Original Research Article
Year: 2018 | Month: November | Volume: 5 | Issue: 11 | Pages: 196-201
Incidence of Fungal Rhinosinusitis in Bihar and Its Management
Shelendra Kumar Guptaa, Ranjeet Singhb, Anjali Guptac
aAssistant Professor, Department of ENT, KM Medical College and Hospital, Sonkh Road, Mathura, Uttar Pradesh, India.
bAssistant Professor, Department of Medicine, KM Medical College and Hospital, Sonkh Road, Mathura, Uttar Pradesh, India.
cLecturer, Department of Anatomy, SN Medical College, Agra, Uttar Pradesh, India.
Corresponding Author: Ranjeet Singh
ABSTRACT
Introduction: Chronic rhinosinusitis is a clinical syndrome manifested by a prolonged inflammatory response of the nasal and sinus mucosa and the underlying bone. This entity is often associated with the presence of allergic and non-allergic rhinitis as well as nasal polyposis
Aims and objectives: To evaluate the incidence of fungal rhinosinusitis in Bihar and its management.
Materials and methods: 50 patients of Chronic rhino-sinusitis undergoing Functional endoscopic sinus surgery, Caldwell Luc operation, Antral Puncture wash and treated post-operatively with oral corticosteroid and topical anti fungal drugs were studied to find out incidence of fungal rhino-sinusitis among the Chronic sinusitis patients.
Results: The maximum number of cases was in age group of 11-30 years of age. Male to female ratio was 24:26 in CRS and 5:7 in FRS. Hindu patient were more common than Muslims. Most of the patient belongs to low socio-economic group. The role of personal history of allergic rhinitis in the precipitation of disease was appeared in 48% cases of CRS and 83.3% cases of FRS. Nasal obstruction, nasal discharge, headache, post nasal discharge and nasal polyposis are the commonest clinical presentation. The duration of symptoms ranged from 6 month to 3 years. Radiological finding especially CT scan and histopathological examination are major basis for the diagnosis.
Conclusion: Although the result of oral & intranasal steroid and topical antifungal agents in our study is good, more study needs to be performed.
Key words: Fungal rhinosinusitis, nasal and sinus mucosa, allergic and non-allergic rhinitis, nasal polyposis.
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