scholarly journals Clinicoradiological Comparative Study of Obstructive Osteomeatal Complexin Cases of Rhinosinusitis

2020 ◽  
Vol 11 (3) ◽  
pp. 5015-5021
Author(s):  
Nikhil K. Vala ◽  
Abhay D. Havle
Keyword(s):  
Maxillary Sinus ◽  
Middle Turbinate ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Turbinate Hypertrophy ◽  
Osteomeatal Complex ◽  
Ostiomeatal Complex ◽  
The Mean ◽  
Common Sign ◽  
The Right

Mosher said that intranasal ethmoidectomy is the most dangerous and terrifying. He said that in the mid-twentieth century. Endoscopy changed this view significantly. Since the commencement of medication, various endeavours have been made to light up and analyse within the different empty depressions situated inside the body.A hospital-based comparative and correlative study was undertaken with 50 patients. The research assessed the clinicoradiological comparison of obstructive ostiomeatal complex in cases of rhinosinusitis. Majority (28%) patients were 31-40 years in the age group. The 34.2±12.50 years was the mean age of patients.60% patients were males. The most common symptoms were nasal obstruction (80%) followed by headache (76%), nasal discharge (42%), postnasal discharge (40%), sneezing (28%) and epistaxis (20%). Osteomeatal complex and maxillary sinus were the most frequently affected regions seen in 88% of patients. The most common sign is purulent middle meatal discharge in 86% of patients. The next most common sign seen is deviated nasal septum in 46% of the patients. 62% of the patients in our study suffered from chronic rhinosinusitis. Out of 50 cases, 33 cases have septal deviation using DNE. Uncinate attachment to the skull base is seen in 18 (36%) cases each on the right, and 17 (34%) left side in both DNE and CT. In DNE 7 (14%) cases show middle turbinate hypertrophy on the right side.There was statistically significant correlation between Middle turbinate: concha bullosa and Maxillary sinus (r=0.621; p=0.0005), Pneumatiseduncinate and Anterior ethmoids (r=0.452; p=0.0001), Aggernasi and Frontal sinus (r=0.318; p=0.024) and Middle turbinate: paradoxical and Maxillary sinus (r=0.864; p=0.0001). The significance of variations is that they impair the normal drainage pathway, hinder endoscopic access to distal areas and increase the risk of endoscopic mishaps.

scholarly journals A PROSPECTIVE STUDY ON ASSOCIATION BETWEEN DEVIATED NASAL SEPTUM AND SINUSITIS AT ENT DEPARTMENT OF SKMCH, MUZAFFARPUR, BIHAR

2020 ◽  
pp. 21-22
Author(s):  
Kameshwar Prasad Singh ◽  
Debarshi Jana
Keyword(s):  
Nasal Septum ◽  
Chronic Sinusitis ◽  
Anatomical Variation ◽  
Middle Turbinate ◽  
Sinus Surgery ◽  
Nasal Discharge ◽  
World Population ◽  
Deviated Nasal Septum ◽  
Turbinate Hypertrophy ◽  
Group I

Background: Chronic sinusitis (CS) is an extremely prevalent disorder. It affects up to two percent of the world population. It has a significant impact on the quality of life of people. Basically, the word “sinusitis‟ refers to a group of disorders characterized by inflammation of mucosa of nose and paranasal sinuses. Deviated Nasal septum is one of the most common disorder that presents up to 62% of the population. Its role in the pathogenesis of chronic sinusitis remains uncertain. Methods: Two groups were included in this study.Each group had 30 cases with Midline nasal septum & Deviated nasal septum. This study conducted in the Department. of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar. The duration of the study was over a period of six months from August 2019 to January 2020. Results: We were studied two groups, 30 cases involved in group I of Midline nasal septum and in group II 30 cases involved with Deviated nasal septum. In this study we showed symptom & sign of rhinoscopy. In the group I, 14 cases had congested nasal mucosa followed by 10 cases of nasal discharge, 4 cases of inferior turbinate hypertrophy & 2 cases of Middle turbinate hypertrophy. Conclusions: that management of chronic maxillary sinusitis should include simultaneous treatment of any anatomical variation. For treating chronic sinusitis along with deviated nasal septum, nowadays treatment of choice is Septoplasty along with Functional Endoscopic Sinus Surgery (FESS). FESS technique is used for managing sinus infection and ostial obstruction.

scholarly journals Two Rhinoliths in a Single Nasal Cavity in an Elderly Patient Mimicking Fungal Sinusitis

2014 ◽  
Vol 7 (2) ◽  
pp. 76-79
Author(s):  
Vishal Prasad ◽  
Chandrakala Srinivas ◽  
Sheetal Krishnappa ◽  
Suresh T Narayan Rao ◽  
Harshitha T Rajanna
Keyword(s):  
Elderly Patient ◽  
Differential Diagnosis ◽  
Nasal Cavity ◽  
Histopathological Examination ◽  
Middle Turbinate ◽  
The Elderly ◽  
Nasal Discharge ◽  
Fungal Sinusitis ◽  
Nasal Mass ◽  
The Right

ABSTRACT Objective To highlight an interesting and a rare case of two rhinoliths in a single nasal cavity of an elderly male patient, mimicking fungal sinusitis or malignancy. To emphasize that rhinolith has to be considered in the differential diagnosis of unilateral nasal mass even in the elderly. Case report A 55-year-old man presented with a right-sided nasal obstruction, foul-smelling nasal discharge and a mass in the right nasal cavity of 6 months duration. Endoscopic examination revealed a gritty, blackish brown mass filling the entire right nasal cavity. A clinical differential diagnosis of malignancy or fungal sinusitis was made. CT scan of paranasal sinus was suggestive of fungal sinusitis following which patient was posted for biopsy. Intraoperatively, patient was found to have two separate masses in the right nasal cavity which were removed. We found a septal perforation adjoining the area where the rhinolith was impacted, with septum pushed laterally and adherent to middle turbinate. However, there were no features suggestive of malignancy. Histopathological examination also ruled out malignancy and confirmed a vegetable foreign body with calcification around an acellular material. Conclusion Rhinolith, though rare should be considered in the differential diagnosis of unilateral nasal mass in the elderly. How to cite this article Prasad V, Srinivas C, Krishnappa S, Rao STN, Rajanna HT. Two Rhinoliths in a single nasal Cavity in an Elderly Patient Mimicking fungal sinusitis. Clin Rhinol An Int J 2014;7(2):76-79.

scholarly journals Study of anatomical variations of ostiomeatal complex in chronic rhinosinusitis patients

2018 ◽  
Vol 4 (5) ◽  
pp. 1281
Author(s):  
Shivakumar Senniappan ◽  
Komathi Raja ◽  
Ammu Lizbeth Tomy ◽  
Chinnu Sudha Kumar ◽  
Anjali Mahendra Panicker ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Maxillary Sinusitis ◽  
Middle Turbinate ◽  
Anatomical Variations ◽  
Deviated Nasal Septum ◽  
Prospective Longitudinal Study ◽  
Anatomical Variant ◽  
Persistent Symptoms ◽  
Ostiomeatal Complex ◽  
Prospective Longitudinal

<p class="abstract"><strong>Background:</strong> Anatomical variations like nasal septal deviations, concha bullosa, paradoxical middle turbinate, pneumatized or medially bent uncinate etc. can encroach upon the ostiomeatal unit and narrow ostiomeatal channels. The aim of the study was to study the anatomical variations of ostiomeatal complex commonly associated with paranasal sinus disease among patients with chronic sinusitis using computed tomography.</p><p class="abstract"><strong>Methods:</strong> A prospective longitudinal study was conducted in the ENT department of our hospital for a period of one year. All the adult patients with complaints suggestive of chronic rhinosinusitis for a period of more than 12 weeks, patients with acute exacerbation of chronic rhinosinusitis and with persistent chronic rhinosinusitis requiring surgical intervention are included in our study. Based on our inclusion and exclusion criteria a total of 138 patients were involved in the study.  </p><p class="abstract"><strong>Results:</strong> In our study we saw the association between various sinusitis and the anatomic variations of the ostiomeatal complex and we found that concho bullosa found to have a strong significant association with maxillary sinusitis (43.6%) and anterior ethmoid sinusitis (42.1%). Most of the patients with posterior ethmoid sinusitis (53.8%) had a statistical significant association in developing deviated nasal septum type of anatomical variant and majority of the patients with sphenoidal sinusitis had a onodi cell type of anatomical variant and their association was found to be statistical significant (p&lt;0.05).</p><p><strong>Conclusions:</strong> 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. </p>

scholarly journals Giant schwannoma of the left maxillary sinus - a rare case report

2020 ◽  
Vol 10 (38) ◽  
pp. 63-65
Author(s):  
Muhammad Adzha Musa ◽  
Ahmad Nordin Affandi ◽  
Prepageran Narayanan ◽  
Tan Shi Nee
Keyword(s):  
Maxillary Sinus ◽  
Good Prognosis ◽  
Deviated Nasal Septum ◽  
Complete Excision ◽  
Giant Schwannoma ◽  
Rare Case Report ◽  
History Of ◽  
Left Maxillary Sinus ◽  
The Right ◽  
Inverted Papillomas

AbstractBACKGROUND. Polyps, cysts and mucocele are the commonest sinonasal tumors present unilaterally, as well as invasive tumors, such as inverted papillomas and squamous cell carcinomas. On the contrary, Schwannomas are rare lesions found in this area.MATERIAL AND METHODS. We present a case of a 48-year-old female who presented with a 2-year progressive history of left nasal obstruction, cranio-facial fullness sensation and pain, with intermittent epistaxis. The CT scan of the nose and paranasal sinuses showed complete opacification of the entire left nasal cavity and maxillary sinus, causing a deviated nasal septum to the right side.RESULTS. The tumor was completely excised endoscopically without any complication. Histopathology was consistent with that of a schwannoma.CONCLUSION. The diagnosis of sinonasal Schwannomas remains challenging, as it is a rare tumor and sometimes its clinical behaviour and imaging may be misleading. The treatment of choice for paranasal sinus schwannoma is complete excision of the tumor with good prognosis.

scholarly journals Radiological significance of the sinonasal anatomical variants in recurrent acute rhinosinusitis patients

2017 ◽  
Vol 5 (6) ◽  
pp. 2379
Author(s):  
Niranjan Sahu ◽  
Satya Sundar G. Mohapatra ◽  
Siba N. Rath ◽  
Rabindra N. Padhy
Keyword(s):  
Nasal Septum ◽  
Middle Turbinate ◽  
Uncinate Process ◽  
Sinus Surgery ◽  
Concha Bullosa ◽  
Deviated Nasal Septum ◽  
Anatomical Variants ◽  
Acute Rhinosinusitis ◽  
Computed Tomography Images ◽  
Osteomeatal Complex

Background: Recurrent acute rhinosinusitis (RARS), a low form chronic rhinosinusitis is frequently under evaluated. The significance of sinonasal anatomical variants of osteomeatal complex (OMC) and spheno-ethmoidal (SE) recess regions in patients of RARS is assessed.Methods: Retrospective analysis of coronal sinonasal computed tomography images of 120 RARS patients presented with sinonasal anatomical variants during November 2013 to October 2016 was carried out. Patients with acute and expansile sinonasal lesions are excluded.Results: Sinonasal anatomical variants in the regions of OMC and SE recess are responsible for obstruction of normal mucociliary drainage of corresponding paranasal sinuses in presence of inflammation predisposing to RARS. Anatomical variants of nasal septum were, deviated nasal septum (DNS) in 86 (72%) and septal spur in 58 (48%) patients. Anatomical variants in OMC region were, pneumatized middle turbinate (concha bullosa) in 50 (48%), paradoxical middle turbinate in 38 (28%), giant ethmoid bulla in 35 (32%), agger nasi cell in 29 (38%), Haller cell in 23 (15%), pneumatised uncinate process in 20 (18%), medialized uncinate process in 18 (22%) and septated maxillary sinus in 5 (4%) patients. Anatomical variants in SE recess were superior concha bullosa in 14 (12%) and septal bullosa in 11 (9%) patients.Conclusions: OMC pattern of recurrent rhinosinusitis is often prevalent in patients of RARS due to abundance of anatomical variants in the OMC region. DNS or ethmoid bulla when gets associated with concha bullosa increased the incidence of RARS. Present analysis would help surgeons to evaluate RARS patients for selective endoscopic sinus surgery.

scholarly journals CT Evaluation of Anatomical Variations in Osteomeatal Complex in Patients with Deviated Nasal Septum

2016 ◽  
Vol 21 (2) ◽  
pp. 90-93
Author(s):  
Mirza Aneesa ◽  
Sajad Majid Qazi ◽  
Aijazul Haq
Keyword(s):  
Paranasal Sinuses ◽  
Nasal Septum ◽  
Complex Disease ◽  
Anatomical Variation ◽  
Middle Turbinate ◽  
Inferior Turbinate ◽  
Anatomical Variations ◽  
Lateral Nasal Wall ◽  
Deviated Nasal Septum ◽  
Osteomeatal Complex

Background:The presence of septal deviation has been positively associated with sinus disease, especially osteomeatal complex disease and anterior and posterior ethmoid disease.Computerized tomographic imaging (CT) of the paranasal sinuses has become a widely accepted tool for assessing the paranasal sinuses (PNS) and providing a detailed anatomy of the lateral nasal wall.Objective:The objective of the study was to identify the anatomical variations of lateral nasal wall and paranasal sinuses in patients with Deviated nasal septum.Methods:Computerized tomographic (CT) examination was carried out using the bone algorithm in the coronal plane in 40 patients who met the inclusion criteriain the Postgraduate Department of Otorhinolaryngology and Head and Neck Surgery, SMHS Hospital an associated Hospital of Government Medical College, Srinagar from March 2011 to May 2012.Results:In our study, CT Nose and PNS revealed Deviated nasal septum in 40 (100%) patients, Hypertrophied Inferior turbinate in 11 (27.50%) patients, Concha bullosa in 5 (12.50%) patients, Paradoxical Middle turbinate in 8 (20%) patients, Everted Hypertrophied Uncinate in 2 (5%) patients, Aggernasi cells in 4 (10%) patients, Haller cells in 3 (7.50%) patients and Onodi cells in 2 (5%) patients.Conclusion:The most common anatomical variation associated with deviated nasal septum was Hypertrophied Inferior turbinate and the least encountered variation was Everted Hypertrophied Uncinate and Onodi cells. The CT scan provides supplementary clinical data to the history and endoscopic examination and assists in directing surgical treatment to the affected areas.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 90-93

Does Unilateral Cleft Lip and Palate Affect the Maxillary Sinus Volume?

2017 ◽  
Vol 55 (2) ◽  
pp. 168-172 ◽  
Author(s):  
Omer Demirtas ◽  
Fahrettin Kalabalik ◽  
Asim Dane ◽  
Ali Murat Aktan ◽  
Ertugrul Ciftci ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Control Group ◽  
Maxillary Sinus Volume ◽  
Intergroup Comparison ◽  
Significant Difference ◽  
The Mean ◽  
And Gender ◽  
The Right

Objective: The purposes of this study were to evaluate and compare the maxillary sinus volume (MSV) of patients with a unilateral cleft lip and palate (UCLP) between the cleft side and noncleft side and between adolescent patients with UCLP and a control (noncleft) group using cone beam computed tomography (CBCT). Methods: CBCT images of 44 UCLP patients (29 males and 15 females, with a mean [SD] age of 13.5 [5.0] years) and 44 (22 males and 22 females, with a mean [SD] age 14.9 [4.2] years) age- and sex-matched controls were evaluated in this study. Each maxillary sinus was assessed 3-dimensionally, segmented, and its volume was calculated. Results: There were no statistically significant differences between the age and gender distributions of the groups. There was a statistically significant difference in the MSVs of the cleft (10996.78±3522.89 mm3) versus the noncleft side (10382.3±3416.2 mm3; P < .05)] but no significant difference between the MSVs of the right and left sides ( P > .05). In the intergroup comparison, the mean MSVs of the UCLP patients (10701.52±3369.33 mm3) were significantly smaller than those of the control group (16054.08 ± 5293.96 mm3; P < .001). Conclusions: The MSVs of the UCLP patients showed a statistically significant decrease compared to those of the controls ( P < .001). There was also a significant difference in the MSVs of the cleft and noncleft sides of the UCLP patients ( P < .05).

scholarly journals Study of anatomical variants at osteomeatal complex in cases of chronic maxillary sinusitis

2017 ◽  
Vol 4 (1) ◽  
pp. 100
Author(s):  
Aditya Pathak ◽  
Ramanand Yadav
Keyword(s):  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Middle Turbinate ◽  
Anatomical Variations ◽  
Uncinate Process ◽  
X Ray ◽  
Anatomical Variants ◽  
Osteomeatal Complex ◽  
Causative Factors ◽  
Chronic Maxillary Sinusitis

<p class="abstract"><strong>Background:</strong> To study the contribution of anatomical variations at osteomeatal complex area in development of chronic maxillary sinusitis.</p><p class="abstract"><strong>Methods:</strong> 60 patients with chronic maxillary sinusitis, clinically diagnosed on the criteria layed by Lanza and Kennedy and radiologically supported by X-ray PNS, were included in the study. Nasal endoscopy with different angled endoscopes done under local anaesthesia to recognize the anatomical variants at osteomeatal complex area.  </p><p class="abstract"><strong>Results:</strong> In 41.09% of cases anatomical variants like concha bullosa, paradoxical middle turbinate, large bulla ethmoidalis or medially bent uncinate process were detected, but in rest 59.91% of cases of maxillary sinusitis there was no anatomical abnormality.</p><p><strong>Conclusions:</strong> Among the causative factors for development of chronic maxillary sinusitis different anatomical variants at osteomeatal area causes narrowing of the drainage pathway of maxillary sinus leading to development of chronic inflammation of the maxillary sinus. </p>

scholarly journals Anatomical Variations of Uncinate Process in a Tertiary Care Hospital of a Coastal city in Karnataka

2021 ◽  
pp. 17-21
Author(s):  
Carol Jacob ◽  
Anita Aramani ◽  
Basavaraj N. Biradar ◽  
Shaista Naaz
Keyword(s):  
Tertiary Care ◽  
Middle Turbinate ◽  
Anatomical Variations ◽  
Uncinate Process ◽  
Ciliary Activity ◽  
Care Hospital ◽  
Lamina Papyracea ◽  
Osteomeatal Complex ◽  
The Right ◽  
Observational Descriptive Study

Introduction: Superior attachment of uncinate process is the most important anatomical landmark in frontal recess surgery. The uncinate process is an integral struc­ture of osteomeatal complex and prevents the direct contact of the inspired air with the maxillary sinus. It acts as a shield and also plays a role in muco-ciliary activity. Anatomic variations of the uncinate process have surgical implications. Aim: This study was done to know the different variations of superior attachment of uncinate process. Materials and Methods: In this retrospective observational descriptive study, Computed Tomography (CT) scans of Para Nasal Sinuses (PNS) of 256 patients from Sept 2018 to May 2020 were studied. The results were expressed in percentages and proportions. Results: Among 256 CT images, 139 belonged to males and 117 females. In the CT films examined, on the right side, the most common attachment of uncinate was to lamina papyracea which was (64.8%) followed by skull base (19.5%) and to the middle turbinate(15.6%). Similar findings were seen on left side. Conclusion: Uncinate process shows different variations in its superior attachment. Superior attachment to lamina papyracea was the most common attachment of uncinate in our study.

Sign in / Sign up

Export Citation Format

Share Document