Effectiveness of Nasal Endoscopy and C.T . Scan of Nose and Paranasal Sinuses in Diagnosing Sino - Nasal Conditions

Deosthale, Nitin; Singh, Baldeep; Khadakkar, Sonali P.; Harkare, Vivek; Dhoke, Priti R.; Dhote, Kanchan; Parulsobti, Parulsobti; Giri, Suraj

doi:10.14260/jemds/2014/2346

Cited by 7 publications

(12 citation statements)

References 6 publications

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“…In our study, 51% of the cases were male while 49% were female with marginal preponderance for male which is in concordance with study conducted by Nitin VD et al 1 Patients presented with overlapping symptoms in most cases, of which the most common presenting complain being nasal obstruction (50%) followed by nasal discharge (49%), which is consistent with the study conducted by Gautam P et al 2 In our study, the most common PNS pathology was sinusitis, it is classified as bacterial, viral, fungal; acute, or chronic sinusitis and based on region involved sinonasal or purely nasal or sinosal. In our study the most common pattern of involvement was sinonasal (51%) with maxillary sinus being the most common sinus involved (82%) followed by posterior ethmoidal (77%), which is consistent with the study done by Bolger et al 3 There are 5 basic pattern of mucosal involvement seen in patients of chronic sinusitis chronic sinusitis they are, infundibular , osteomeatal unit , sphenoethmoidal recess, sinonasal polyposis and unclassified.…”

Section: Figure 10: Classification Of Cases On the Basis Of Nasal Patsupporting

confidence: 92%

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

Verma

Tyagi

Srivastava³

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Pathological lesions of the paranasal sinuses include a wide spectrum of conditions ranging from inflammation to neoplasms both benign and malignant. Most patient of common cold present with symptoms of nasal discharge, nasal obstruction, headache and nasal allergy etc. The patient of paranasal mass usually present with facial deformity, swelling or repeated episodes of epistaxis. The aim of the study was to establish the role of CT in evaluation of pathologies and their proper early diagnosis.Methods: It is a prospective study. A total of 100 patients who were referred to our department with clinical suspicion of PNS disease underwent CT evaluation of PNS using 64 multi slice CT scanner from December 2012 to October 2015. Results: Out of 100 cases 51 (51%) cases were males and rest 49 (49%) patients were females. The majority of the cases were of age group 16-30 which were 37case (37%) The most common symptoms were nasal obstruction (50%), followed by nasal discharge (49%), headache in 20% cases. Most common anatomical variations seen was deviated nasal septum (49%) more commonly on right side next common was agger nasi in 48% of cases. Maxillary sinuses are most commonly involved in the study (82 cases), followed by the ethmoid sinuses (ant. group 77 cases, post group 40 case) and frontal sinus 55 cases. The most common pathology seen was masses in 30% cases followed by DNS in 21% cases. The most common form of mucosal thickening noted is circumferential type seen in 7% cases. The most common pathology involving the sinuses was sinusitis (30%) followed by polyp (25%).Conclusions: Most of the patients with PNS pathology were from 2nd and 3rd decade. Slight male preponderance was noted. Majority of the patients presented with nasal obstruction. Most common anatomical variant seen was DNS. Most common sinus involved was maxillary. Sinonasal pathologies were the most common followed by pure nasal or pure sinosal. The most common pathology was inflammatory (74%). The most common benign pathologies were polyps with 92% accuracy. 15% of cases had malignancy with diagnostic accuracy of 90%.

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Section: Figure 10: Classification Of Cases On the Basis Of Nasal Patsupporting

confidence: 92%

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

Verma

Tyagi

Srivastava³

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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“…They also found diseased mucosa associated with mucopus in 9% cases. These findings correlated with the study of Deosthale N et al16 and Saxena R et al19 but not with study of Shahizon et al18 . The reason for different incidences in nasal finding may depend on various factors like the time of presentation, type of disease.…”

supporting

confidence: 70%

“…70% had nasal discharge; postnasal discharge was seen in 44% and sneezing in 30%. In the study conducted by Deosthale N et al 16 It is stated in literature that straight septum is an exception rather than a rule. Nasal septum deviation is highly accounted disease in population.…”

Section: Results and Observationmentioning

confidence: 97%

“…Nasal endoscopy is valuable tool in diagnosis of chronic rhinosinusitis. It allows clear visualization of the major drainage pathways of the sinuses as well as of the entire floor of nose, nasal septum, condition of nasal mucosa.In study of Deosthale N et al (2014)16 , congested nasal mucosa (45.08%) and purulent middle meatus discharge (42.62%), edematous nasal mucosa (31.14%), non-purulent nasal discharge (25.40%), pale nasal mucosa and polyps (15.57%) In 2010 Saxena R et al17 found meatal stenosis as most common finding, mucosal changes in 43% cases & purulence in nasal cavity was seen in 46.2% cases. In 2008, Shahizon et al18 studied 40 patients and found diseased nasal mucosa in 9% cases, polyp with diseased mucosa in 23% & polyps in 45% cases.…”

mentioning

confidence: 98%

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A Comparative Evaluation Between Ct Scan PNS WTH Nasal Endoscopy Findings in Patients of Chronic Rhinosinusitis

Hamdani¹,

Makhdoomi²,

Shafi³

et al. 2018

IJAR

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Background: Chronic Rhinosinosinusitis (CRS) is one of the common diseases affecting people globally with significant negative impact on quality of life. The objective of this study is to compare the efficacy of CT and nasal endoscopy finding for the evaluation of CRS in patients with persistant complains despite appropriate medical therapy. Methods: Patients attending ENT OPD of SIMS, with any complains of CRS for more than 4 weeks not responding to medical treatment. Patients are selected by Random sampling method. Results: The commonest major presenting symptom among the patients was observed as nasal obstruction and headache the minor factor. Males were affected more commonly on nasal endoscopy , the most common finding was congested nasal mucosa and mucopurulent nasal discharge .Frontal cells most commonly seen on Ct scan and maxillary sinus was most commonly involved .DNS is seen in both DNE and CT scan. Conclusion: CRS can be reliably identified using AAO-HNS Task force criteria 1997.Diseased ,oedematous or congested nasal mucosa ,purulence , pathological secretions or mucous in middle meatus and early polypoid changes have nonspecific features on coronal CT and endoscopy has essential role in diagnosing this pathology , is an outpatient procedure , relatively economic with no radiation hazard , however there are certain limitations of DNE which includes patients with gross DNS , constricted middle meatus , certain anatomical variants and presence of hidden air spaces like sphenoid sinus , ethmoidal bulla , haller cells , frontal cells ,posterior ethmoidal cells,etc .Hence we conclude that both are complimentary to each other.

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“…This finding is similar to the study conducted by Deosthale conditions. 10 They observed that nasal endoscopy could diagnose chronic rhinosinusitis in 70 of 122 patients.…”

Section: Discussionmentioning

confidence: 99%

Nasal endoscopy: an excellent tool for the novice

Suraneni¹,

Kudamala²,

Begum³

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal endoscopy has revolutionized the ease of diagnosing nasal pathologies over the recent years. It offers the advantage of detailed examination of the intra-nasal architecture and precise identification of the pathology. It is cost effective and a useful adjunct for performing minor procedures in the office setting. Thus, nasal endoscopy has evolved as a tool with multiple roles of diagnosing the disease, planning of treatment and post treatment examination.Methods: This is a prospective study conducted at a tertiary care hospital during a period of 2 years on 100 patients to evaluate the role of nasal endoscopy in diagnosing the disease and planning the management. 60 cases were managed conservatively depending on the initial finding on nasal endoscopy while the other 40 cases underwent surgery. Pre-treatment symptoms and post treatment outcomes were observed objectively on nasal endoscopy. Results: Majority of the patients (60%) were managed conservatively and were labeled as cured after enough evidence was obtained both subjectively from the patient and objectively as seen on endoscopy. The remainder of patients (40%) underwent surgery and follow up endoscopy was done in all of them.Conclusions: Diagnostic nasal endoscopy is of immense help to the novice surgeon in understanding and managing various nasal pathologies. Through this study, it can be concluded that most of the nasal symptoms can be managed conservatively and surgery advised for absolute indication, with the help of nasal endoscopy.

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Effectiveness of Nasal Endoscopy and C.T . Scan of Nose and Paranasal Sinuses in Diagnosing Sino - Nasal Conditions

Cited by 7 publications

References 6 publications

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

A Comparative Evaluation Between Ct Scan PNS WTH Nasal Endoscopy Findings in Patients of Chronic Rhinosinusitis

Nasal endoscopy: an excellent tool for the novice

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