Correlation between diagnostic endoscopy, computed tomography and operative findings in patients with chronic rhinosinusitis


  • Satish Bagewadi Department of ENT and HNS, Belagavi Institute of Medical Sciences, Belagavi, Karnataka
  • N. R. Ankle Department of ENT and HNS, Jawaharlal Nahru Medical College, KAHER, Belagavi, Karnataka
  • R. N. Patil Department of ENT and HNS, USM-KLE International Medical Program, Belagavi, Karnataka
  • Rajesh Radhakrishna Havaldar Department of ENT and HNS, Jawaharlal Nahru Medical College, KAHER, Belagavi, Karnataka



Chronic rhinosinusitis, CT, Diagnostic endoscopy, Functional endoscopic sinus surgery


Background: The varied symptomatology and diagnostic difficulties pose a great challenge to the Otorhinolaryngologists in treating chronic rhinosinusitis. Both diagnostic nasal endoscopy and computed tomography (CT) has been used to analyse the pathological/anatomical changes associated with chronic rhinosinusitis. Various studies have been done to evaluate the efficacy of both these methods to analyse the changes associated with chronic rhinosinusitis. In this study, the authors contemplate to determine which one is better as a preoperative diagnostic tool.

Methods: In this study 30 patients (60 sides) suffering from chronic rhinosinusitis underwent functional endoscopic Sinus Surgery after being thoroughly evaluated by diagnostic endoscopy and CT scan. The various factors affecting the sinus drainage were analysed and compared between each modality.  

Results: The findings of diagnostic endoscopy correlated very well with the operative findings except for conditions where there was severe anatomic or pathologic obstruction which hampered visualisation. Extent of disease in each sinus is very well recognised on CT.

Conclusions: Both diagnostic endoscopy and CT are important preoperative evaluation tools in detecting anatomic variations or pathologic changes within sinuses, although for the surgeon, the operative findings remain the gold standard in the management of the disease.

Author Biography

Rajesh Radhakrishna Havaldar, Department of ENT and HNS, Jawaharlal Nahru Medical College, KAHER, Belagavi, Karnataka

Senior Resident, Department of ENT & Head and Neck Surgery, J.N.Medical College, KAHER, Belagavi


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Original Research Articles