A COMPARATIVE STUDY OF LUND-MACKAY SCORING AND POSE SCORING IN CHRONIC RHINO-SINUSITIS PATIENTS.

Abstract

INTRODUCTION: To compare preoperative Computed Tomography scan \uf001ndings of Para nasal sinuses using Lund-Mackay scoring and intra\noperative Functional endoscopic sinus surgery \uf001ndings in patients with Chronic Rhino-sinusitis using the POSE scoring and to correlate maximum\nscores obtained in Perioperative sinus endoscopy (POSE) scoring system and Lund-Mackay scoring system.\nMATERIALS AND METHODS:AProspective study was done for 1 year on 48 patients attending outpatient department of ENT, Sri Siddhartha\nMedical College aged between 18-60 years, who were clinically diagnosed to have Chronic Rhino-sinusitis, underwent pre-operative CT scan of\nnose and paranasal sinuses and thereafter FESS were enrolled for the study after obtaining the due consent.\nRESULTS: From our study group of 48 patients who underwent endoscopic sinus surgery for CRS, the minimum value of Lund-MacKay Scoring\nwas 3 whereas the maximum was 18 (maximum obtainable is 24) with a mean value of 12.02 and standard deviation of 3.987. The minimum POSE\nScore obtained was 7 and the maximum POSE Score obtained was 37 (maximum obtainable being 40), with a mean value of 16.31 and standard\ndeviation of 5.095.\nCONCLUSION: Pre operative CT scan combined with per operative endoscopy \uf001ndings has made the approach to Chronic rhinosinusitis more\nspeci\uf001c, rational and accurate. The results of our study highlights that CT scan is an important investigation tool to detect Chronic rhinosinusitis .\nCT scan has very much emerged as the gold standard in preoperative diagnosis and allows for accurate patient selection for FESS. In our study,\nPOSE Scoring has shown a good correlation with Lund MacKay scoring system