Online ISSN: 2515-8260

Author : BalchandraPaikay, Dr.Anushri Bajaj, Dr.Shahnaz Sheikh, Dr. Vikrant Vaze, Dr.


Assessment of efficacy of middle meatal antrostomy in the management of chronic maxillary sinusitis

Dr.Anushri Bajaj, Dr.Shahnaz Sheikh, Dr. Vikrant Vaze, Dr. BalchandraPaikay

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 216-220

Background: Sinusitis refers to a group of disorders characterized by inflammation of
the mucosa of the paranasal sinuses. The present study was conducted to assess efficacy
of middle meatal antrostomy in the management of chronic maxillary sinusitis.
Materials & Methods:62 patients of chronic maxillary sinusitis of both
gendersunderwent complete otorhinolaryngological examination with nasal endoscopy
under local anesthesia. A clinical otorhinolaryngological examination and nasal
endoscopy was repeated on visits 2 weeks, 3 months, 6 months and 1 year
postoperatively.
Results: Radiological score 0 was seen in 10, 1 in 20 and 2 in 32. Endoscopic appearance
score for polyp at baseline was 26, at 6 months was 10 and at 1 year was 1, endoscopic
appearance score for odema at baseline was 54, at 6 months was 12 and at 1 year was 2.
Endoscopic appearance score for secretion at baseline was 62, at 6 months was 20 and
at 1 year was 4. Symptoms score at 6 months for nasal blockage was 26, facial pain was
11, headache was 5, epistaxis was 6, post nasal discharge was 7. Symptoms score at 1
year for nasal blockage, facial pain, headache, epistaxis and post nasal discharge was 5,
2, 1, 1 and 2 respectively. The difference was significant (P< 0.05).
Conclusion: Middle meatal antrostomy is a safe and effective procedure in patients
suffering from chronic maxillary sinusitis.

Assessment of the size and site of tympanic membrane perforation and hearing loss

Dr.Anushri Bajaj, Dr.Shahnaz Sheikh, Dr. Vikrant Vaze, Dr. BalchandraPaikay

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 221-225

Size and site of tympanic membrane perforation is proportionate to
degree of hearing loss, larger the perforation, greater the hearing loss. The present
study was conducted to assess the size and site of tympanic membrane perforation and
hearing loss.
Materials & Methods: 75 patients with tympanic membrane perforation of both
genders were divided into 3 groups based on size of perforation such as group I with 0-
9mm2, group II with 10-30mm2 and group III with >30mm2 perforation. Site was
anterior, posterior and multiple. Hearing loss was calculated.
Results: Group I patients had 28.4 dB, group II had 382 dB and group III had 47.5 dB
hearing loss. In group I, anterior site was seen in 16, posterior in 5 and multiple in 4
cases, in group II, anterior in 8, posterior in 7 and multiple in 10 cases and in group III,
anterior in 8, posterior in 5 and multiple in 12 cases. The difference was significant (P<
0.05).
Conclusion: As the size of the perforation increased, hearing loss also increased