Differences in Post-Operative Complaints between Patients with and without Anatomical Variations of Ostiomeatal Complex Based on CT Scan of Chronic Rhinosinusitis at Dr. Moewardi Hospital
Abstract
Background: The ostiomeatal complex has various anomalous variants that can vary in type and number for each person. These anomalies can contribute to the development of chronic rhinosinusitis and the accompanying symptoms. This study aims to determine the differences in post-treatment complaints between patients with and without anatomical variations of the ostiomeatal complex in chronic rhinosinusitis at RSUD Dr. Moewardi.
Subjects and Method: A cross-sectional study was conducted in Dr. Moewardi hospital, Surakarta. A sample of 30 of chronic rhinosinusitis patients who were subjected to a CT scan in the radiology department and surgery by an ENT-KL specialist at Dr. Moewardi, from January 2019 to June 2020, was selected for this study. The study variables were anatomical variations of ostimeatal complex and post-operative complaints. Difference of post-operative complaints between chronic rhinosinusitis patients with and without anatomical variations of ostiomeatal complex were described in frequency (n) and percent (%).
Results: This study indicated that there is no difference in post-operative complaints between patients with and without anatomical variations of the ostiomeatal complex based on CT Scan of chronic rhinosinusitis (p= 0.856).
Conclusion: There is no difference in post-operative complaints between patients with and without anatomical variations of the ostiomeatal complex based on CT Scans of chronic rhinosinusitis.
Keywords: ostiomeatal complex, CT scan, post-operative complaints
Correspondence: Yudo Duswanto. Department of Radiology, Dr. Moewardi Hospital, Surakarta, Indonesia. Email: yudoduswanto7@gmail.com.
Indonesian Journal of Medicine (2021), 06(02): 212-219
https://doi.org/10.26911/theijmed.2021.06.02.10
References
Aramani A, Karadi RN, Kumar S (2014). A study of anatomical variations of osteomeatal complex in chronic rinosinusitis patients-CT findings. J Clin Diagn Res. 8(1): KC01-KC04. https://dx.doi.org/10.7860%2FJCDR%2F2014%2F9323.4923.
Bandyopadhyay R, Biswas R, Bhattacherjee S, Pandit N, Ghosh S (2015). Osteomeatal complex: A study of its anatomical variation among patients attending North Bengal Medical College and Hospital. Indian J Otolaryngol Head Neck Surg. 67(3): 281–286.https://dx.doi.org/10.1007%2F-s12070-015-0874-z.
Bartosik TJ, Liu DT, Campion NJ, Villazala-Merino S, Janik S, Dahm V (2020). Differences in men and women suffering from CRSwNP and AERD in quality of life. Eur Arc Oto-Rhino-Laryngol. 278(5): 1419–1427. https://dx.doi.org/10.1007%2Fs00405-02-0-06418-5.
DeConde AS, Soler ZM (2016). Chronic rinosinusitis: epidemiology and burden of disease. Am J Rhinol Allergy. 30(2): 134-139. https://doi.org/10.2-500/ajra.2016.30.4297.
Gliklich RE, Metson R (1995). The health impact of chronic sinusitis in patients seeking otolaryngologic care. Otolaryngol Head Neck Surg. 113(1): 104-9. https://doi.org/10.1016/s0194-599-8(95)70152-4.
Halawi AM, Smith SS, Chandra RK (2013). Chronic rinosinusitis: epidemiology and cost. Allergy Asthma Proc. 34(4): 328-334. https://doi.org/10.2500/aap.2013.34.3675.
Juan F, Ayiheng Q, Yuqin F, Hua Z, Jun Y, Bin H (2017). Risk factors of chronic rhinosinusitis after functional endoscopic sinus surgery. Med Sci Monit. 23: 1064-1068. https://doi.org/10.1-2659/msm.900421.
Kurniasih C, Ratnawati LM (2019). Distribusi penderita rinosinusitis kronis yang menjalani pemoperasian di RSUP Sanglah Denpasar. Medicina. 50(1): 133-137. https://dx.doi.org/10-.15562/medicina.v50i1.272.
Lal D, Bounds AB, Divekar R (2016). Gender specific differences in chronic rhinosinusitis patients electing endoscopic sinus surgery. Int Forum Allergy Rhinol. 6(3): 278-286. https://doi.org/10.1002/alr.21667.
Mahdavinia M (2013). Chronic rhinosinusi-tis and age: is the pathogenesis different?. Expert Rev Anti Infect Ther. 11(10): 1029-40. https://doi.org/10.1586/14787210.2013.839380
Neto SAA, Martins PSL, Souza AS, Baracat ECE, Nanni L (2006). The role of osteomeatal complex anatomical variants in chronic rinosinusitis. Radiol Bras. 39(3). https://doi.org/10.1590/-S0100-39842006000300014.
Riello APFL, Boasquevisque EM (2008). Anatomical variants of the ostiomeatal complex: tomographic findings in 200 patients. Radiol Bras. 41(3): 149-154. https://doi.org/10.1590/S0100-39842008000300004.
Sedaghat AR (2017). Chronic rinosinusitis. Am Fam Physician. 96(8): 500-506. https://www.aafp.org/afp/2017/1015/p500.html.
Tan BK, Kern RC, Schleimer RP, Schwartz BS (2013). Chronic rinosinusitis: the unrecognized epidemic. Am J Repir Crit Care Med. 188(11): 1275-1277. https://dx.doi.org/10.1164%2Frccm.201308-1500ED.
Venkateswaran P, Muthukumar B, Anan dan H (2017). Anatomical variations of the ostiomeatal complex as a cause of chronic sinusitis and correlation with surgical results following functional endoscopic sinus surgery. Int J Sci Stud. 5(6): 198-201.https://doi.org/10.17354/ijss/2017/480.
Xu Y, Quan H, Faris P (2016). Prevalence and incidence of diagnosed chronic rhinosinusitis in Alberta, Canada. JAMA Otolaryngol Head Neck Surg. 142(11): 1063-9. https://doi.org/10.1001/jamaoto.2016.2227.