Nasal Endoscopy Findings in Acute and Chronic Rhinosinusitis Patients

Stephanie Dharmaputri, Lina Lasminingrum, Yulia Sofiatin

Abstract


Background: According to European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2012, rhinosinusitis is diagnosed based on symptoms, nasal endoscopy, and CT scan. The CT scan is the gold standard to diagnose rhinosinusitis, but its high cost and lack of availability become the problems in Indonesia. Hence, nasal endoscopy is a choice to diagnose rhinosinusitis. This study was aimed to describe the findings of nasal endoscopyin in acute and chronic rhinosinusitis.

Methods: This cross-sectional descriptive study was performed using medical record of acute and chronic rhinosinusitis patients. The samples were chosen with consecutive sampling. Inclusion criteria of this study were patients that underwent nasal endoscopy examination in Otorhinolaryngology–Head and Neck Surgery Clinic Dr. Hasan Sadikin General Hospital Bandung in 2014.The collected data were analyzed in the form of tables.

Results: Among 138 patients, the number of female patients (55.1%) was higher than male patients. Majority of the patients (37.5%) were 25–44 years old. Majority of the chief complaint was nasal obstruction (48.6%). The patients with allergic history (48.6%) were higher than patients without allergic history (19.6%). According to nasal endoscopy results, nasal discharge and edema were found in most of the patients (68.8% and 63.0%), but nasal polyp was only found in 15.9% patients. Other findings, such as hypertrophy concha or nasal septum deviation, were also found on 87.7% patients.

Conclusions: Most of the rhinosinusitis patients are found with at least one of the following results of nasal endoscopy, which are nasal discharge, edema, or nasal polyp.

 


Keywords


Nasal discharge, nasal endoscopy; nasal obstruction; rhinosinusitis.

Full Text:

PDF

References


Tomassen P, Newson R, Hoffmans R, Lötvall J, Cardell L-O, Gunnbjörnsdóttir M, et al. Reliability of EP3OS symptom criteria and nasal endoscopy in the assessment of chronic rhinosinusitis–a GA2LEN study. Allergy. 2011;66(4):556–61.

Amodu EJ, Fasunla AJ, Akano AO, Olusesi AD. Chronic rhinosinusitis: correlation of symptoms with computed tomography scan findings. Pan Afr Med J. 2014;18(1):40–5.

Hoddeson EK, Wise SK. Acute rhinosinusitis. In: Johnson JT, Rosen CA, editors. Bailey’s Head and Neck Surgery –Otolaryngology. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2014. p. 509–24.

Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, et al. European position paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl. 2012(50):1–298.

Bhattacharyya N, Lee LN. Evaluating the diagnosis of chronic rhinosinusitis based on clinical guidelines and endoscopy. Otolaryngol Head Neck Surg. 2010;143(1):147–51.

Kolethekkat AA, Paul RR, Kurien M, Kumar S, Al Abri R, Thomas K. Diagnosis of adult chronic rhinosinusitis: can nasal endoscopy predict intrasinus disease? Oman Med J. 2013;28(6):427–31.

Pokharel M, Karki S, Shrestha B, Shrestha I, Amatya R. Correlations between symptoms, nasal endoscopy, computed tomography and surgical findings in patients with chronic rhinosinusitis. Kathmandu Univ Med J. 2013;43(3):201–5.

Munir D. The clinical features of ostiomeatal complex in chronic maxillary sinusitis by nasoendoscopic examination. Majalah Kedokteran Nusantara. 2006;39(1):6–9.

Poachanukoon O, Nanthapisal S, Chaumrattanakul U. Pediatric acute and chronic rhinosinusitis: comparison of clinical characteristics and outcome of treatment. Asian Pac J Allergy Immunol. 2012;30(2):146–51.

Al-Madani MV, Khatatbeh AE, Rawashdeh RZ, Al-Khtoum NF, Shawagfeh NR. The prevalence of orbital complications among children and adults with acute rhinosinusitis. Braz J Otorhinolaryngol. 2013;79(6):716–9.

Sánchez-Vallecillo MV, Fraire ME, Baena-Cagnani C, Zernotti ME. Olfactory dysfunction in patients with chronic rhinosinusitis. Int J Otolaryngol. 2012;2012(1):1–5.

Lin DC, Chandra RK, Tan BK, Zirkle W, Conley DB, Grammer LC, et al. Association between severity of asthma and degree of chronic rhinosinusitis. Am J Rhinol Allergy. 2011;25(4):205–8.

Tan BK, Chandra RK, Pollak J, Kato A, Conley DB, Peters AT, et al. Incidence and associated premorbid diagnoses of patients with chronic rhinosinusitis. J Allergy Clin Immunol. 2013;131(5):1350–60.

Ahn J-C, Kim J-W, Lee CH, Rhee C-S. Prevalence and risk factors of chronic rhinosinusitus, allergic rhinitis, and nasal septal deviation: results of the Korean national health and nutrition survey 2008-2012. JAMA Otolaryngol Head Neck Surg. 2016;1(1):1–7.


Refbacks

  • There are currently no refbacks.




 

This Journal indexed by:

           

 

Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats