Original Research Article
Year: 2022 | Month: April-June | Volume: 7 | Issue: 2 | Pages: 37-45
DOI: https://doi.org/10.52403/gijhsr.20220406
Clinical Study of Septal Deviation and Its Association with Sinusitis
Mahesh Mishra1, Sumit Sharma2
1Postgraduate Junior Resident Second Year, 2Professor & Head,
Department of E.N.T., Mayo Institute of Medical Sciences, Barabanki, UP, India.
Corresponding Author: Mahesh Mishra
ABSTRACT
Introduction:
Aim: To establish association between Septal deviation and sinusitis along with the clinical profile of Chronic Rhinosinusitis in Deviated nasal septum.
Methodology: A cross sectional study of 50 patients attending ENT department of VIMS, Bellary with symptoms of chronic rhinosinusitis were included. Nasal trauma, Nasal polyposis, Septal perforation, Allergic rhinitis, Aggressive fungal infections, Odontogenic sinusitis, Neoplasia, Patients <15 yrs of age, Immunodeficiency and mucociliary disorders, Prior history of nasal or sinus surgery, Other anatomic abnormalities were excluded. Included patients underwent detailed clinical examination, Diagnostic nasal endoscopy, X-ray or computed tomography of Paranasal sinuses.
Results: Among 50 patients with chronic rhinosinusitis, 36 patients were found to have Deviated nasal septum. Male preponderance was observed in both sinusitis and septal deviation population. Bilateral maxillary sinus (28%) was the most common presentation in CTPNS. We found that significant association was found between anterior and posterior ethmoid sinusitis with Left sided S shaped obstructed or impacted type of deviated nasal septum.
Conclusion: Chronic rhinosinusitis is most common rhinological problem encountered worldwide which has greater propensity to cause morbidity. Deviated nasal septum can be associated with significant sinonasal disease, especially a S-shaped obstructed and impacted type of DNS which showed statistically significant correlation with sinus disease in our study. Also, DNS to left, in general, was associated with higher incidence of sinuses disease than central and DNS to right. This study brings to light various presentations of DNS implicated in causation of chronic sinusitis which will influence the treatment decisions and also reduce the morbidity caused by it.
Keywords: Chronic Rhinosinusitis (CRS), Deviated nasal septum (DNS)