Abstract
BackgroundThis study was undertaken to assess the correlations between subjective symptom score in patients with chronic rhinosinusitis and endoscopic turbinoseptal relationship (TSR).AimTo assess the pattern of TSR and their correlations with symptom score in patients with chronic rhinosinusitis.Settings and designThis was an observational study in a tertiary/teaching hospital settingPatients and MethodsConsecutive pretreatment adults with chronic rhinosinusitis completed the sinonasal outcome test 22 (SNOT22) and had nasal endoscopy. At endoscopy, the TSR was determined, as well as the presence of nasal polyps.Statistical analysisMean SNOT22 score was calculated and TSR types were grouped and their distribution documented with types 3 and 4 taken as unfavorable types. χ2-Tests were used to determine the correlations between turbinoseptal types, presence of nasal polys, and SNOT22 scores with the level of significance set at P value up to 0.05.ResultsA total of 53 [23 (43.4%) men and 30 (56.6%) women] patients with a mean age of 42.5±18.6, completed the study. Median symptom duration was 36 weeks (13–112 weeks). Mean SNOT22 score was 29.7±2.8. Unfavorable TSR types were found in 42.5% of nostrils, more on the right (χ2=13.2; P≤0.01).There is no significant correlation between the presence of unfavorable TSR and worsening total SNOT22 scores [R (K-S=0.13 P=0.95) L (K-S=0.34, P=0.07)].ConclusionUnfavorable TSR is common in patients with chronic rhinosinusitis. However, there is no correlation between the presence of abnormal TSR and symptom scores.
Highlights
Anatomic variations of the lateral nasal wall and the nasal septum have been identified as known risk factors for the development of rhinosinusitis [1,2]
Unfavorable turbinoseptal relationship (TSR) types were found in 42.5% of nostrils, significantly more common on the right (χ2=13.2; P≤0.01)
This study fails to demonstrate a significant relationship between unfavorable TSR and symptom scores in patients with chronic rhinosinusitis
Summary
Anatomic variations of the lateral nasal wall and the nasal septum have been identified as known risk factors for the development of rhinosinusitis [1,2]. Sinonasal outcome score 20 [6] and its derivatives are the commonly used instruments for assessing subjective symptom severity in patients with chronic rhinosinusitis. This study was undertaken to assess the correlations between subjective symptom score in patients with chronic rhinosinusitis and endoscopic turbinoseptal relationship (TSR). Aim To assess the pattern of TSR and their correlations with symptom score in patients with chronic rhinosinusitis. Settings and design This was an observational study in a tertiary/teaching hospital setting Patients and methods Consecutive pretreatment adults with chronic rhinosinusitis completed the sinonasal outcome test 22 (SNOT22) and had nasal endoscopy. Χ2-Tests were used to determine the correlations between turbinoseptal types, presence of nasal polys, and SNOT22 scores with the level of significance set at P value up to 0.05. There is no correlation between the presence of abnormal TSR and symptom scores
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