The International Tinnitus Journal

Evaluation of fifty patients with nasal obstruction treated By endoscopic sinus surgery

Background: Nasal obstruction can be considered as one of the most frequent problems that can, including nasal endoscopy. Objectives: be faced in the practice of otolaryngology, the cornerstone of accurate diagnosis and treatment of nasal obstruction is a thorough history and a complete physical examination. This study was designed to identify the commonest age group in patients complaining of nasal obstruction, compare Computed Tomography (CT) and endoscopic findings, and reveal the most common operative procedures performed in endoscopic sinus surgery. Methods: This cross-sectional study enrolled 50 patients who had been selected from patients attending the Ear, Nose, and Throat (ENT) consultant clinic at Al-Yarmouk Teaching Hospital during the period between January 2019 to February 2020. The diagnosis was reached by a thorough history and a complete physical examination with a CT scan. Results: The commonest age group of patients with nasal obstruction was those between 21-30 years (44%), and the mean age was 29.1 years with male to female ratio of 1:1. The commonest population affected by nasal obstruction was the urban population (74%). The commonest endoscopic finding was inferior turbinate hypertrophy (62%), followed by polyps in the middle meatus (56%). The commonest CT finding was mucosal thickening of sinuses (70%), followed by inferior turbinate hypertrophy (62%), and then blockage of the ostiomeatal complex (OMC) (40%). Uncinectomy was the most common surgical procedure performed (92%), followed by anterior ethmoidectomy (84%) Conclusion: The commonest age group of patients with nasal obstruction was in those between 21-30 years (44%), The combination of endoscopic examination and CT scan of the nose and paranasal sinuses are the main tools in the diagnosis of nasal obstruction. Anterior rhinoscopy is insufficient in revealing the cause of nasal obstruction. Uncinectomy was the most common surgical procedure performed (92%).