Anatomic Variation of Ct Scan in Chronic Rhinosinusitis Patients in Sanglah Provincial General Hospital

Abstract

The anatomical abnormalities of the nose and paranasal sinuses are the most common causes of rhinosinusitis. These anatomical variations can cause obstruction of the ostiomeatal complex (OMC) and interfere with the mucociliary clearance which allows the occurrence of chronic rhinosinusitis. Knowing the anatomic variations of the nose and paranasal sinuses in rhinosinusitis patients whose undergo operative procedure at Sanglah Provincial General Hospital is important because it can be used as a reference for proper intervention to treat rhinosinusitis. This research is a descriptive study in the Ear Nose Throat - Head Neck Departement, Udayana University Medical School / Sanglah Provincial General Hospital Denpasar, from January 2018 to December 2018. The research location is at the ENT clinic, Sanglah Hospital, Denpasar. This research will be conducted in approximately 2 months (January 2019 to February 2019). The sample from this study was all rhinosinusitis patients who underwent operative procedure, both male and female for the period of 1 January – 31 December 2018. Based on the results of the research data, it was found that the most anatomic variation was septal deviation which was 24 people Anatomic variations cause chronic sinusitis by causing obstruction in the ostiomeatal complex (OMC) and affecting the mucociliary transport pattern. The most anatomical variation in this study is septal deviation.

Characteristics of Chronic Sinusitis Based on Non-Contrast CT Scan at the ENT-Head and Neck Surgery Polyclinic of Regional General Hospital Dr. Zainoel Abidin Banda Aceh

“…36 Moreover, Ratnawati 37 stated that septal deviation was the most common anatomical variation among 24 people (77%). 37 Aramani et al 38 also found that 40 people (74.1%) had a deviated septum and 18 people (33.3%) were chronic sinusitis patients. 39 Septal deviation is an anatomical variation that is often found and one of the predisposing factors for chronic sinusitis.…”

Radiological anatomical variations of the lateral nasal wall and anterior skull base amongst different populations: A systematic review and meta‐analysis

“…A total of 56 studies with 11 805 persons were included. All studies 13–66 involved a single population except for two studies 5,67 which recruited two distinct populations in each study. The studies were from 27 countries which can be divided into seven regions specifically Africa, Asia, Australia‐New Zealand‐Oceania, North America, South America, Europe and Middle East.…”

Characteristic of Anatomical Variations in Paranasal Sinus CT-Scan of Chronic Rhinosinusitis Patients at the ENT Clinic Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar in 2021

“…Based on the results of the study, it was found that the most anatomical variations were concha hypertrophy in as many as 26 people. Another study showed that the most common anatomical variation was septal deviation [8], [9], [17], [18]. In Shresta's study, 68 patients (89.5%) had at least one type of anatomic variation while eight (10.5%) had no variation [13].…”