DIAGNOSTIC ACCURACY OF NASAL ENDOSCOPY AS COMPARED TO COMPUTED TOMOGRAPHY IN CHRONIC RHINOSINUSITIS: A PROSPECTIVE STUDY

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Dr.C.Ramesh Krishna
Dr.C.Rama Krishna
Dr.C.Tirumala Ravali
Dr. Reddy Lavanya

Keywords

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Abstract

Background: Chronic rhino sinusitis is a common disease that affects the quality of life and causes treatment costs. Although it is frequently encountered disease affecting nearly 50 million individuals every year in india, its diagnosis and treatment still poses a challenge. This aim of the present study is to “Diagnostic Accuracy Of Nasal Endoscopy As Compared To Computed Tomography In Chronic Rhinosinusitis”


 Methods:By simple random sampling method 100 subjects were included. Each patient underwent a systematic diagnostic nasal endoscopy and computed tomography of nose and Para nasal sinuses. Obtained values are subjected to statistical analysis.


 Results:obtained results were interpreted in the percentages. Benign nasal growth on right is seen in 8(16%) cases both in DNE and CT and 6(6%) cases have benign growth on left side in both DNE and CT. The integrity of bone such as erosions, expansion or dehiscence is only visualized using CT scan.


Conclusion: Endoscopy is valuable diagnostic test in indivuals with symptoms of CRS.It can be used as a predictor of sinus disease to confirm the diagnosis and to know the severity of the disease.Endoscopy helps in the initiation of Medical management of CRS                


 Clinical significance  : CT scan should be reserved to those who are not responding to medical treatment and need surgical intervention. This will reduce monetary burden over patient and prevent unnecessary radiation exposure.

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