Sinugenic Headache and Nasal Endoscopy

Mahajan, Sunanda; Lk, Kochhar; Ak, Gupta

doi:10.1016/s0377-1237(03)80055-2

Cited by 6 publications

(8 citation statements)

References 5 publications

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“…7,[13][14][15][16][17] Two endoscopic studies in the literature reported hypertrophy of agger nasi in 17.2 and 6% of the patients. 9,10 In the present study, we found hypertrophy of agger nasi in 14 and 7% of the patients in case and control groups respectively. Usually there is overestimation of agger nasi pneumatization in the endoscopic examination compared to CT scan.…”

Section: Resultssupporting

confidence: 58%

“…16 Two endoscopic studies reported the prevalence of hypertrophied ethmoidal bulla in 34 and 14% of CRS patients. 8,10 In contrast in our study hypertrophied (sausage shape configuration) ethmoidal bulla was found in 18 and 10% subjects in case and control group respectively and this difference was statistically significant (p = 0.0001 * ).…”

Section: Ethmoidal Bullacontrasting

confidence: 70%

“…9 While another study reported only 15% prevalence of concha bullosa in CRS patients. 10 Similarly, our study revealed …”

Section: Concha Bullosasupporting

confidence: 63%

“…However, there is a paucity of data documenting variations in the anatomical configuration of components of the lateral nasal wall utilizing endoscopic examination of living patients. [8][9][10] Detailed nasal endoscopy examination enables the better assessment of anatomical variations of the middle meatus. The close proximity of vital structures like orbit and skull base with lateral wall of nose requires an intimate understanding of the variability in sinonasal anatomy.…”

Section: Introductionmentioning

confidence: 99%

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Study of the Anatomical Variations in the Middle Meatus on Nasal Endoscopy

Bist¹,

Mishra²,

Agrawal³

et al. 2013

An International Journal Clinical Rhinology

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Introduction:The anatomical variations of the lateral wall of nose may create technical difficulties during surgery and increase predisposition for chronic rhinosinusitis (CRS). Various cadaveric and radiological studies have been carried out to identify the variations of critical landmarks in sinonasal anatomy. However, studies analyzing the nasal endoscopic examination of living patients are scarce.Objective: The aim of the study was to compare the anatomical variations in the middle meatus of patients having CRS with that of normal population. Materials and methods:This was a prospective clinical study, where 700 subjects (1,400 middle meatus) were subjected to diagnostic nasal endoscopy, over a period of 2 years. A total of 350 subjects each with CRS and normal population were included in the case and control group, respectively. Endoscopic examination of nasal cavity was done to observe the middle meatus configuration. Results:The anatomical variations in the case group were significantly higher that of control. The most common atypical anatomical presentation in both the case and control group were atypical agger nasi (14 vs 7%, p-value = 0.0001), concha bullosa in middle turbinate (12 vs 9%, p-value = 0.0809), medially projected uncinate process (10 vs 4%, p-value = 0.0001), and sausage shaped ethmoid bulla (18 vs 10%, p-value = 0.0001). Interestingly, opening of ethmoid bulla was also observed in both the groups. Conclusion:The prevalence of anatomic variations is significantly higher in the case group. However, the detection of a single anatomical variant itself does not establish the genesis of pathophysiology of CRS. Familiarity with such anatomy is important to optimize surgical treatment of sinus disease, while avoiding complications.

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Section: Resultssupporting

confidence: 58%

Section: Ethmoidal Bullacontrasting

confidence: 70%

“…9 While another study reported only 15% prevalence of concha bullosa in CRS patients. 10 Similarly, our study revealed …”

Section: Concha Bullosasupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Study of the Anatomical Variations in the Middle Meatus on Nasal Endoscopy

Bist¹,

Mishra²,

Agrawal³

et al. 2013

An International Journal Clinical Rhinology

View full text Add to dashboard Cite

show abstract

“…2 A multidisciplinary approach is required to diagnose the causative factors of headache. 3 The most common cause of headache in ENT is acute sinusitis or an acute exacerbation of chronic sinusitis. 4 Anterior rhinoscopy with a nasal speculum and headlight allows visualization of only septum and anterior portion of the inferior turbinate , while the rest of the nasal cavity remains obscure.…”

Section: Introductionmentioning

confidence: 99%

Nasal endoscopic evaluation of patients presenting with frontal headache

Ravunniarth¹,

Narayana²

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Headache is a universal symptom affecting most people at some point in their lifetime. The most common cause of headache in ENT is acute sinusitis or an acute exacerbation of chronic sinusitis. Anatomic variations like a massive concha bullosa, enlarged ethmoidal bulla, laterally rotated uncinate can interfere with mucociliary clearance. Thus, a thorough nasal endoscopic evaluation will help us to detect any anatomic abnormality which may predispose to sinogenic headache.Methods: 100 patients with frontal headache underwent diagnostic nasal endoscopy and all anatomic variations and pathological abnormalities were notedResults: 83% cases had a diagnosis of deviated nasal septum or rhinosinusitis, and the rest 17% had non sinonasal cause for headacheConclusions: Anatomic abnormalities like middle turbinate anomaly, spur, enlarged bulla, hyperplastic uncinate and pathological abnormality like mucopurulent discharge, polypi can be diagnostic of sinogenic cause for frontal headache.

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

Chakraborty

Jain

2017

Indian J Otolaryngol Head Neck Surg

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Sinugenic Headache and Nasal Endoscopy

Cited by 6 publications

References 5 publications

Study of the Anatomical Variations in the Middle Meatus on Nasal Endoscopy

Study of the Anatomical Variations in the Middle Meatus on Nasal Endoscopy

Nasal endoscopic evaluation of patients presenting with frontal headache

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

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