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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2019, Number 4

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An Med Asoc Med Hosp ABC 2019; 64 (4)

Analysis of the anatomical rhinosinusal variants found in patients with chronic rhinosinusitis undergoing functional surgery of nose and paranasal sinuses

Baqueiro-Achach A, Waizel-Haiat S

Language: Spanish
References: 30
Page: 241-247
PDF size: 229.77 Kb.


ABSTRACT

Introduction: Chronic rhinosinusitis is a high global prevalence disease which initial treatment is medical management based on steroids and nasal irrigations; many patients do not achieve adequate control, so they are candidates to functional endoscopic surgery. Many rhinosinusal anatomical variants have been identified, which could predispose failure of medical management. Objective: To identify the anatomical variants in patients with chronic rhinosinusitis undergoing functional endoscopic surgery of the nose and paranasal sinuses in a tertiary care hospital. Material and methods: A retrospective, cross-sectional, descriptive and observational study was carried out. Clinical records of patients diagnosed with chronic rhinosinusitis undergoing functional endoscopic surgery in the period from January to December 2017 were studied; pre-surgical computed tomography studies were reviewed to identify the anatomical variants present as well as the severity of rhinosinusitis using the Lund-Mackay tomographic classification system. Results: Anatomical variants were found in 85.1% of the patients; the most frequent was septal deviation (76.5%). Conclusion: There is no important relationship between the severity of the disease and the anatomical configuration of the patient.


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