Surgical Audit of Sino-Nasal Diseases in a Tertiary Care Centre—A Prospective Study
Author(s)
Ganesh Kumar Balasubramanian,
Ramanathan Thirunavukkarasu,
Ramesh Babu Kalyanasundaram,
Gitanjali Narendran
ABSTRACT
Aims of the study: 1) To study the distribution of various Sino-nasal diseases in our region; 2) To emphasize the significance of Functional Endoscopic Sinus Surgery. Material and methods: This surgical study was carried out in the Department of Otorhinolaryngology and Head and Neck Surgery, Thanjavur Medical College, Thanjavur. The study period was from 21st March 2014 to 20th March 2015 (267 cases). After a preliminary examination, all patients were subjected to Diagnostic Nasal Endoscopy followed by radiological examination. Based on the symptoms and the findings, patients were treated by surgery (mainly FESS), pharmacotherapy, and chemo-radiotherapy. Results: In our study, the majority of cases were deviated nasal septum with sinusitis about 62% (165 cases). The other cases were antrochoanal polyp 8% (21 cases), ethmoidal polyposis 9% (23 cases) and others 21% (51 cases). The age group vulnerable for these diseases is 20 - 40 years. Males are affected more commonly than females. Conclusion: Majority of the cases were treated by Functional Endoscopic Sinus Surgery. So we have to improve the surgical skills in this field to achieve a good outcome.
Aims of the study: 1) To study the distribution of various Sino-nasal diseases in our region; 2) To emphasize the significance of Functional Endoscopic Sinus Surgery. Material and methods: This surgical study was carried out in the Department of Otorhinolaryngology and Head and Neck Surgery, Thanjavur Medical College, Thanjavur. The study period was from 21st March 2014 to 20th March 2015 (267 cases). After a preliminary examination, all patients were subjected to Diagnostic Nasal Endoscopy followed by radiological examination. Based on the symptoms and the findings, patients were treated by surgery (mainly FESS), pharmacotherapy, and chemo-radiotherapy. Results: In our study, the majority of cases were deviated nasal septum with sinusitis about 62% (165 cases). The other cases were antrochoanal polyp 8% (21 cases), ethmoidal polyposis 9% (23 cases) and others 21% (51 cases). The age group vulnerable for these diseases is 20 - 40 years. Males are affected more commonly than females. Conclusion: Majority of the cases were treated by Functional Endoscopic Sinus Surgery. So we have to improve the surgical skills in this field to achieve a good outcome.
KEYWORDS
Pure Tone Audiogram, Conductive Deafness, Sudden Sensorineural Hearing Loss, Ototoxicity, Presbyacusis, Noise Induced Hearing Loss
Pure Tone Audiogram, Conductive Deafness, Sudden Sensorineural Hearing Loss, Ototoxicity, Presbyacusis, Noise Induced Hearing Loss
Cite this paper
Balasubramanian, G. , Thirunavukkarasu, R. , Kalyanasundaram, R. and Narendran, G. (2015) Surgical Audit of Sino-Nasal Diseases in a Tertiary Care Centre—A Prospective Study. International Journal of Otolaryngology and Head & Neck Surgery, 4, 369-374. doi: 10.4236/ijohns.2015.45061.
Balasubramanian, G. , Thirunavukkarasu, R. , Kalyanasundaram, R. and Narendran, G. (2015) Surgical Audit of Sino-Nasal Diseases in a Tertiary Care Centre—A Prospective Study. International Journal of Otolaryngology and Head & Neck Surgery, 4, 369-374. doi: 10.4236/ijohns.2015.45061.
References
[1] Humayun, A.H.M., Zahurul Huq, A.H.M., Ahmed, S.M.T., et al. (2010) Clinicopathological Study of Sinonasal Masses. Bangladesh Journal of Otorhinolaryngology, 16, 15-22.
http://dx.doi.org/10.3329/bjo.v16i1.5776 [2] Levine, H.C. (1990) Functional Endoscopic Sinus Surgery: Evolution, Surgery and Follow up of 250 Patients. Laryngoscope, 100, 79-84. [3] Stammberger, H. (1986) Endoscopic Endonasal Surgery Concepts in the Treatment of Recurring Rhinosinusitis. Part I. Anatomic and Patho-Physiologic Considerations. Otolaryngology—Head & Neck Surgery, 94, 143-147. [4] Park, A.H., Lau, J., Stankiewicz, J. and Chow, J. (1998) The Role of Functional Endoscopic Sinus Surgery in Asthmatic Patients. Journal of Otolaryngology, 27, 275-280. [5] Buehring, I., Friedrich, B., Schaaf, J., Schmidt, H., Ahrens, P. and Zielen, S. (1997) Chronic Sinusitis Refractory to Standard Managements in Patients with Humoral Immunodeficiencies. Clinical & Experimental Immunology, 109, 468-472.
http://dx.doi.org/10.1046/j.1365-2249.1997.4831379.x [6] Stankiewicz, J. (1991) Endoscopic Nasal and Sinus Surgery. Surgery of the Para Nasal Sinuses. 2nd Edition, W.B. Saunders Company, Philadelphia, 223-224. [7] Mathews, B.L., Smith, L.E., Jhones, R., Miller, C. and Bookschmidt, J.K. (1991) Endoscopic Sinus Surgery: Outcome in 155 Cases. Otolaryngology—Head & Neck Surgery, 104, 244-246. [8] Zafar, U., Khan, N., Afroz, N., et al. (2008) Clinico Pathological Study of Non Neoplastic Lesions of Nose and Paranasal Sinuses. Indian Journal of Pathology & Microbiology, 51, 26-29. [9] Hedman, J., Kaprio, J., Poussa, T., et al. (1999) Prevalence of Asthma, Aspirin Intolerance, Nasal Polyposis and COPD in a Population Based Study. International Journal of Epidemiology, 28, 717-722.
http://dx.doi.org/10.1093/ije/28.4.717 [10] Dassonville, C., Bonfils, P., Momas, I., et al. (2007) Nasal Inflammation Induced by a Common Cold: Comparison between Controls and Patients with Nasal Polyposis under Topical Steroid Spray. Acta Otorhinolaryngologica Italica, 27, 78-82. [11] Pradhanaga, R.B., Adhikari, P., Thapa, N.M., et al. (2008) Overview of Nasal Masses. J Inst Med, 30, 13-16. [12] Barnes, L., Tse, L.L.Y. and Hunt, J.L. (2005) Schneiderian Papillomas. In: WHO Classification of Tumours, Lyon: Pathology of Head and Neck Tumours, IARC Press, Lyon, 28-32. [13] Fasunla, A.J. and Lasis, A.O. (2007) Sinonasal Malignancies: A 10-Year Review in a Tertiary Health Institution. Journal of the National Medical Association, 99, 1407-1410. [14] Hoppe, B.S., Stegman, L.D., Zelefsky, M.J., et al. (2007) Treatment of Nasalcavity and Paranasal Sinus Cancer with Modern Radiotherapy Techniques in the Postoperative Setting-MSKCC Experience. International Journal of Radiation Oncology • Biology • Physics, 67, 691-702.
http://dx.doi.org/10.1016/j.ijrobp.2006.09.023
[1] Humayun, A.H.M., Zahurul Huq, A.H.M., Ahmed, S.M.T., et al. (2010) Clinicopathological Study of Sinonasal Masses. Bangladesh Journal of Otorhinolaryngology, 16, 15-22.
http://dx.doi.org/10.3329/bjo.v16i1.5776 [2] Levine, H.C. (1990) Functional Endoscopic Sinus Surgery: Evolution, Surgery and Follow up of 250 Patients. Laryngoscope, 100, 79-84. [3] Stammberger, H. (1986) Endoscopic Endonasal Surgery Concepts in the Treatment of Recurring Rhinosinusitis. Part I. Anatomic and Patho-Physiologic Considerations. Otolaryngology—Head & Neck Surgery, 94, 143-147. [4] Park, A.H., Lau, J., Stankiewicz, J. and Chow, J. (1998) The Role of Functional Endoscopic Sinus Surgery in Asthmatic Patients. Journal of Otolaryngology, 27, 275-280. [5] Buehring, I., Friedrich, B., Schaaf, J., Schmidt, H., Ahrens, P. and Zielen, S. (1997) Chronic Sinusitis Refractory to Standard Managements in Patients with Humoral Immunodeficiencies. Clinical & Experimental Immunology, 109, 468-472.
http://dx.doi.org/10.1046/j.1365-2249.1997.4831379.x [6] Stankiewicz, J. (1991) Endoscopic Nasal and Sinus Surgery. Surgery of the Para Nasal Sinuses. 2nd Edition, W.B. Saunders Company, Philadelphia, 223-224. [7] Mathews, B.L., Smith, L.E., Jhones, R., Miller, C. and Bookschmidt, J.K. (1991) Endoscopic Sinus Surgery: Outcome in 155 Cases. Otolaryngology—Head & Neck Surgery, 104, 244-246. [8] Zafar, U., Khan, N., Afroz, N., et al. (2008) Clinico Pathological Study of Non Neoplastic Lesions of Nose and Paranasal Sinuses. Indian Journal of Pathology & Microbiology, 51, 26-29. [9] Hedman, J., Kaprio, J., Poussa, T., et al. (1999) Prevalence of Asthma, Aspirin Intolerance, Nasal Polyposis and COPD in a Population Based Study. International Journal of Epidemiology, 28, 717-722.
http://dx.doi.org/10.1093/ije/28.4.717 [10] Dassonville, C., Bonfils, P., Momas, I., et al. (2007) Nasal Inflammation Induced by a Common Cold: Comparison between Controls and Patients with Nasal Polyposis under Topical Steroid Spray. Acta Otorhinolaryngologica Italica, 27, 78-82. [11] Pradhanaga, R.B., Adhikari, P., Thapa, N.M., et al. (2008) Overview of Nasal Masses. J Inst Med, 30, 13-16. [12] Barnes, L., Tse, L.L.Y. and Hunt, J.L. (2005) Schneiderian Papillomas. In: WHO Classification of Tumours, Lyon: Pathology of Head and Neck Tumours, IARC Press, Lyon, 28-32. [13] Fasunla, A.J. and Lasis, A.O. (2007) Sinonasal Malignancies: A 10-Year Review in a Tertiary Health Institution. Journal of the National Medical Association, 99, 1407-1410. [14] Hoppe, B.S., Stegman, L.D., Zelefsky, M.J., et al. (2007) Treatment of Nasalcavity and Paranasal Sinus Cancer with Modern Radiotherapy Techniques in the Postoperative Setting-MSKCC Experience. International Journal of Radiation Oncology • Biology • Physics, 67, 691-702.
http://dx.doi.org/10.1016/j.ijrobp.2006.09.023