Hallazgos tomográficos en senos paranasales y nariz en pacientes con sinusitis crónica del Hospital IESS Ceibos desde el 2017 al 2020.

Abstract

Introduction: Chronic Rhinosinusitis (CRS) has a great clinical variety, therefore, the use of Computed Tomography (CT) is recommended as a confirmatory test. Studying and recognizing the anatomical variants and abnormalities in the CT of the nose and paranasal sinuses of patients with CRS, will guide doctors in their therapeutic or surgical decision. Objectives: To identify the tomographic findings found in patients with Chronic Rhinosinusitis, with the purpose of studying how often each one of them present, in which age group they present most, their relationship with the clinical symptoms and the most commonly affected nasal sinus. Materials and method: A descriptive, observational, cross-sectional and retrospective study was carried out; Using the data reported in medical records registered in the AS400 medical system of patients treated at the Hospital General del Norte de Guayaquil IESS Los Ceibos in the period 2017 - 2019, carrying out an exhaustive analysis, in order to obtain data on age, sex, Reported tomographic findings and symptoms pertaining to CRS patients treated at this hospital. Results: Of the 105 patients that we obtained as a sample, the age group most affected was between 26 and 36 years (n=40;38.09%). The female sex had a higher percentage of presentation (n =63;60%). The most frequent tomographic finding was septal deviation (n=52;49.52%). The maxillary sinus was the most affected (n=73;69.52%). Conclusion: 99.04% of the patients studied presented tomographic findings, thus confirming the high prevalence of tomographic alterations, capable of guiding the etiological cause, and adequate treatment.