A Study to Evaluate the Various Factors Contributing to Failure of Medical Management in Patients with Chronic Rhinosinusitis
Authors/Creators
- 1. Senior Resident, Department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India
- 2. Junior Resident, Department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India
- 3. Assistant Professor, Department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India
- 4. Professor (HOD), Department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India
Description
Abstract
Aim: The aim of the present study was to identify various factors contributing to failure of medical management
in patients with chronic rhinosinusitis.
Methods: This was a Prospective observational study with sample size of 50 conducted in the Department of
ENT, Nalanda medical college and Hospital, Patna, Bihar, India. Patients above the age of 15 years and below the
age of 65years, with regular follow up and not on any steroids for last one month were included in to this study.
Results: Diagnostic Nasal endoscopy revealed that DNS was the most common finding in both groups with
highest incidence in group B, followed by Mucin and Middle turbinate hypertrophy. Among these, Deviated nasal
septum and Mucin were high in non-responders comparatively and is significant statistically. Non Contrast
Computed tomography of nose and paranasal sinuses showed statistically significant result (p<0.05).In our study,
Fungus was seen more in group B but was statistically insignificant. Immunocompromised status was more in
group B which was statistically significant (p <0.05).
Conclusion: The study emphasized that presence of Deviated nasal septum, Mucin, Aspergillus niger and
compromissed immune status contributed for failure of medical management in chronic rhinosinusitis
Abstract (English)
Abstract
Aim: The aim of the present study was to identify various factors contributing to failure of medical management
in patients with chronic rhinosinusitis.
Methods: This was a Prospective observational study with sample size of 50 conducted in the Department of
ENT, Nalanda medical college and Hospital, Patna, Bihar, India. Patients above the age of 15 years and below the
age of 65years, with regular follow up and not on any steroids for last one month were included in to this study.
Results: Diagnostic Nasal endoscopy revealed that DNS was the most common finding in both groups with
highest incidence in group B, followed by Mucin and Middle turbinate hypertrophy. Among these, Deviated nasal
septum and Mucin were high in non-responders comparatively and is significant statistically. Non Contrast
Computed tomography of nose and paranasal sinuses showed statistically significant result (p<0.05).In our study,
Fungus was seen more in group B but was statistically insignificant. Immunocompromised status was more in
group B which was statistically significant (p <0.05).
Conclusion: The study emphasized that presence of Deviated nasal septum, Mucin, Aspergillus niger and
compromissed immune status contributed for failure of medical management in chronic rhinosinusitis
Files
IJCPR,Vol16,Issue5,Article72.pdf
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Additional details
Dates
- Accepted
-
2024-05-26