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86th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

13.05. - 16.05.2015, Berlin

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Correlation between the preoperative endoscopic, radiological and operative findings in sinonasal polyposis

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  • corresponding author Mahmoud Youssef - Kasr Alainy Hospitals, Faculty of Medicine, Cairo, Cairo, Egypt
  • Nabil Galal Zeid - Kasr El Aini Hospital Cairo Universit, Cairo, Egypt
  • Ahmed Ahmed Kamel - Kasr El Aini Hospital Cairo Universit, Cairo, Egypt
  • Basim Metwally Wahba - Kasr El Aini Hospital Cairo Universit, Cairo, Egypt

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 86. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Berlin, 13.-16.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15hnod641

doi: 10.3205/15hnod641, urn:nbn:de:0183-15hnod6412

Published: March 26, 2015

© 2015 Youssef et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License. You are free: to Share - to copy, distribute and transmit the work, provided the original author and source are credited. See license information at http://creativecommons.org/licenses/by-nc-nd/3.0/.

Outline

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Introduction: NP (nasal polyposis) is a common condition in medical practice, which affects many people worldwide and its prevalence is rising. The diagnosis of NP relies on clinical judgment based on a number of subjective symptoms and few findings in physical examination. In this study we want to assess the correlation between preoperative endoscopic, radiological and operative findings of NP.

Methods: Thirty Patients with sinonasal polyposis not responding to a full course of medical) were attending the ENT outpatient clinic, Kasr Al Aini Hospital, Cairo University between Novomber 2013 and June 2014, underwent pre operative endoscopic using Meltzer staging system, radiologic evaluation using Lund-Macky staging system and operative evaluation during FESS (general correlation using Meltzer staging system, specific about what we found in each sinus (discharge, polyp and fungal mud).

Results: There was a highly significant positive correlation between pre operative CT and operative findings (e.g. RT side r=0.731, p<0.001). And, there was a highly significant positive correlation between the preoperative endoscopic and operative staging scores (e.g. RT side r=0.892, p<0.001). And, there was a highly significant positive correlation between preoperative endoscopic and CT staging scores (e.g. RT side r=0.768, p<0.001).

Conclusion: No single procedure can be sufficient in accurately diagnosing NP, and both the preoperative CT the preoperative endoscopic examination are complementary to each other

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