Panacea Journal of Medical Sciences

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Evaluation of the relationship between anatomical variations of the sinonasal cavity and chronic rhinosinusitis through ct scan at a tertiary care center in central India

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Original Article

Author Details : Aprajita Awasthi*, A Bose, Yamini Gupta, S Srivastava

Volume : 14, Issue : 2, Year : 2024

Article Page : 567-572

https://10.18231/j.pjms.2024.102

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Abstract

Introduction: The correlation between Chronic Rhinosinusitis (CRS) and the sinonasal cavity is a subject of ongoing debate. Further in-depth research is needed to understand their role in the pathogenicity and chronicity of CRS.
Aims: The primary objective of this study is to systematically investigate potential associations between anatomical variations within the sinonasal cavity and the prevalence of chronic rhinosinusitis in the population of Central India.
Materials and Methods: In this study, 100 cases, aged 18 to 42 years, presenting clinical features of CRS unresponsive to medical management for 8 weeks or more, underwent CT scans of the paranasal sinus region as part of routine medical assessment. The control cohort consisted of 100 individuals who had undergone CT scans of the paranasal sinus region for non-chronic rhinosinusitis (CRS) related reasons and did not manifest any symptoms associated with CRS. Subsequently, the gathered data underwent calculation and rigorous statistical analysis.
Results: Agger nasi cells were the most prevalent anatomical variation, found in 68.5% of the study population, followed by a deviated nasal septum (64%), Concha bullosa (57%), Paradoxical middle turbinate (20.5%), Pneumatized uncinate process (1.5%), and Haller cells (15%). The frequency of occurrence of these variations between the CRS group and the control group was not statistically significant (p > 0.05). Therefore, no discernible relationship exists between the presence of anatomical variations examined in the study and the pathogenesis and chronicity of CRS.
Conclusion: While these anatomical variations may not directly indicate the presence or severity of CRS, they could serve as early indicators. This underscores the importance of lifestyle modifications to counteract the disease at its nascent stage. This study, along with similar research, holds valuable insights for ENT surgeons and radiologists, aiding in the prevention of damage to these variations during sinusitis surgery. Further detailed studies are warranted to enhance our understanding of the role of these variations in the etiopathogenesis of CRS.
 

Keywords: Anatomical variations, Chronic rhinosinusitis, CT scan, Sinonasal cavity

How to cite : Awasthi A, Bose A, Gupta Y, Srivastava S, Evaluation of the relationship between anatomical variations of the sinonasal cavity and chronic rhinosinusitis through ct scan at a tertiary care center in central India. Panacea J Med Sci 2024;14(2):567-572

Copyright © 2024 by author(s) and Panacea J Med Sci. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org)