DIAGNOSTIC ACCURACY OF NASAL ENDOSCOPY AS COMPARED TO COMPUTED TOMOGRAPHY IN CHRONIC RHINOSINUSITIS: A PROSPECTIVE STUDY
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Abstract
Background: Chronic rhino sinusitis is a common disease that affects the quality of life and causes treatment costs. Although it is frequently encountered disease affecting nearly 50 million individuals every year in india, its diagnosis and treatment still poses a challenge. This aim of the present study is to “Diagnostic Accuracy Of Nasal Endoscopy As Compared To Computed Tomography In Chronic Rhinosinusitis”
Methods:By simple random sampling method 100 subjects were included. Each patient underwent a systematic diagnostic nasal endoscopy and computed tomography of nose and Para nasal sinuses. Obtained values are subjected to statistical analysis.
Results:obtained results were interpreted in the percentages. Benign nasal growth on right is seen in 8(16%) cases both in DNE and CT and 6(6%) cases have benign growth on left side in both DNE and CT. The integrity of bone such as erosions, expansion or dehiscence is only visualized using CT scan.
Conclusion: Endoscopy is valuable diagnostic test in indivuals with symptoms of CRS.It can be used as a predictor of sinus disease to confirm the diagnosis and to know the severity of the disease.Endoscopy helps in the initiation of Medical management of CRS
Clinical significance : CT scan should be reserved to those who are not responding to medical treatment and need surgical intervention. This will reduce monetary burden over patient and prevent unnecessary radiation exposure.
References
2. Messerklinger W. Endoscopy of the nose. Munich: Urban Scharzenberg;1978:52-54
3. 3.Stammberger H. Endoscopic endonasal surgery - concept in treatment of recurring chronic rhinosinusitis. Otolaryngol head and neck surg 1986;94:143-156.
4. Kennedy DW.Functional endoscopic sinus surgery.Technique. Arch otolaryngol 1985;111:643-649
5. 5.WoodhamJ.History of the development of surgery for sinusitis. In Donald PJ, GluckmanJL,RiceDH,editors.Thesinuses.New york:Raven;1995.P.3-14
6. Ritter FN. The paranasal sinuses-anatomy and surgical technique. St Louis:C.V. Mosby Co, 1973.
7. Proetz AW. Essays on the applied physiology of the nose, 2nd edn. St Louis:AnnalsPublishing Co, 1953.
8. Stammberger H. The messerklinger technique. In: Stammberger H (ed.).Functional endoscopic sinus surgery. Philadelphia: B.C. Dekker, 1991: 62
9. Hinck VC, Hopkins CE. Concerning growth of the sphenoid sinus. Archives of Otolaryngology. 1965; 82: 62–6
10. Mills SE, Fechner RE (1999): The Nose, Paranasal Sinuses, Nasopharynx; Sternberg ss Diagnostic Surgical Pathology. 3rd ed. Lippincot Williams& Wilkins: Philadelphia.885-892
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Dr.C.Ramesh Krishna
Assistant Professor, Department of ENT, SVS Medical college, Mahabubnagar, Telangana.
Dr.C.Rama Krishna
Prof & HOD Department of ENTSVS Medical college,Mahabubnagar, Telangana.
Dr.C.Tirumala Ravali
Assistant Professor, Dept of OMR, Government Dental college and Hospital, Afzalgunj, Hyderabad, Telangana.
Dr. Reddy Lavanya
Assistant Professor, Dept of OMR, Government Dental college and Hospital, Afzalgunj, Hyderabad, Telangana