CT scan vs nasal endoscopy findings in the diagnosis of chronic rhinosinusitis: our experience

Baruah, Shruti; Vyas, Pratibha; Srivastava, Arpit

doi:10.18203/issn.2454-5929.ijohns20191741

Cited by 4 publications

(10 citation statements)

References 12 publications

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“…5 Diagnostic endoscopy has been recommended for diagnosis of chronic rhinosinusitis by EPOS 2012. 3 The findings of present study were supported by findings of Baruah et al (2019) in which deviated nasal septum (60.7%) was the most common finding observed on DNE in patients with CRS. 6 Also, They also observed pneumatized middle turbinate or concha bullosa in 31.3% cases, paradoxical middle turbinate in 20% and accessory ostium in 32.3% cases.…”

Section: Discussionsupporting

confidence: 86%

Clinical and Radiological Evaluation of Chronic Rhinosinusitis

Baisakhiya¹,

Sharma²,

Maini³

et al. 2023

BJOHNS

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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.

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Section: Discussionsupporting

confidence: 86%

Clinical and Radiological Evaluation of Chronic Rhinosinusitis

Baisakhiya¹,

Sharma²,

Maini³

et al. 2023

BJOHNS

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“…14,15 Frontal involvement was seen in 32% of the cases in the present study, while Baruah et al reported a 23% involvement of the same. 13 The least affected sinuses in our study was frontal an sphenoid. This was corroborated by studies by Baruah et al and Zojaji et al, who also reported the same.…”

Section: Discussionmentioning

confidence: 60%

“…This was corroborated by studies by Baruah et al and Zojaji et al, who also reported the same. 13,16 Maxillary sinus involvement was observed in another study by Kaku and Harugop in 56.66% patients on the right side and in 60% of the patients on the left side. 17 The most common pathology of the osteomeatal complex was polyps on nasal endoscopy seen in 17 (34%) of the cases.…”

Section: Discussionmentioning

confidence: 90%

“…Involvement of maxillary sinus was 80% in a study by Baruah et al, followed by anterior ethmoid in 63%. 13 However in a study by Bolger et al, anterior ethmoid were more commonly involved in 78.2% and Calhoun et al reported 84.3% of involvement of anterior ethmoids. 14,15 Frontal involvement was seen in 32% of the cases in the present study, while Baruah et al reported a 23% involvement of the same.…”

Section: Discussionmentioning

confidence: 92%

“…12 A study by Baruah et al also reported nasal discharge to be the most common symptom, seen in 87% of the patients, followed by nasal obstruction in 69.6% of the cases. 13 Levine et al, in a study of 250 patients, observed nasal discharge in 51% of the cases.…”

Section: Discussionmentioning

confidence: 93%

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Correlation between nasal endoscopy and computed tomography in a tertiary care hospital

Sriprakash

Sisodia

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic rhinosinusitis is associated with morbidity and affects the quality of life of the affected persons and increases their treatment costs. Diagnosis is mainly by nasal endoscopy or by computed tomography which is considered to be the gold standard.Methods: Nasal endoscopy was done for all the patients under local anaesthesia. All the patients also underwent computed tomography and paranasal sinuses and the findings were scored according to Lund Mackay scoring system. Results: The most common age group was 31-40 years and nasal discharge was the most common symptom seen in 82% of the patients. The paranasal sinuses that were involved were predominantly maxillary sinus in a total of 88% of the patients. 22% of the patients have sinusitis in the anterior ethmoid of the left nose and 20% on the right nose. Bilateral was seen in 22% of the cases. The sensitivity of nasal endoscopy over computed tomography was 95.6% while the specificity was 80%. The positive predictive value was 97.7% and the negative predictive value was 66.7%. The accuracy of the test was 94%.Conclusions: Nasal endoscopy is found to be as good as the computed tomography for the diagnosis of chronic rhinosinusitis and can be used on a regular basis for its detection among the patients. It not only lacks radiation but is also economically viable.

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Effects of oral prednisolone and fluticasone nasal spray in the management of chronic rhinosinusitis with polyposis: A prospective observational study

Jonnalagadda¹,

Jaiswal²,

Sharma³

et al. 2023

IJASHNB

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To study the effects of combination therapy with oral prednisolone and topical fluticasone propionate nasal spray in patients with Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP). To study the improvement in symptom scores, Endoscopic and CT scores before and after treatment with combination therapy.This prospective observational study was conducted on 50 patients attending the Outpatient Department of Otorhinolaryngology, J.L.N Hospital and Research Centre, Bhilai (Chhattisgarh), India over a period of 6 months from February 2020 to July 2020. Patients with symptoms of CRSwNP persisting for more than 12 weeks were thoroughly examined clinically along with Nasal endoscopy and Computed Tomography scan of Nose and Paranasal sinuses (CT PNS) and pre-treatment Visual Analog Scale (VAS), Lund & Mackay Scores for Endoscopic and CT findings were noted. Patients were treated with combination therapy of oral prednisolone and fluticasone propionate nasal spray and post treatment scores were noted using similar scales during the follow up visits and the results were statistically analysed.Total mean age of patients suffering from CRSwNP in our study was 47.3 ± 12.58. Males were affected more by CRSwNP than females (76% vs 24%). At the end of 3 months from baseline 48 patients (96%) showed a reduction in nasal discharge, 47 patients (94%) showed a reduction in nasal obstruction, 25 patients (50%) showed improvement in facial pain and 17 patients (34%) showed improvement in hyposmia. Overall post treatment Visual Analog Symptom (VAS) score improved in 42 patients (84%), Nasal endoscopy (Lund - Mackay scoring) improved in 43 patients (86%) and Radiological CT PNS & Nose (Lund - Mackay Scoring) improved in 33 patients (66%).We found that combined therapy with oral prednisolone and fluticasone propionate nasal spray for 3 weeks is very effective in reducing the symptoms of chronic rhinosinusitis along with decrease in nasal secretions, edema and polyp size.

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CT scan vs nasal endoscopy findings in the diagnosis of chronic rhinosinusitis: our experience

Cited by 4 publications

References 12 publications

Clinical and Radiological Evaluation of Chronic Rhinosinusitis

Clinical and Radiological Evaluation of Chronic Rhinosinusitis

Correlation between nasal endoscopy and computed tomography in a tertiary care hospital

Effects of oral prednisolone and fluticasone nasal spray in the management of chronic rhinosinusitis with polyposis: A prospective observational study

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