Arun Kumar Patel1, Aruna Patel2, Brijesh Singh3, Subhash Chand Jain4
BACKGROUND: Sinus headache secondary to Chronic Rhinosinusitis refers to episode of pain over the sinus area of the face and is often associated with nasal congestion, rhinorrhea, facial pressure, lacrimation, nausea and sensory sensitivity. Any small lesions or anatomical variations over lateral wall of nose may give rise to sinus headache. CT scan play a vital role in accurate assessment of osteomeatal complex area and anatomical variations at this site. AIM: To study anatomical variations of osteomeatal complex area and deviated septum in cases of chronic sinus headache secondary to Chronic Rhinosinusitis.
MATERIALS AND METHODS: This study was conducted in Jhalawar Medical College, ENT Department between Sept. 2012 to Dec. 2014. In this study 75 patients withchronic sinus headache was selected who had chronic headache for more than 3 months duration not responding to medical line of treatment and who were willing to undergo function endoscopic sinus surgery. All patients underwent for CT scan para nasal sinus.
RESULT: In this study deviated nasal septum was found in 77.33% patients, apart from that it was observed that 54.66% of the sinus headache cases had two or more anatomical variations and 28% had single anatomical variations, out of them commonest finding is concha bullosa followed by enlarge bulla ethmoid, paradoxical middle turbinate, medialiseduncinate process, lateraliseduncinate process, prominent aggar nasi cells, haller cells and onodi cells in decreasing order.
CONCLUSION: The study of CT scan PNS conclude that Deviated Nasal Septum and anatomical variations at lateral wall of nose causes narrowing of osteomeatal complex area which predisposed patients to sino nasal disease and sinus headache.
