Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
This study was done to evaluate the role of computed tomography (CT) in clinically suspected cases of chronic rhinosinusitis for detection of anatomical variants and pathological abnormalities of nose and paranasal sinuses. Findings in CT and functional endoscopic sinus surgery (FESS) were correlated. This study was conducted in Government medical college, Kannur during a period of one year from February 2018 to January 2019. It was a prospective hospital based descriptive study. About 60 patients with chronic rhinosinusitis were enrolled in this study based on inclusion and exclusion criteria. History and clinical examination were obtained from every patient. CT‐PNS was taken 1‐3 days prior to surgery. Detailed recording of CT scan findings and operative findings were carried out. In our study the CT findings showed very good agreement with operative findings for most of anatomical variations and for osteomeatal complex occlusion. With respect to the type of disease, chronic rhinosinusitis with polyposis (CRSwP) was the most common type and maxillary sinus was found most commonly affected. CRSwP showed good correlation between CT findings and FESS. There was poor correlation between CT‐PNS and FESS findings with regard to secretions and mucosal thickening. CT‐PNS is the investigation of choice and surgeons roadmap for FESS delineating the complex sinus anatomy, anatomical variations and pathology. CT‐PNS by virtue of its 3D resolution detects the mucosal changes within osteomeatal complex. However direct visualisation during FESS allows the surgeon to further characterise the contents of the opacified sinus shown by CT scan.
How to cite this article:
R. Anjaly and R. Deepa. Correlation Between Preoperative Computed Tomography and Operative Findings in Functional
Endoscopic Sinus Surgery in Chronic Rhinosinusitis Patients.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.1091.1096
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.1091.1096