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Abstract
Allergic rhinitis is a common condition affecting 20% of population and causes significant morbidity. It is managed conservatively. But, allergy can be associated with co-morbidities like deviated nasal septum and hypertrophy of inferior turbinate. It's sequelae include chronic sinusitis and recurrent sinonasal polyposis.. This prospective clinical study was carried out in a tertiary hospital from September 2013-2015(24 months) to see whether surgery would significantly improve their symptoms. Patients were selected (n=50) with moderate to severe allergic rhinitis who were refractory to medical management alone and with significant complications. Though essential, surgery would not relieve of the patient from inherent allergy. So, standardization of indications for surgery in these conditions has been attempted. Results: Majority of patients belonged to age group11-30 with mean age of 27.84 with slightly male preponderance of 1.6:1. The daytime nasal symptom score(DTNSS) was 7.5 in pre-treatment group and was 0.24 after surgery at 3 months follow up. The 'p' value was less than 0.0001 which was statistically significant. It can be concluded that medical management alone is not sufficient in moderate to severe allergic rhinitis patients with complications and the symptoms of these patients significantly improve when combined with surgical management.
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