Introduction The diagnosis of rhinosinusitis is based on clinical grounds having characteristic symptoms, combined with objective evidence of mucosal inflammation. We studied the corelation between the symptoms of the patients, clinical and endoscopic findings with CT scan findings in chronic rhinosinusitis (CRS). Materials and Methods Patients above the age of 15yrs fulfilling the criteria of Chronic sinusitis laid by European position paper on rhinosinusitis and nasal polyps (EPOS) 2012 were prospectively studied. Demographic and clinical profile were noted. Diagnostic Nasal Endoscopy was done and findings were recorded. Patients were undergone CT evaluation after giving appropriate medical management. Clinical, endoscopic and radiological findings were compared with similar studies. Data was analysed using IBM SPSS software version 20. Results This study included 118 patients of Chronic Rhinosinusitis. Patients commonly male between the age group of 21-30 years presented with nasal obstruction, headache and nasal discharge in order of presentation. Diagnostic Nasal endoscopy revealed Septal deviation in 64.4% and medialize uncinate process in 15.2% of cases. Nasal discharge (48.3%) was commonest finding. CT scan suggested deviated nasal septum (70.4%), concha bullosa (30.5%), blocked osteo-meatal complex (68.6%) in patients of CRS. Presence of Agger Nasi cell (49.2%), Haller cell (12.7%) and Onodi cell (15.7%) seen in these patients. Conclusion CT scan and diagnostic endoscopy along with detailed clinical examination are essential component for assessment of a patient with chronic rhinosinusitis. CT scan is considered as gold standard but endoscopy is also a valuable tool for diagnostic evaluation of patients with CRS.
<p class="abstract">Cysticercosis is a major public health problem especially in developing countries like ours. Disease can be prevented by increasing the public awareness about personal hygiene and sanitation. The disease commonly affects the central nervous system and the condition is referred to as neurocysticercosis. Neurocysticercosis is probably is the commonest parasitic infestation of the central nervous system (CNS). Although the extracranial involvement is exceedingly rare. The head and neck regions commonly affected are tongue, sternocleidomastoid muscle, masseter muscle and strap muscles of the neck. Isolated cases of cysticercosis have been reported in the literature in head and neck region. We are reporting the case series of seven cases of extracranial cysticercosis presenting in different parts of head neck region. Two cases presented with a tongue nodule, two cases in the region of masseter muscle, one case in the pre-maxillary region and one in the sternocleidomastiod muscle in the neck. All cases were dealt with a clinical suspicion of cysticercosis as the condition is endemic in our region. The empirical treatment was started in all the cases after demonstration of cyst on ultrasonography. The cases responded to the oral albendazole combined with corticosteroid therapy. As the disease is a common entity in our country all cases presenting with firm, long standing, single swelling in the head neck region should be dealt with suspicion of cysticercosis. Early diagnosis and treatment can prevent the hazardous intracranial complications and mortality.</p>
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