Radiological significance of isolated ethmoid sinus infections in asymptomatic patients of recurrent acute rhinosinusitis

Sahu, Niranjan P.; Mohapatra, Satya; Rath, Siba N.; Padhy, Rabindra N.

doi:10.18203/2320-6012.ijrms20171520

Cited by 4 publications

(5 citation statements)

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“…Nasal congestion occurs due to cold and sinus infections, which blocks the nasal bacteria and viruses and makes it harder to breathe. In most cases, this can be remedied within a week with medication and some topical treatments [12]. It should be noted that the quality of life scores for sinus infections, nasal obstruction, allergic symptoms, and activity limitation in patients with facial pain were significantly higher than in those with no facial pain.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Quality of Life in Terms of Sinonasal Symptoms in Children with Cystic Fibrosis

Hassanzad

Derakhshan

Ghaffaripour

et al. 2019

Biomolecular Concepts

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ObjectiveSinusitis is a common complaint in children with cystic fibrosis. However, the actual prevalence of chronic rhinosinusitis and its effect on the quality of life of children have not been well considered. Therefore, the objective of this study was to determine the effect of sinonasal quality of life in children with cystic fibrosis.Materials and methodsThis study was a diagnostic study performed on 80 children with cystic fibrosis ranging from 2 to 20 years old, who were referred to the cystic fibrosis clinic of Masih Daneshvari Hospital from 2017–2018. The questionnaires used in this study were chronic rhinosinusitis screening questionnaire based on the European task force and the evaluation of the sinonasal quality of life was based on the SN-5 survey.ResultsOf the 80 patients with fibrosis from 2 to 20 years old who were recruited in the study, 41 patients were female (51.3%) and 39 were male (48.8%). In 61 cases (76.3%), there was no chronic rhinosinusitis and 19 cases (23.8%) had chronic rhinosinusitis. The mean SN-5 score in 19 patients with chronic rhinosinusitis was 3.4105 and the mean score of patients without rhinosinusitis was 1.8426, with a P-value of 0.000. The mean SN-5 score was significant between the two groups. In patients with nasal congestion, there was a significant difference in quality of life factors such as sinus infection, nasal obstruction, and allergy symptoms (P<0.001). In patients with facial pain, there was a significant difference in quality of life factors such as sinus infection, nasal obstruction, allergic symptoms, and physical activity limitation (P <0.001). There was also a significant difference in the quality of life factors such as sinus infection, nasal obstruction, and allergy symptoms in patients with postnasal drip (P <0.001).ConclusionIn children with cystic fibrosis, the quality of life of sinonasal has a significant relationship with absence of chronic rhinosinusitis. This study showed that children with chronic renosinusitis have significantly lower quality of sinonasal life than children with chronic rhinosinusitis. The results demonstrated that quality of life scores in sinus infections, nasal obstruction, and allergy symptoms were significantly higher in patients with chronic rhinosinusitis than in those without chronic rhinosinusitis. The findings of this study are important for improving children’s health related quality of life, as it leads to promoting communication between the patient and the health care provider, identifying overlooked problems, monitoring the progress of the disease and the burden of treatment, and promoting interventions in the daily life of patients.

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Section: Discussionmentioning

confidence: 99%

“…The decrease was significant in both cases and reflected the longterm improvement in quality of life [11]. By increasing the longevity of patients, a series of new psychological issues were emerging, including affection, self-care, peer relationships, occupation, health concerns, and prognosis [3,[12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Quality of Life in Terms of Sinonasal Symptoms in Children with Cystic Fibrosis

Hassanzad

Derakhshan

Ghaffaripour

et al. 2019

Biomolecular Concepts

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“…This potential nidus of infection in RARS patients contribute towards recurrent episodes of ABRS. 2 Narrowing of paranasal sinus ostia and/ or meati usually occurs due to presence of anatomical variations, which predisposes to recurrent mucosal diseases of the sinonasal region. The wide range of anatomical variants of sinonasal structures composing the OMC and the SE recess are common predisposing factors for corresponding inflammatory patterns of RARS, which need CT evaluation in the early stage for diagnosis and proper management.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, this subtle isolated infection of ethmoid sinuses was reported as a potential nidus and is responsible for the recurrence nature of this disease. 2 Based on CT appearance, patients having recurrent attacks of inflammatory sinusitis usually present 5 patterns of acute rhinosinusitis: osteomeatal complex (OMC), spheno-ethmoidal (SE) recess, sinonasal polyposis, isolated infundibular type and sporadic distribution patterns. Majority of RARS patients present OMC and/ or SE recess patterns of acute rhinosinusitis, when they are associated with anatomic variants in the corresponding region.…”

Section: Introductionmentioning

confidence: 99%

Radiological significance of the sinonasal anatomical variants in recurrent acute rhinosinusitis patients

et al. 2017

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Background: Recurrent acute rhinosinusitis (RARS), a low form chronic rhinosinusitis is frequently under evaluated. The significance of sinonasal anatomical variants of osteomeatal complex (OMC) and spheno-ethmoidal (SE) recess regions in patients of RARS is assessed.Methods: Retrospective analysis of coronal sinonasal computed tomography images of 120 RARS patients presented with sinonasal anatomical variants during November 2013 to October 2016 was carried out. Patients with acute and expansile sinonasal lesions are excluded.Results: Sinonasal anatomical variants in the regions of OMC and SE recess are responsible for obstruction of normal mucociliary drainage of corresponding paranasal sinuses in presence of inflammation predisposing to RARS. Anatomical variants of nasal septum were, deviated nasal septum (DNS) in 86 (72%) and septal spur in 58 (48%) patients. Anatomical variants in OMC region were, pneumatized middle turbinate (concha bullosa) in 50 (48%), paradoxical middle turbinate in 38 (28%), giant ethmoid bulla in 35 (32%), agger nasi cell in 29 (38%), Haller cell in 23 (15%), pneumatised uncinate process in 20 (18%), medialized uncinate process in 18 (22%) and septated maxillary sinus in 5 (4%) patients. Anatomical variants in SE recess were superior concha bullosa in 14 (12%) and septal bullosa in 11 (9%) patients.Conclusions: OMC pattern of recurrent rhinosinusitis is often prevalent in patients of RARS due to abundance of anatomical variants in the OMC region. DNS or ethmoid bulla when gets associated with concha bullosa increased the incidence of RARS. Present analysis would help surgeons to evaluate RARS patients for selective endoscopic sinus surgery.

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“…Nevertheless, this subtle isolated infection of ethmoid sinuses acts as a potential nidus, which is responsible for the recurrent nature of the RARS disease. 2 RARS is recently considered as a mild form of chronic rhinosinusitis disease, which remains a challenging problem nowadays due to under evaluation of the disease pattern.…”

Section: Introductionmentioning

confidence: 99%

Significance of relationship between anatomical variants of middle turbinate and nasal septum in recurrent acute rhinosinusitis patients

Mohapatra

Sahu

Rath

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Aim of the study was to evaluate the significance of relationship between anatomical variants of middle turbinate and nasal septum, and role for the causation of recurrent acute rhinosinusitis (RARS) in a tertiary care teaching hospital.Methods: Retrospective analysis of sinonasal computerized tomography (CT) images of 160 patients with history of RARS during August 2015 to December 2016 was done for evaluation of concha bullosa (CB) and paradoxical middle turbinate (PMT) associated with deviated nasal septum (DNS). Measurements of CB, PMT and septal deviation angles were recorded. Patients with acute and expansile paranasal sinus diseases were excluded.Results: Of the total 160 RARS cases with DNS, 120 cases had unilateral (contralateral and ipsilateral) and bilateral (dominant and similar sized) CB, and were distributed into group I (contralateral and dominant) and group II (ipsilateral and similar sized bilateral) basing on the direction of septal convexity. Maximum transverse diameter of CB (MTDCB) and septal deviation angle values were highly significant (p =0.0001) in group I CB cases. Direction of septal convexity had no significance (58 to right and 62 to left) in relation to CB pneumatization. Septal deviation severity in group I CB cases was highly significant (p =0.0001). The fraction of 40 unilateral and bilateral PMT cases revealed no significance (p =0.45) with severity of DNS.Conclusions: Anatomical variants of middle turbinate associated with DNS caused increased prevalence of OMC pattern RARS. Contralateral and dominant CBs had shown relationship in direct proportion to the severity of septal deviation contributing to recurrent rhinosinusitis.

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Radiological significance of isolated ethmoid sinus infections in asymptomatic patients of recurrent acute rhinosinusitis

Cited by 4 publications

References 8 publications

Evaluation of Quality of Life in Terms of Sinonasal Symptoms in Children with Cystic Fibrosis

Evaluation of Quality of Life in Terms of Sinonasal Symptoms in Children with Cystic Fibrosis

Radiological significance of the sinonasal anatomical variants in recurrent acute rhinosinusitis patients

Significance of relationship between anatomical variants of middle turbinate and nasal septum in recurrent acute rhinosinusitis patients

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