Nasal Endoscopy as an Effective Alternative for CT-Scan in Diagnosing Chronic Rhinosinusitis: A Clinical Study and Review of Literature

Chakraborty, Priyanko; Jain, Rajiv

doi:10.1007/s12070-017-1085-6

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…The mean age of participants in this study was 36.84±13.27, Which was similar to the study done by Deosthale et al [15] , Chakraborty and Jain [16] , and Lohiya et al [17] where mean ages were 35.48±16.15, 34.11± 1.42 and 35.6±14.4 years respectively. The majority of the participants in this study were between the age of 18 to 40 [67.18%] like in the study done by Srivastava et al [14] where the age group of 30-40 yrs.…”

Section: Discussionsupporting

confidence: 89%

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Correlation of Symptoms of Chronic Rhinosinusitis with Objective Sino Nasal Examination: A Prospective Observational Study

Bhardwaj¹,

Thambidurai²

2023

International Journal of Medical Arts

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Article informationBackground: CT scan and Diagnostic nasal endoscopy [DNE] can both be used in diagnosis and management of Chronic rhinosinusitis [CRS]; however, it has been a matter of debate as to which of these two modalities is effective in terms of cost, ease off doing and better correlation Aim of the work:This study intends to correlate the severity of the symptoms of CRS with DNE and CT scan findings vis-a-vis correlating the scores between the two diagnostic modalities and concluding as to which off them is more effective. Materials and Methods:This was a prospective observational study done at a tertiary teaching hospital. Patients satisfying the diagnostic criteria of CRS by American Academy of Otolaryngology-Head and Neck Surgery were shortlisted for study. The duration of symptoms and severity score of all patients was recorded. All participants were then subjected to CT scan and DNE. The Qualitative and quantitative variables were compared with help of Spearman Rank correlation coefficient test. A p-value of < 0.05 was taken as statistically significant. SPSS version 19.0 was used for analysis.Results: A total of 128 patients diagnosed with CRS participated in the study. There were 56 [43.7%] males and 73 [57.03%] females. Correlation was between all the parameters such as severity score and CT Scan scores, severity score and DNE scores, CT scan scores and DNE scores [right side, left side and bilateral combined] were statistically significant. Conclusion:In the patients who meet the symptoms criteria for diagnosis of CRS had high-level of diagnostic accuracy with both CT scan and DNE. Since both the test and symptoms severity correlates well, doing either one of them will suffice in diagnosis. DNE being readily available in Otolaryngology department can be chosen over CT scan thereby reducing cost and radiation exposure to patient.

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Section: Discussionsupporting

confidence: 89%

“…In a study done by Agius [18] , the facial pain [50.49%] had prevalence higher when compared to our study. Several studies, also, had nasal obstruction and nasal discharge as the two commonest presenting symptoms [13][14][15][16][17],…”

Section: Discussionmentioning

confidence: 99%

Correlation of Symptoms of Chronic Rhinosinusitis with Objective Sino Nasal Examination: A Prospective Observational Study

Bhardwaj¹,

Thambidurai²

2023

International Journal of Medical Arts

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“…MRI also improves the accuracy of diagnosis of NPC ( 35 – 37 ). However, for detecting extent of nasal inflammatory response and lesions after RT, HN-MRI is recognized not as well visualized as CT (since CT is reported as the gold standard modality for CRS) in observing the construction of nasal cavity and/or paranasal sinuses ( 35 , 38 ).…”

Section: Endoscopic Manifestation and Nasal Imaging Changes After Rtmentioning

confidence: 99%

Impairment mechanism of nasal mucosa after radiotherapy for nasopharyngeal carcinoma

et al. 2022

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The nasal mucosa, which performs the crucial functions of filtering, humidifying and temperature regulation, is one of the most vulnerable areas of nasopharyngeal carcinoma (NPC) patients after radiotherapy (RT). Following RT, NPC patients experience a series of pathological changes in the nasal mucosa, ultimately leading to physiological dysfunction of the nasal epithelium. This article systematically reviews the clinical and pathological manifestations of RT-related nasal damage in NPC patients and summarizes the potential mechanism of damage to the human nasal epithelium by RT. Finally, we outline the current mechanistic models of nasal epithelial alterations after RT in NPC patients and provide additional information to extend the in-depth study on the impairment mechanisms of the nasal mucosa resulting from RT. We also describe the relationship between structural and functional alterations in the nasal mucosa after RT to help mitigate and treat this damage and provide insights informing future clinical and fundamental investigations.

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A Prospective Correlation Study Between Computerized Tomography of Paranasal Sinuses and Nasal Endoscopy Findings in Patients of Chronic Rhinosinusitis Undergoing Functional Endoscopic Sinus Surgery

Krishniya

Rajpurohit

Sharma

et al. 2022

Indian J Otolaryngol Head Neck Surg

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Nasal Endoscopy as an Effective Alternative for CT-Scan in Diagnosing Chronic Rhinosinusitis: A Clinical Study and Review of Literature

Cited by 3 publications

References 30 publications

Correlation of Symptoms of Chronic Rhinosinusitis with Objective Sino Nasal Examination: A Prospective Observational Study

Correlation of Symptoms of Chronic Rhinosinusitis with Objective Sino Nasal Examination: A Prospective Observational Study

Impairment mechanism of nasal mucosa after radiotherapy for nasopharyngeal carcinoma

A Prospective Correlation Study Between Computerized Tomography of Paranasal Sinuses and Nasal Endoscopy Findings in Patients of Chronic Rhinosinusitis Undergoing Functional Endoscopic Sinus Surgery

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