FREQUENCY OF SINO-NASAL ABNORMALITIES AND ASSOCIATED SOCIODEMOGRAPHIC FACTORS AMONG THE PATIENTS PRESENTING WITH CRANIOFACIAL PAINS AT ENT DEPARTMENT
Objective: To determine the frequency of sino-nasal abnormalities and associated socio-demographic factors among the patients presenting with craniofacial painat ENT department of a tertiary care hospital of Pakistan
Study Design: Cross-sectional study.
Place and Duration of Study: Department of ENT, Combined Military Hospital Rawalpindi, Six months, from 22nd May 2017 to 21st Nov 2017.
Methodology: A total of 200 patients were included in the study with presentation of craniofacial pain at ENT department of Combined Military Hospital Rawalpindi. Detailed history and ENT examination was carried out to look for the sino-nasal cause of craniofacial pain. Computed tomographic (CT) scans of the sinuses and preliminary diagnostic nasal endoscopy was performed on the selected cases. Relationship of age, gender, smoking status and history of trauma was observed with the presence of sino-nasal cause of craniofacial pain.
Results: Out of 200 patients of craniofacial pains, 130 had presence of a sino-nasal abnormality. Eighty patients were males and 50 were females. Mean age of the study participants was 34.86 ± 4.845 years. Most common sinonasal abnormality found among these patients was deviated nasal septum (DNS) followed by nasal polyps and chronic sinusitis. Smoking and history of trauma were associated with the presence of sino-nasal cause among the patients of craniofacial pains when binary logistic regression was applied.
Conclusion: Sino-nasal abnormalities constituted a major cause of craniofacial pains among the patients reporting in the ENT OPD. Special attention should be paid to the patients who smoke cigarettes and those who had history of facial trauma.