Introduction: Rhinosporidiosis is a disease caused by Rhinosporidium seeberi which primarily affects the mucosa of the nose, conjunctiva and urethra. Rhinosporidiosis is endemic disease which has affected various parts of the world, most notably India and Sri Lanka. Its manifestation is a polypoid mass growing inside the affected cavity and the only treatment is surgical excision. Rhinosporidiosis is a condition which both clinicians and microbiologists should keep in mind when managing patients with nasal masses even those from non endemic areas. It is critical in such cases to follow the clinical course to ensure against recurrence of the disease. This study describes the clinical features, diagnosis, and treatment of rhinosporidiosis of the nose and nasopharynx in Jharkhand. Material and Method: The retrospective study population consisted of patients presented to ENT department at Rajendra Institute of Medical Sciences, Ranchi with nasal mass associated with nasal bleeding. Patients was examined systematically giving due importance to local examination. After clinical diagnosis, Surgical treatment given and further investigations were done for the confirmation of diagnosis. Treatment instituted appropriately and follow up done. Results: A male gender and rural residential status has high incidence of rhinosporidiosis. Bathing in rivers and ponds were found to be strongly associated with rhinosporidiosis. Almost all patients were found to be of low socioeconomic status. Nasal obstruction and epistaxis were the most common presenting complaints. Conclusion: Rhinosporidiosis is common in male gender, young and middle aged adults, rural residential status, a history of bathing in ponds and rivers and a low socioeconomic status. Post-surgical recurrence of rhinosporidial masses can be avoided with careful and complete clearance of the mass and cauterization of the base. Appropriate and consistent public health education helps to reduce the incidence of rhinosporidiosis in endemic communities.
<p class="abstract"><strong>Background:</strong> Nasal cavity may contain wide variety of masses within by which this organ differs from the rest of the body. Benign nasal and paranasal sinus masses are commonly encountered in clinical practice. The purpose of this study was to classify various types of sinonasal masses and characterize their clinico-epidemiological profile in a tertiary care hospital of Jharkhand. The objectives of the study was<strong> </strong> to evaluate the clinico-epidemiological profile of nasal masses in patients attending ear, nose, throat and head and neck surgery (ENT & HNS) OPD of Rajendra Institute of Medical Sciences (RIMS), Ranchi from January 2013 to December 2015) and to classify the nasal masses according to their percentage of occurrence<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> This retrospective study was designed for evaluation of clinico-epidemiological data collected from admission register of ENT Dept. RIMS, Ranchi during the period of 2013 to 2015. Total sample size for this period was 240. Templates were generated in MS Excel sheets and analysis was done using SSPS software<span lang="EN-IN">. </span></p><p class="abstract"><strong>Results:</strong> With the three year data analysis of 240 patients, we came up with the result that nasal masses were more common in age group of <20 years (52%), occurred more in males (68.4%), most of the patients were tribals (72.9%), mostly from rural areas (60%), and maximum of them were diagnosed as antrochoanal polyps (37.9%). The most common presenting complain was nasal obstruction (85.8%), followed by nasal discharge (52.9%)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Antrochoanal polyp is the most common type of nasal masses presenting mostly in tribal males from rural areas of Jharkhand, presenting with nasal obstruction<span lang="EN-IN">.</span></p>
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