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Volume 4 Issue 2 (March - April, 2016)

Original Articles

CHRONIC MAXILLARY SINUSITIS - DIAGNOSIS AND ENDOSCOPIC MANAGEMENT
Abdul Azeez Vallur, P Narender Goud

Introduction: Chronic rhino sinusitis is a complex multi factorial disorders. Endoscopic sinus surgery is a common adjunct to medical therapy Materials and methods: Comprising of 42 patients who underwent endoscopic sinus surgery for chronic sinusitis with clinically proven chronic sinusitis not responding to routine medical line of treatment for six weeks were included in study. Results: 50 % Of the patients in the study were in the age group of 31-40 years. Male (52.35%) predominance was slightly higher than Female (47.60%). The commonest symptoms were Headache, Nasal obstruction, Nasal discharge and a combination of all the symptoms. Nasal discharge, Headache, and Nasal obstruction were common bilaterally. Most patients had the duration of symptoms in 6 months group (61.9%). The most common clinically a finding by Anterior Rhinoscopy was Maxillary sinus tenderness and congested mucosa. The most common surgeries performed were Polypectomy, Anterion etemoidectomy and Middle meatal Antrostomy (23.8%). 47.6% of the patient showed haziness in X-ray Para Nasal Sinus in present study. 42.8% of the patients presented with polyps on endoscopic findings. 4(9.5%) of the 42 cases presented with complications in Present study. 85.7% of the patients in the present study had better results. Conclusions:  Over all the present study validated endoscopic sinus surgery as treatment of choice in chronic sinusitis not responding to routine medical line of treatment as it showed that the procedure resulted in an improvement inpatient general and physical health.
Key words: Chronic sinusitis,  Endoscopic sinus surgery, Ethimodectomy

 
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