NDLI: Anatomical variations and their impact on chronic rhinosinusitis: a retrospective analysis from an Indonesian tertiary hospital

Content Provider	Springer Nature : SpringerOpen
Author	Maharani, Iriana Putri, Giovani I. G.
Abstract	Chronic rhinosinusitis (CRS) is an inflammation of the paranasal sinus mucosa lasting over 12 weeks. Its etiology includes infections, allergies, immune system failures, anatomical abnormalities, and mucociliary transport disorders. The complex anatomy of the sinonasal region can hinder mucociliary drainage; necessitating CT scans to evaluate predisposing factors and minimize surgical risks. This study aimed to understand the anatomical variations in the paranasal sinuses and their correlation with CRS. The study included 128 CRS patients aged 20 to 75, averaging 36.2 years. The most common symptoms were nasal congestion (98%), runny nose (85%), facial pressure (57%), reduced sense of smell (53%), and posterior nasal discharge (43%). Maxillary rhinosinusitis was the most prevalent (88%), followed by ethmoid (84%), frontal (58%), and sphenoid (48%) rhinosinusitis. Anatomical variations were present in 96% of patients, with deviated nasal septum (81.3%), agger nasi pneumatization (73.4%), and frontoethmoidal cells (60.2%) being the most common. Logistic regression indicated a significant association between concha bullosa and maxillary rhinosinusitis (p < 0.05). No significant correlation was found between anatomical variations number and SNOT-22 scores (r = − 0.177, p > 0.05). This study found a high prevalence of anatomical variations in CRS patients, with deviated nasal septum, agger nasi pneumatization, and frontoethmoidal cells being the most common. A significant association was identified between concha bullosa and maxillary rhinosinusitis.
Related Links	https://ejo.springeropen.com/counter/pdf/10.1186/s43163-024-00724-z
Ending Page	6
Page Count	6
Starting Page	1
ISSN	20908539
DOI	10.1186/s43163-024-00724-z
Journal	The Egyptian Journal of Otolaryngology
Issue Number	1
Volume Number	40
Language	English
Publisher	SpringerOpen
Publisher Date	2024-11-25
Access Restriction	Open
Subject Keyword	Rhinosinusitis Anatomical variation Concha bullosa Maxillary sinus
Content Type	Text
Subject	Otorhinolaryngology
Aim	The Egyptian Journal of Otolaryngology (EJO) is the official publication of the Egyptian Society of Otolaryngology. The journal publishes essential articles in the field of otorhinolaryngology (ORL) including rhinology, head and neck, otology, audiology, phoniatrics and facioplastic. EJO welcomes academics and physicians to submit their original articles, review articles, case reports and letters to the editor that stimulate the scientific progress in the field. The journal’s goal is to offer a perspective to the ORL community with the most recent, authentic and valuable findings in the field.
Journal Impact Factor	0.5/2024
5-Year Journal Impact Factor	0.5/2024

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