Abstract
In this study, we investigated the different anatomical variations and clinical modes of presentation of chronic rhinosinusitis and their association with final histopathological diagnosis. This prospective randomization research was conducted on a total of 284 patients with chronic rhinosinusitis who underwent functional endoscopic sinus surgery from March, 2009 to September, 2012. The study population (284 patients) included 170 males (59.8%) and 114 females (40.1%), with a mean age of 29 years. The most frequent symptoms were nasal obstruction (24.3%); headache (21.9%), nasal congestion (18.5%) and post nasal discharge (16.6%). The nasal septums were significantly deviated in 207 (79.2%) subjects. Inferior turbinate hypertrophy was observed in 102 (35.9%) patients. Bulla ethmoidalis was reported in 32 (11.3%) participants. Uncinate bulla and concha bullosa were identified in 12 (4.2%), 12 (4.2%) patients, respectively. According to pathological report, majority of the patients (184 patients, 64.7%) had chronic inflammation in sinuses went after polyp in 46 patients (16.9%). Our study revealed anatomical variations were common in patients with chronic rhinosinusitis. Identification of different variations will guide the surgeons during functional endoscopic sinus surgery. Key words: Chronic rhinosinusitis, functional endoscopic sinus surgery, anatomical variations.
Highlights
Based on the National Health Interview Survey of 1996, chronic rhinosinusitis (CRS) was the second chronic disease in USA imposing 12.5% of the US population or nearly 31 million subjects annually (Adams et al, 1999; Anand 2004)
We investigated the different anatomical variations and clinical modes of presentation of chronic rhinosinusitis and their association with final histopathological diagnosis
Our study revealed anatomical variations were common in patients with chronic rhinosinusitis
Summary
Based on the National Health Interview Survey of 1996, chronic rhinosinusitis (CRS) was the second chronic disease in USA imposing 12.5% of the US population or nearly 31 million subjects annually (Adams et al, 1999; Anand 2004). In this regard, according to 2008 National. The introduction of functional endoscopic sinus surgery (FESS) besides the medical therapy for CRS, made the interventional procedures competent (Kennedy 1985; Stammberger 1985). Short- and long-term investigations worked on FESS results, elucidated development in sinus symptoms and reduced recurrent infections
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