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Lee, Kang, Jang, Kim, Shin, and Ye: Changes in Etiologies and Clinical Characteristics of Operated Unilateral Sinus Diseases: Comparison Study between 2005 and 2015
Original Article

J Rhinol 2017;24(1):26-30.

Published online: 8 January 2017

DOI: https://doi.org/10.18787/jr.2017.24.1.26

Changes in Etiologies and Clinical Characteristics of Operated Unilateral Sinus Diseases: Comparison Study between 2005 and 2015

Hyo-Won Lee, MD, Seung-Hyun Kang, MD, Kyu-Ho Jang, MD, Deok-Soo Kim, MD, Seung-Heon Shin, MD, and Mi-Kyung Ye, MD

Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea

교신저자：예미경, 42472 대구광역시 남구 두류공원로 17길 33 대구가톨릭대학교 의과대학 이비인후과학교실 Tel: +82-53-650-4525, Fax: +82-53-650-4533, E-mail: miky@cu.ac.kr

      Revised 4 July 20164 November 2016       Accepted 24 December 2016

Copyright © 2017 Journal of Rhinology

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background and Objectives:

A considerable proportion of sinus diseases is associated with a unilateral lesion. Unilateral paranasal pathological lesions require precise preoperative diagnosis and histopathological assessment. This study aimed to analyze the changes in etiologies and clinical characteristics of operated unilateral sinus diseases between 2005 and 2015. Subjects and Methods: Two hundred eighteen operated cases with unilateral sinus disease in 2005 and 2015 were reviewed to retrospectively analyze the etiologies and clinical characteristics.

Results:

In 2015 compared with 2005, the proportion of unilateral sinus disease and patient age were increased. The propor-tions of patients with allergic rhinitis and hypertension were significantly increased in 2015. The leading cause of unilateral sinus lesions was nasal polyp, followed by fungus, tumor, mucocele, anatomical variation, odontogenic sinusitis, and foreign body. This ranking did not change between 2005 and 2015. The number of patients with fungal sinusitis was significantly increased in 2015. The direction of nasal septal deviation had no statistically significant relation with unilateral sinus disease.

Conclusion:

This comparison study of unilateral sinus disease between 2005 and 2015 showed that the proportion of fungal sinusitis, patient age, and patients with underlying disease were increased.

Keywords: Paranasal sinus diseasesㆍ, Etiologyㆍ, Nasal surgical proceduresㆍ, Fungi

REFERENCES

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Fig. 1.
Underlying diseases of the patients with unilateral sinus disease. ∗: Statistically significant ( p value ＜0.05).
jr-24-26f1.tif
Table 1.
Age and sex distribution of patients with unilateral sinus diseases in 2005 and 2015
2005 2015 p-value
Number of patients with Unilateral/total sinus disease (%) 77/242 (31.8%) 141/328 (43.0%) p＜0.05∗
Mean age± SD ( range) 39.5±18.7 (6-83) 50.0±18.4 (10-88) p＜0.05∗
Sex of patients ( Male: Female) 45:32 (58.4%:41.6%) 72:69 (51.1%:48.9%) p＞0.05

∗ : Statistically significant

Table 2.
Symptoms of operated unilateral sinus diseases
2005 2015
Headache 37 (48.1%) 68 (48.2%)
Rhinorrhea 35 (45.5%) 106 (75.2%)
Nasal obstruction 53 (68.8%) 86 (60.1%)
Table 3.
Etiologies of operated unilateral sinus diseases
Etiology 2005 2015 P-value
Polyp 50 (64.9%) 56 (39.7%) p＜0.05∗
Fungus 10 (13.0%) 44 (31.2%) p＜0.05∗
Benign tumor 6 (7.8%) 17 (12.1%) p＞0.05
Mucocele 3 (3.9%) 6 (4.3%) p＞0.05
Anatomical variations 2 (2.6%) 6 (4.3%) p＞0.05
Malignant tumor 2 (2.6%) 4 (2.8%) p＞0.05
Odontogenic 2 (2.6%) 4 (2.8%) p＞0.05
Idiopathic 1 (1.3%) 3 (2.1%) p＞0.05
Foreign body 1 (1.3%) 0 p＞0.05
Traumatic 0 1 (0.7%) p＞0.05
Total 77 (100%) 141 (100%)

∗ : Statistically significant

Table 4.
Age and sex distribution of patients according to the etiologies of unilateral sinus diseases in 2005 and 2015
Etiology Age± SD Male : Female
2005 2015 p-value 2005 2015 p-value
Polyp 33.7±17.8 44.0±17.6 p＜0.05∗ 31:19 32:25 p＞0.05
Fungus 52.1±14.0 61.4±12.0 p＜0.05∗ 5:5 19:25 p＞0.05
Benign tumor 57.0±16.8 41.5±14.5 p＜0.05∗ 2:4 8:9 p＞0.05

∗ : Statistically significant

Table 5.
The relationship between the direction of septal deviation ( SD) and unilateral sinus diseases
2005 2015 p-value
Number of patients with SD and unilateral sinus disease 24 40
Ipsilateral deviation Contralateral deviation 12 (50%)12 (50%) 12 (30%) 28 (70%) p＞0.05
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