Clinical Characteristics of Patients Receiving Sinonasal Surgery after Neurologic Evaluation

Bu-Kwan Kil; Deok-Su Kim; Mi-Kyung Ye; Dong-Won Lee; Seung-Heon Shin

doi:10.18787/jr.2019.26.2.82

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Kil, Kim, Ye, Lee, and Shin: Clinical Characteristics of Patients Receiving Sinonasal Surgery after Neurologic Evaluation

Original Article

Journal of Rhinology 2019; 26(2): 82-85.

Published online: 30 November 2019

DOI: https://doi.org/10.18787/jr.2019.26.2.82

Clinical Characteristics of Patients Receiving Sinonasal Surgery after Neurologic Evaluation

Bu-Kwan Kil, MD, Deok-Su Kim, MD, Mi-Kyung Ye, MD, Dong-Won Lee, MD, Seung-Heon Shin, MD

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

Address for correspondence: (hsseung@cu.ac.kr)

Received 12 July 2018 Revised 25 January 2019 Accepted 20 February 2019

Journal of Rhinology

Abstract

Background and Objectives

Magnetic resonance imaging is commonly used in neurologic examination of intracranial problems. Incidental abnormalities in the sinonasal area without clinical symptoms have been reported in about 38% of patients.

Subjects and Method

The aim of this study was to evaluate the clinical characteristics of sinonasal surgical patients transferred from neurologists. Two hundred two patients were enrolled and divided into two groups. Group I patients had been directly transferred from the Neurology Department within 1 month after neurologic evaluation. Group II patients directly visited the Rhinology Department without a neurologic evaluation within the prior year. Both groups had received sinonasal endoscopic surgery or septal surgery. Clinical characteristics, pathologic findings, and surgical results were compared between groups.

Results

Headache and dizziness were common symptoms in group I. Group II patients displayed more severe sinus involvement with nasal symptoms. Fungal ball was the main pathologic finding in group I. Nasal polyps were common in group II. Most patients had improved symptoms after sinonasal surgery.

Conclusion

Patients transferred from the Neurology Department had different clinicopathologic characteristics than patients without neurologic problems who had first been evaluated at the Rhinology Department.

Keywords: Neurology, Rhinology, Sinus surgery, Headache

Figures and Tables

Table 1

Demographic characteristics of the participants

^*: p>0.05. SD: standard deviation, CVA: cardiovascular accidents

Table 2

Clinical characteristics of the participants

^*: p>0.05. OFT: score of olfactory function test, CT: computed tomography, LM: Lund-Mackay, SD: standard deviation

Table 3

Clinical results of rhinologic surgery

^*: p>0.05. ESS: endoscopic sinus surgery, CRSwNP: chronic rhinosinusitis with nasal polyps, CRSsNP: chronic rhinosinusitis without nasal polyps

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