; AVs of the sinonasal region were common findings on CT scans. A deviated nasal septum is the commonest AVs. Most of our patients contain more than 2 AVs, and they were more vulnerable to sinusitis.
Background: Cystic Echinococcosis (CE) is an endemic disease in Iraq. Its classification is crucial for proper management. Objectives: To apply ultrasound study in classifying hepatic hydatid cyst disease in the Iraqi population, which is essential in treatment planning. Materials and methods: This prospective study conducted during a period from March 2017 to March 2018, in the Gastroenterology and Hepatology Teaching Hospital/ Medical City/ Baghdad. A total of 100 patients with a diagnosis of hydatid cyst by ultrasound were followed-up after surgery and histopathology were proved hydatid cyst. Their age range was 10-79 years (mean age 32 ± 12.5), female to male ratio 1.6:1. The standardized WHO classification of CE was used in this study. Results: CE class I was noticing in (35%), class II (35%), class III (17%), class IV (7%), and class V (6%). Conclusion: WHO ultrasound classification of hepatic hydatid cyst becomes more popular and preferable than other classifications. CE class I and II were the most common classes in the Iraqi population. We strongly advise to use this classification in clinical practice and scientific researches.
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