<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis is one of the common problems in ENT Department which can be caused due to infections or anatomical blockage or allergy. We performed this study to assess the cause, clinical features and the effect of treatment on rhinosinusitis.</p><p class="abstract"><strong>Methods:</strong> 60 patients of chronic sinusitis with symptoms persisting beyond three months, Nasal Endoscopic findings with Polyps/Discharge/edematous mucosa were included in the study. A detailed clinical history, with complete Ear, Nose, Throat, and Head and Neck examination, blood tests like complete blood picture, Blood sugar levels, ESR and Hepatitis profile. X ray of paranasal sinuses, (water’s view) and lateral view, Chest x-ray –PA View and CT scan of paranasal sinuses (axial and coronal section with 3mm cuts at OMC) was done for all patients. Diagnostic Nasal Endoscopic examination (DNE) for detection of polyps / discharge / edematous mucosa in middle meatus was also done for the patients where it was necessary. The patients were given medical or surgical treatment according to the symptom and followup was done for 3 months for all patients. </p><p class="abstract"><strong>Results:</strong> Over 75% of the patients had incidence of sinusitis in the age group of 16 – 45 years. The most common etiology was sinusitis caused by infections (26 – 44%) followed by anatomical obstruction (22 – 36%). Of the 22 anatomical obstruction the most common was Deviated nasal septum in 14 (62%) of the cases followed by 4 (19%) CB, 3 (15%) pradixical MT and 1 (4%) prominent aggernasi. The most common sign and symptom was headache and polypoidal changes observed in 36 patients each (60%), followed by nasal obstruction in 35 patients (50%). 12 (20%) of the patients were treated with polypectomy + FESS while 14 (23%) of them were treated with septoplasty + FESS. 34 (57%) were treated with only FESS.</p><strong>Conclusions:</strong> Chronic sinusitis doesnot affect a particular age or sex and is more common among patietns with an upper respiratory tract infection. CT scan of the paranasal sinuses is the most useful tool in diagnosing the disease and FESS is the treatment of choice.
<p class="abstract"><strong>Background:</strong> ENT problems are very common among the children, especially diseases such as acute suppurative otitis media, acute tonsillitis, acute epiglottis, laryngotracheobronchitis, and rhinitis etc. Poor hygienic conditions, malnourishment, different socio-economic levels are also said to play a role in the prevalence of ENT disorders.</p><p class="abstract"><strong>Methods:</strong> 417 children between the ages of 0-15, attending the ENT department in our hospital were included in the study. General demographic details such as age, sex, socio-economic status, clinical history, and examination for common ENT complaints and disorders was taken for all patients. Otoscopy for ear examination for diseases such as otitis media, ear perforation and ear discharge anterior rhinoscopy for nasal discharge, airway obstruction and infection were performed Presence of any adenoid hypertrophy was looked for. Throat examination was performed for any sign of tonsillitis or pharyngitis. Appropriate investigations such as X-rays, culture and sensitivity, etc were performed where necessary. </p><p class="abstract"><strong>Results:</strong> 258 (61.9%) patients were females while there were 159 (38.1%) males. More than 45% cases who had disorders were concentrated in the 6-15 years age group. Almost 75% of the children were from lower socio-economic status. Otitis media among the ear diseases, rhinitis in the nasal diseases and pharyngitis followed by tonsillitis in the diseases of the throat was found to be the most common.</p><strong>Conclusions:</strong> Our study provides basic information of the prevalent disorders in ENT in our area, based on which we can take the relevant step towards development of the medical setup and treatment.
<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media condition is characterized by an ear discharge and a perforation in the tympanic membrane. Tympanoplasty and tympanoplasty with mastoidectomy are the two common surgeries performed to manage this condition.</p><p class="abstract"><strong>Methods:</strong> 50 patients were divided into two groups of 25 each. On Group I, tympanoplasty alone was done and on Group II tympanoplasty along with mastoidectomy was performed and outcome was noted. </p><p class="abstract"><strong>Results:</strong> The most common age group to be affected was 21-30 years. Discharge of 1-3 years was observed in 32% in Group I and 36% in Group II. 84% in Group I and 72% in Group II had mild hearing loss, and in both the groups, moderate perforations were more common. 84% of the patients in Group I and 88% in group II showed acceptance to the surgeries and the hearing gain in both the groups was around 10.</p><p class="abstract"><strong>Conclusions:</strong> This study shows that tympanoplasty with mastoidectomy has no added advantage over tympanoplasty alone in the patients with chronic suppurative otitis media.</p>
<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis is associated with morbidity and affects the quality of life of the affected persons and increases their treatment costs. Diagnosis is mainly by nasal endoscopy or by computed tomography which is considered to be the gold standard.</p><p class="abstract"><strong>Methods:</strong> Nasal endoscopy was done for all the patients under local anaesthesia. All the patients also underwent computed tomography and paranasal sinuses and the findings were scored according to Lund Mackay scoring system. </p><p class="abstract"><strong>Results:</strong> The most common age group was 31-40 years and nasal discharge was the most common symptom seen in 82% of the patients. The paranasal sinuses that were involved were predominantly maxillary sinus in a total of 88% of the patients. 22% of the patients have sinusitis in the anterior ethmoid of the left nose and 20% on the right nose. Bilateral was seen in 22% of the cases. The sensitivity of nasal endoscopy over computed tomography was 95.6% while the specificity was 80%. The positive predictive value was 97.7% and the negative predictive value was 66.7%. The accuracy of the test was 94%.</p><p class="abstract"><strong>Conclusions:</strong> Nasal endoscopy is found to be as good as the computed tomography for the diagnosis of chronic rhinosinusitis and can be used on a regular basis for its detection among the patients. It not only lacks radiation but is also economically viable.</p>
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