"Involvement of Paranasal Sinuses in Patients with Bilateral Nasal Polyps: A cross-sectional descriptive Study "

Authors

  • dr saad medicine Author

DOI:

https://doi.org/10.70765/292rrc36

Keywords:

Bilateral nasal polyps, maxillary sinuses, ethmoid sinuses, frontal sinuses, sphenoid sinuses, CT scan

Abstract

Objective: To determine the frequency of paranasal sinus involvement in patients with bilateral nasal polyps aged 20–50 years using a validated self-structured questionnaire and radiological imaging.
Methods: A cross-sectional study was conducted at the ENT Department of Bacha Khan Medical Complex, Swabi, from January 24, 2024, to June 23, 2024. A sample size of 50 patients was selected using a convenient sampling technique. Data were collected using a pre-tested, validated questionnaire, and sinus involvement was assessed via CT scans. Descriptive statistics were analyzed using SPSS version 26.
Results: Among 50 patients, 72% (n=36) were male, and 28% (n=14) were female. The 20–25 age group constituted 30% (n=15) of the sample. Maxillary sinus involvement was most common (36%), followed by ethmoid (26%), frontal (26%), and sphenoid sinuses (18%). Bilateral maxillary sinus involvement was observed in 40% of patients.
Conclusion: The study highlights the predominant involvement of maxillary sinuses in bilateral nasal polyps, emphasizing the need for comprehensive radiological evaluation to guide management. The findings align with existing literature but underscore the need for larger, randomized studies to improve generalizability.

Downloads

Download data is not yet available.

References

1.Cardesa, A., Alos, L., Nadal, A., & Franchi, A. (2021). Nasal Cavity and Paranasal Sinuses. Pathology of the Head and Neck, 49–127. https://doi.org/10.1007/978-3-662-49672-5_2.

2.Garg, D., & Mathur, K. (2021). Clinico-pathological Study of Space Occupying Lesions of Nasal Cavity, Paranasal Sinuses and Nasopharynx. Journal of clinical and diagnostic research : JCDR, 8(11), FC04–FC7. https://doi.org/10.7860/JCDR/2014/10662.5150.

3.Olajuyin, O. A., & Olajide, T. G. (2019). Patterns, Presentations and Prognosis of Nasal Polyps. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 71(Suppl 3), 1770–1774. https://doi.org/10.1007/s12070-017-1119-0.

4.Stevens WW, Schleimer RP, Kern RC. Chronic Rhinosinusitis with Nasal Polyps. J Allergy Clin Immunol Pract. 2022 Jul-Aug;4(4):565-72. doi: 10.1016/j.jaip.2016.04.012. PMID: 27393770; PMCID: PMC4939220.

5.Bachert C, Wagenmann M, Rudack C, Hopken K, Hillebrandt M, Wang D, et al. The role of cytokines in infectious sinusitis and nasal polyposis. Allergy 1998; 53:2-13. 2.

6.5.Stevens, W. W., Schleimer, R. P., & Kern, R. C. (2020). Chronic Rhinosinusitis with Nasal Polyps. The journal of allergy and clinical immunology. In practice, 4(4), 565–572. https://doi.org/10.1016/j.jaip.2016.04.012.

7.Karjodkar F. Textbook of Dental & Maxillofacial Radiography, 2nd edition. New Delhi, Jaypee, 2019

8.Settipane GA. Epidemiology of nasal polyps. InAllergy and Asthma Proceedings 1996 Sep 1 (Vol. 17, No. 5, p. 231). Oceanside Publications.

9.Lee JH. A polyp originating in the middle turbinate and extending to the maxillary sinus ostium. Ear Nose Throat J. 2018 Aug;97(8):E48-E49. doi: 10.1177/014556131809700811. PMID: 30138528.

10.Larsen PL, Tos M. Anatomic site of origin of nasal polyps: endoscopic nasal and paranasal sinus surgery as a screening method for nasal polyps in an autopsy material. American journal of rhinology. 1996 Jul;10(4):211-6.

11.Larsen PL, Tos M. Site of origin of nasal polyps. Transcranially removed naso-ethmoidal blocks as a screening method for nasal polyps in autopsy material. Rhinology. 1995 Dec 1;33(4):185-8.

12.Varshney, H., Varshney, J., Biswas, S., & Ghosh, S. K. (2016). Importance of CT Scan of Paranasal Sinuses in the Evaluation of the Anatomical Findings in Patients Suffering from Sinonasal Polyposis. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 68(2), 167–172. https://doi.org/10.1007/s12070-015-0827-6.

13.Schneider, S., Campion, N. J., Villazala-Merino, S., Liu, D. T., Bartosik, T., Landegger, L. D., Ahmadi, N., Mueller, C. A., Vyskocil, E., Stanek, V., Quint, T., Bangert, C., & Eckl-Dorna, J. (2020). Associations between the Quality of Life and Nasal Polyp Size in Patients Suffering from Chronic Rhinosinusitis without Nasal Polyps, with Nasal Polyps or Aspirin-Exacerbated Respiratory Disease. Journal of clinical medicine, 9(4), 925. https://doi.org/10.3390/jcm9040925.

14.Tos M, Larsen PL. Nasal polyps: origin, etiology, pathogenesis, and structure. Kennedy DW, Bolger WE, Zinreich SJ. Diseases of the sinuses, diagnoses and management. Hamilton: BC Decker. 2001:57-68.

15.. Larsen PL, Tos M. Site of origin of nasal polyps. Transcranially removed naso-ethmoidal blocks as a screening method for nasal polyps in autopsy material. Rhinology. 1995 Dec 1;33(4):185-8.

16.Larsen PL, Tingsgaard PK, Harcourt J, Sofsrud G, Tos M. Nasal polyps and their relation to polyps/hypertrophic polypoid mucosa in the paranasal sinuses: a macro-, endo-, and microscopic study of autopsy materials. American journal of rhinology. 1998 Jan;12(1):45-52.

17. Kwah JH, Peters AT. Nasal polyps and rhinosinusitis. Allergy Asthma Proc. 2019 Nov 1;40(6):380-384. doi: 10.2500/aap.2019.40.4252. PMID: 31690375.)

18.Larsen PL, Tos M. Origin of nasal polyps: an endoscopic autopsy study. Laryngoscope. 2004 Apr;114(4):710-9. doi: 10.1097/00005537-200404000-00022. PMID: 15064629.)

19.Han JK, Ghanem T, Lee B, Gross CW. Various causes for frontal sinus obstruction. Am J Otolaryngol. 2009 Mar-Apr;30(2):80-2. doi: 10.1016/j.amjoto.2008.02.009. Epub 2008 Jul 22. PMID: 19239947.

20.İla K, Topdağ M, Öztürk M, İşeri M, Aydın Ö, Keskin G. Retrospective analysis of surgical treatment of choanal polyps. Kulak Burun Bogaz Ihtis Derg. 2015;25(3):144-51. doi: 10.5606/kbbihtisas.2015.68878. PMID: 26050854.)

Downloads

Published

2025-03-28

Issue

Section

Articles

How to Cite

"Involvement of Paranasal Sinuses in Patients with Bilateral Nasal Polyps: A cross-sectional descriptive Study ". (2025). Health Sciences AUS, 5(1). https://doi.org/10.70765/292rrc36

Similar Articles

1-10 of 16

You may also start an advanced similarity search for this article.