Nasal obstruction carries a special importance in rhinologic practice for
its frequency as a manifestation of most nasosinus diseases. One hundred
patients complaining of nasal obstruction included in this study were subjected
to full ENT examination and conventional sinus x ray films. Provisional
diagnosis of the cause of nasal obstruction was put forward and they
were categorized as 40 patients with deviated septum (D.S), 24 patients
with hypertrophied inferior turbinate (HIT), 20 patients with nasal polypi,
6 patients with antrochoanal polyp, 6 patients with persistent adenoid and
4 patients with nasal mass. Endoscopic examination of the nose ruled out
other causes of nasal obstruction as hypertrophied bulla-ethmoidalis in
40% of patients with D.S and in 66% of patients with HIT. Also an overhanging
and hypertrophied middle turbinate was found in 45% of cases
with D.S. and they were 50% of cases with hypertrophy of MT as well as
30% of cases with nasal polypi. Hypertrophied posterior end of inferior
turbinate was found in 30% of cases with hypertrophied I.T. Posterior septal
deviation was found in 30% of cases with D.S. , in 16% of cases with
nasal polypi. So it can be seen that many hidden calicos of nasal obstruction
could be ruled out by the use of sinuscope that will affect the line of
management. |
