“RADIOLOGICALASSESSMENT OF OSTEOMEATAL UNIT VARIATIONS IN CHRONIC RHINOSINUSITIS AND NASAL POLYPOSIS– A STUDY IN A TERTIARY CARE HOSPITAL”.
Authors: Jacob Carol , Lasrado Savita , Birader Basavaraj N , Shaikh Sadia M 
Published: December 2020

The osteomeatalunit plays an important role in the development of chronic rhinosinusitis with nasal polyposis. Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean Age was 36 (6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate Intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference Between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality Of Life Scale-Abbreviated (WHOQOL-brief) score domains (P > 0.05). There were no differences between the groups regarding Presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P? 0.001). Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean Age was 36 (6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate Intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference Between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality Of Life Scale-Abbreviated (WHOQOL-brief) score domains (P > 0.05). There were no differences between the groups regarding Presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P? 0.001). Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean Age was 36 (6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate Intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference Between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality Of Life Scale-Abbreviated (WHOQOL-brief) score domains (P > 0.05). There were no differences between the groups regarding Presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P? 0.001). Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean Age was 36 (6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate Intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference Between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality Of Life Scale-Abbreviated (WHOQOL-brief) score domains (P > 0.05). There were no differences between the groups regarding Presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P? 0.001). Materials and Methods Observational Descriptive Study Design. Medical Records Department and CT Archives of Radiology Department, Father Muller Medical College Hospital(FMMCH), Mangalore. Three months after approval from ethics committee, data extraction period was from 29-09-2018 to 20-05-2020. Inclusion Criteria: All age group patients with chronic rhinosinusitis and nasal polyposis who underwent FESS in FMMCH, Mangalore from 29-09-2018 to 20-05-2020. Exclusion Criteria: Patients with Malignancy of nose and PNS, road traffic accident cases and Revision nasal surgery cases. Result and Discussion: In our study, 16(10.4%) patients were ≤20 years old, 32(20.8%) patients were 21-30 years old, 34(22.1%) patients were 31-40 years old, 28(18.2%) patients were 41-50 years old, 22(14.3%) patients were 51-60 years old, 14(9.1%) patients were 61-70 years old,7(4.5%) patients were 71-80 years old and 1(0.6%) patient was 81-90 years old. There were 70(45.5%) female patients and 84(54.5%) male patients. For complete disease clearance and safe performance of endoscopic sinus surgery a thorough knowledge of the CT scan of the paranasal sinuses is a necessary requirement in modern the modern endoscopic sinus surgery era. Hence a better understanding of the anatomy of the osteomeatal complex plays a vital role in the outcome of endoscopic sinus surgery performed for chronic rhinosinusitis. Conclusion: We concluded in our study that deviated nasal septum was seen in 83% of our patients which was the most common anatomical variant followed by concha bullosa, aggernasi, haller cell and paradoxical middle turbinate. The most common attachment of the uncinate process was to the lamina papyracea.