Role of Computed Tomography of Paranasal in Nasal and Sinus Pathology

Abstract

Background: Pathological lesions of the paranasal sinuses include a wide spectrum of Conditions ranging frominflammation to neoplasms both benign and malignant. Most patient of common cold present with symptoms ofnasal discharge, nasal obstruction, headache and nasal allergy etc. The patient of paranasal mass usually presentwith facial deformity, swelling or repeated episodes of epistaxis.Aim: The aim of the study was to establish the role of CT in evaluation of pathologies and their proper earlydiagnosis.Materials and Methods: This is a prospective study, from may 2016 to september 2016, who attended the ENTdepartment of AIMSR.Statistical Analysis Used: SPSS.Results: Out of 50 cases 51 (51%) cases were males and rest 49 (49%) patients were females. The majority of thecases 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 wasdeviated nasal septum (49%) more commonly on right side next common was agger nasi in 48% of cases. Maxillarysinuses are most commonly involved in the study, followed by the ethmoid sinuses and frontal sinuses. The mostcommon pathology seen was masses in 30% cases followed by DNS in 21% cases. The most common form ofmucosal thickening noted is circumferential type seen in 7% cases. The most common pathology involving thesinuses was sinusitis (30%) followed by polyp (25%).