Original scientific paper
https://doi.org/10.20471/acc.2022.61.s4.8
Unilateral vs. Diffuse Chronic Rhinosinusitis
Antonela Vrljičak
orcid.org/0000-0003-0339-8280
; Department of Oncology and Nuclear Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ana Penezić
; Department of Otorhinolaryngology and Head and Neck Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Tomislav Gregurić
; Department of Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Marko Velimir Grgić
; Department of Otorhinolaryngology and Head and Neck Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Croatia
Tomislav Baudoin
; Department of Otorhinolaryngology and Head and Neck Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Croatia
Livije Kalogjera
; Department of Otorhinolaryngology and Head and Neck Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Croatia
Abstract
Chronic rhinosinusitis (CRS) is a widespread disease with various symptoms. It
is defined as an inflammation of the nasal mucosa and paranasal sinuses lasting for 12 weeks, with
symptoms of nasal obstruction and/or congestion and facial pain and/or pressure as well as decreased
sense of smell. Despite the widespread prevalence of the disease, the diagnosis and treatment of CRS
are still not adequately developed, so many patients remain misdiagnosed. This study involved 150
patients who, according to EPOS guidelines, met the diagnosis of CRS without nasal polyposis. Each
patient underwent a computerized tomography (CT) scan of the paranasal sinuses, which was evaluated
according to the Lund-Mackay scoring system. Furthermore, patients completed a visual analog
scale (VAS) score questionnaire which examined the severity of their symptoms. The aim of this study
was to find an association between the degree of mucositis and the clinical symptoms reported by
the patient. Our results showed a low positive correlation between nasal secretion and Lund-Mackay
score for the bilateral ostiomeatal complex (OMC). Furthermore, a low positive correlation was found
between the severity of reduced sense of smell and severity of anterior ethmoid and sphenoid sinusitis.
The results demonstrated a low negative correlation between the severity of facial pain or pressure
and the severity of inflammation of the anterior ethmoid and sphenoid sinus. The results of statistical
testing did not show statistical differences in severity of subjective symptoms for almost all of the
observed symptoms in persons with unilateral inflammation and persons without unilateral inflammation,
except for cough. People who did not have unilateral inflammation had a more pronounced
cough compared with people who had unilateral inflammation. However, these correlations were very
mild and not clinically significant, so we cannot say that the distribution of sinusitis significantly affects
the occurrence of characteristic symptoms in chronic rhinosinusitis.
Keywords
Chronic rhinosinusitis (CRS); Lund-Mackay score (LM score); Visual analog scale (VAS); Clinical symptoms
Hrčak ID:
292364
URI
Publication date:
31.10.2022.
Visits: 1.487 *