Arun Kumar Patel1 , Aruna Patel2 , Subhash Chand Jain3 , Brijesh Singh
BACKGROUND: The accurate diagnosis of Chronic Rhinosinusitis (CRS) is still a challenge therefore, the American Academy of Otorhinolaryngology - Head and Neck Surgery (AAO-HNS)1 has met in a multidisciplinary encounter and formulated a consensus based on only clinical symptoms. The computed tomography (CT) scan and the nasal endoscopy (NE) were introduced to make an accurate diagnosis of CRS and verify the disease severity. AIM: The aim of this study is to make a correlation between nasal endoscopy and CT scan in cases of clinically diagnosed Chronic Rhinosinusitis patients. METHOD: A study was carried out on 90 patients at Jhalawar Medical College, Jhalawar (Raj.) during Sept. 2012 to Dec. 2014. Diagnostic Nasal Endoscopy and CT Scan PNS done in patients, suffering from Chronic Rhinosinusitis. As a classification instruments, Metson/Gliklich's classification was used to evaluate the tomographic diagnosis and the Stankiewicz/ Chow's classification to evaluate the endoscopic diagnosis of Chronic Rhinosinusitis. RESULTS: Our study showed high specificity of endoscopy in comparison to CT scan though CT scan results are more sensitive. CONCLUSION: Endoscopy can confirm a Chronic Rhinosinusitis diagnosis, but cannot rule it out, and that CT should be performed in cases of suspected CRS even if mucopurulence is not noted on endoscopy. The CT scan and the nasal endoscopy making easier the treatment planning and the disease resolution.
