Clinicotherapeutic Profile of Patients Suffering from Sinusitis

Abstract

Background: Sinusitis is a group of diseases which affects the mucosa of nose and PNS. There are various anatomical variations that may at times be the cause of disease by blocking the normal drainage of PNS. In India approximately 15% population suffers from PNS. It is not just health implication but also affect the economic and quality of life aspects of affected patients. The purpose of study was to characterize the clinic therapeutic profile of patients suffering of sinusitis and to correlate the clinical profile with treatment. Methodology: This prospective observational study was conducted on 50 patients visiting outpatients department of otorhinolaryngology, after they gave a written informed consent. Patients with symptoms of sinusitis were evaluated with anterior rhinos copy, diagnostic nasal endoscopy, confirmation of diagnosis was done using radiological investigation. Results: The main clinical symptoms present in all patients were nasal obstruction, postnasal drip, headache, and sneezing. Few patients also reported facial pain, hyposmia/anosmia, cough, fatigue and fever. Treatment given to patients included antibiotics to 20 patients, oral decongestant to 14 patients, nasal decongestant to 16 patients, analgesic to 1 patients, and oral steroid to 1 patients. Septoplasty was done in 32 patients, whereas, functional endoscopic sinus surgery was done in 8 patients. Conclusion: In the present study most common symptoms were nasal obstruction, post nasal drip, headache and sneezing. Most common anatomical variation was septal deviation. Septoplasty was adequate for treatment of sinusitis with deviated septum and functional endoscopic sinus surgery was most effective treatment for chronic sinusitis.