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Category: Volume 07 Issue 08 August 2019
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Title: A study on the incidence of Anatomical abnormalities in the osteomeatal complex among chronic rhinosinusitis patients

Authors: Dr (Col.) DS Grewal, Dr Ashish Chaturvedi

 DOI: https://dx.doi.org/10.18535/jmscr/v7i8.68

Abstract

Objective: To find the the incidence of Anatomical abnormalities in the osteomeatal complex among chronic rhinosinusitis patients (CRS).

Methods: This was a cross sectional observational study. All the patients having clinical findings of CRS referred from ENT department for CT PNS were included in the study. Patients with malignancy/ history of trauma and not giving consent/Pregnancy were excluded from the study. All these patient were submitted to detailed clinical examination, routine investigation & subsequently submitted for CT scan of PNS.

Results: Bilateral osteomeatal complex abnormality was seen in 58.7% and unilateral was in 41.3% patients. Deviated nasal septum was found to be most common anatomical variation (78.3%) followed by  inferior turbinate hypertrophy (58.7%), septal spur (38%), concha ballosa (32.6%), Retention cyst (29.3%), AggerNasi cells (28.3%) and Paradoxical Middle Turbinate (19.6%). The percentage of other anatomical variations was less than 15%.

Conclusion: This study emphasizes on identification of specific anatomical variations of ostiomeatal complex and its importance when considering as an etiological factor for CRS. Hence, the importance of CT scan and nasal endoscopy is emphasized in patients with persistent symptoms to identify the anatomical variations that may contribute to the development of chronic sinus mucosal disease.

Keywords: Chronic rhinosinusitis, Ostiomeatal complex, Anatomical abnormalities.

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Corresponding Author

Dr Ashish Chaturvedi

Assistant Professor, Department of Radiodiagnosis, Varun Arjun Rohilkhand Medical College & Rohilkhand Hospital, Shahjahanpur, UP, India