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

Abstract

Chronic sinusitis is a long-term infl ammation that occurs in the nasal and paranasal mucosa for 12 weeks. Non-contrast CT scan is gold standard in diagnosing chronic sinusitis. This study aims to determine the characteristics of chronic sinusitis based on non-contrast CT scan at the ENT-Head and Neck Surgery Polyclinic of RSUDZA Banda Aceh in 2019. This research was a descriptive study with retrospective data, medical record. The sample of this study was taken by consecutive sampling method in October 2020 and obtained 111 samples. The results showed that most patients with chronic sinusitis were 30-39 years), as many as 42 people (37.8%). Most of the sexes suff ering from chronic sinusitis were women, as many as 59 people (53.2%). Based on the non-contrast CT scan, the location of the sinuses most aff ected was the maxillary sinuses, as many as 110 people (99.1%). The number of sinuses that were most aff ected was single sinusitis, which was 58 people (52.3%). Most patients with chronic sinusitis without polyps were found, as many as 89 people (80.2%). The most common anatomical variation found was septal deviation as many as 25 people (22.5%). The conclusions in this study indicate that women, late adulthood, maxillary sinus, single sinusitis, chronic sinusitis without nasal polyps, and septal deviation are characteristics of chronic sinusitis patients based on non-contrast CT scan.

Characteristics of Patient atRinology Divison of Ear, Nose, and Throat Polyclinic in Prof. Dr. I.G.N.G. Ngoerah General Hospital Denpasar in1 January 2020 –31 December 2021

“…Only ethmoidal sinusitis was most commonly found in the age group of 41-50 years (30.95%). This was in accordance with a study conducted by Putra et al who found that chronic sinusitis patients were dominated by the age group 30-39 years (37.8%) [4]. A study conducted by Setiawan also found that the age group 46-55 years (20.2%) and 36-45 years (19.69%) were the most commonly found in patients with chronic rhinosinusitis [12].…”

“…DISCUSSION Hypertrophy of the inferior turbinate was the most common diagnosis found as a reason for visiting patients in the rhinology division. This is slightly different from epidemiological data which states that rhinitis, especially chronic rhinitis, was the most common disease found in the rhinology spectrum [1], [4]. This was also reported by a study conducted at a type C hospital in Sulawesi where the study showed that chronic rhinosinusitis (28.08%) and acute rhinitis (17.5%) were the two most common cases found at ENT polyclinic visits from 2015 to 2016 [7].…”

“…The smaller size of sinus ostium in women than men was contributed to obstruction and mucous drainage obstruction of sinus, which increase the risk of rhinosinusitis. In addition, the presence of the female hormone estrogen is suspected to play a role in increasing the inflammatory response when an infection occurs in the sinuses [4].…”

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

“…This study found that the location of the most paranasal sinuses was the maxillary sinus, amounting to 30 people (37.0%). Similar results were obtained in the study of Husni et al [8]. Based on the results of non-contrast CT scans, they found the most affected sinus location was the maxillary sinus in as many as 110 people (99.1%) [8].…”

“…The male: female ratio is 1: 1.5. The study by Regina found the ratio of men to women was 1 to 1.3, while Husni found that women who suffered the most chronic sinusitis were 59 people (53.2%) [7], [8]. Different results were obtained in several studies.…”