DOI: 10.36347/sjams.2014.v02i03.036

Pages: 1053-1058

The objective of the study was to elicit the importance of radiology and nasal endoscopy in the diagnosis of chronic rhinosinusitis and comparative study between nasal endoscopy and CT scan for diagnosis of paranasal sinus disease. It was a randomized prospective study which was a tertiary hospital based study. It included 40 diagnosed patients of chronic rhinosinusitis on the basis of detailed history and physical examination not responding to 3 weeks of medical treatment. Overall correlation between X-ray and endoscopic findings was 57.5%.Variations in middle turbinate, pneumatisation of ethmoidal air cells was better seen in CT as compared to nasal endoscopy. Accessory nasal ostia was a nasal endoscopic finding. In conclusion, nasal endoscopy was better for assessment of localised disease like polyp, pathological secretion, and condition of mucosa while CT gave a better idea of condition of paranasal sinus and the ostiomeatal complex. In some cases it was impossible to pass endoscope beyond a certain point due to the presence of gross pathology, there CT proved very helpful. CT scan delineates the extent of disease, anatomical and pathological variations far better than any other method.