Nasal Endoscopy Findings in Acute and Chronic Rhinosinusitis Patients
Abstract: According to
European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2012,
rhinosinusitis is diagnosed based on symptoms, nasal endoscopy, and CT scan.
The CT scan is the gold standard to diagnose rhinosinusitis, but its high cost
and lack of availability become the problems in Indonesia. Hence, nasal
endoscopy is a choice to diagnose rhinosinusitis. This study was aimed to
describe the findings of nasal endoscopyin in acute and chronic rhinosinusitis.
Methods: This cross-sectional descriptive study was performed using
medical record of acute and chronic rhinosinusitis patients. The samples were
chosen with consecutive sampling. Inclusion criteria of this study were
patients that underwent nasal endoscopy examination in Otorhinolaryngology–Head
and Neck Surgery Clinic Dr. Hasan Sadikin General Hospital Bandung in 2014.The
collected data were analyzed in the form of tables.
Results: Among 138 patients, the number of female patients (55.1%) was
higher than male patients. Majority of the patients (37.5%) were 25–44 years
old. Majority of the chief complaint was nasal obstruction (48.6%). The
patients with allergic history (48.6%) were higher than patients without
allergic history (19.6%). According to nasal endoscopy results, nasal discharge
and edema were found in most of the patients (68.8% and 63.0%), but nasal polyp
was only found in 15.9% patients. Other findings, such as hypertrophy concha or
nasal septum deviation, were also found on 87.7% patients.
Conclusions: Most of the rhinosinusitis patients are found with at least
one of the following results of nasal endoscopy, which are nasal discharge,
edema, or nasal polyp.
Keywords: Nasal discharge,
nasal endoscopy; nasal obstruction; rhinosinusitis
Author: Stephanie Dharmaputri,
Lina Lasminingrum, Yulia Sofiatin
Journal Code: jpkedokterangg170158
