Effect of Anatomical Variations of Osteomeatal Complex on Chronic Rhinosinusitis: A Propective Study

Sonone, Jayant; Solanke, Poonam; Nagpure, Prakash S; Garg, Deepika; Puttewar, M. P.

doi:10.1007/s12070-019-01653-7

Cited by 10 publications

(11 citation statements)

References 9 publications

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“…There are many scientific articles tackle this important issue [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. These investigations showed that the prevalence of AVs in the sinonasal region is high.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of sinonasal anatomical variations and their effect on chronic rhinosinusitis in Al-Ramadi teaching hospital, Ramadi city, Iraq

Al-Ani¹,

Khalaf²

2021

MMJ

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Anatomical variations (AVs) of the nose and paranasal sinuses (NPS) are quite common findings on CT scans. However, their effect on chronic rhinosinusitis (CRS) is still controversial. The objectives of this study is to estimate the prevalence of AVs of the NPS on CT scans and to assess the association between multiple versus single variant and CRS. A cross-sectional study was conducted in the Al-Ramadi Teaching Hospital during the period from January 1, 2018, to March 31, 2019. We reviewed the CT scans of the patients with suggestive symptoms and signs of CRS. Out of 203 CT scans, there were 153 (75.4%) scans associated with AVs of the NPS (group A). Seventy-eight with and 75 without radiological features of sinusitis. While group B (n=50 24.6%) were not detected any variants, 24 with and 26 without features of sinusitis. There was no statistically significant difference between the two groups (p-value>0.05). There were 11 AVs detected. The septal deviation of 63% was the commonest one. Most of the AVs of the NPS were multiple (2 or more) 99 (64.7%). Forty-nine (49.5%) of them were associated with features of sinusitis. There was a statistically significant difference (p-value <0.05) between those with multiple and those with single AVS concerning the radiological features of sinusitis. In conclusion; AVs of the sinonasal region were common findings on CT scans. A deviated nasal septum is the commonest AVs. Most of our patients contain more than 2 AVs, and they were more vulnerable to sinusitis.

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Section: Introductionmentioning

confidence: 99%

Prevalence of sinonasal anatomical variations and their effect on chronic rhinosinusitis in Al-Ramadi teaching hospital, Ramadi city, Iraq

Al-Ani¹,

Khalaf²

2021

MMJ

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“…However, Kaygusuz et al (2014) in their study observed pneumatized uncinated process in 4.6% cases with CRS. 12 Abnormal uncinate process was observed in 75.44% cases of CRS in a study of Sonone et al (2019). 13 Nangia et al (2019) on the other hand identified medialized uncinated process in 67.5% on left and 62.5% cases on right side.…”

Section: Discussionmentioning

confidence: 95%

“…12 Abnormal uncinate process was observed in 75.44% cases of CRS in a study of Sonone et al (2019). 13 Nangia et al (2019) on the other hand identified medialized uncinated process in 67.5% on left and 62.5% cases on right side. 14 Anatomical variations are commonly associated with chronic rhinosinusitis and may be the underlying etiology for CRS.…”

Section: Discussionmentioning

confidence: 95%

“…12 Sonone et al (2019) observed concha bullosa in 10.5% and 5.3% cases on bilateral and right side respectively and 7.02% cases had paradoxical middle turbinate. 13 Nangia et al (2019) observed Concha bullosa in 32.5 and 37.5% patients with CRS on the left and right sides respectively. 14 About 25.3% and 16.9% cases of CRS had concha bullosa and paradoxical middle turbinate in a study of Baruah et al (2019).…”

Section: Discussionmentioning

confidence: 96%

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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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“…Adequate opening of the paranasal sinuses and thus their natural drainage pathways is essential for the mucociliary transport of secretions and self-clearance of germs, because the direction of primary drainage is genetically determined. In the region of the paranasal sinuses, it is pointed towards the natural ostia (14)(15)(16)(17). Studies have shown that fenestrations in the lower nasal passage with the indication of a better result are not longterm improvement, but even causes the reappearance of circulating mucus transport from the natural ostium through the newly created ostium back into the cavity (named as "missed ostium sequence").…”

Section: Inflammatory Diseases Of the Nasal Cavities And Paranasal Si...mentioning

confidence: 99%

Functional Endoscopic Sinus Surgery (Fess)

Riden¹,

address²

Key Topics in Oral and Maxillofacial Surgery

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Effect of Anatomical Variations of Osteomeatal Complex on Chronic Rhinosinusitis: A Propective Study

Cited by 10 publications

References 9 publications

Prevalence of sinonasal anatomical variations and their effect on chronic rhinosinusitis in Al-Ramadi teaching hospital, Ramadi city, Iraq

Prevalence of sinonasal anatomical variations and their effect on chronic rhinosinusitis in Al-Ramadi teaching hospital, Ramadi city, Iraq

Clinical and Radiological Evaluation of Chronic Rhinosinusitis

Functional Endoscopic Sinus Surgery (Fess)

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