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Date of Graduation
Capstone Project (On-Campus Access Only)
Master of Science in Physician Assistant Studies
Jonathon W. Gietzen MS PA-C
The objective of this study is to look at patierits with true sinus disease and what other nasal anatomical abnonnalities are present, and do these nasal abnormalities contribute to the sinus disease itself. It has been found that most sinus infection complaints do not result in true sinus infections. My hypothesis is that the majority of sinusitis complaints will result in not true sinus disease. I also hypothesize that those patients with true sinus disease will have other anomalies of the nasopharyngeal region The design of the study was based on a chart review of 50 patients seen in the ENT practice. The patients were chosen based on sinus type complaints or a history of chronic sinus infections. Computed tomography scans and Water's view x-ray were used to determine both acute and chronic sinus disease as well as nasal passage anatomical abnormalities. Results: 47 out of the 50 patients had CT scan; of those three that did not have CT scan 1 had water's view x-ray, 1 had findings on endoscopy during surgery, and 1 had no imaging or diagnostics recorded in their chart notes. Total acute sinus infections (13) VS. chronic sinus infections (22) out of 47 patients were 28% and 47% respectively. Each nasal anatomical abnonnality looked at were; occlusion of the osteomeatal complex, maxillary antrum scarring, mucosal thickening and other abnormalities. Other abnormalities included; NSD, concha bulosa, hypertrophied turbinates, polyps, mucoceole, bony spurs septal perforations and retention cysts. The results of this study showed that the majority of patients had problems with other abnormalities (41147) 87%, and out of this group 24% had acute sinusitis, 46% had chronic sinusitis. Chronic sinus disease was more common in all groups except the scarring of the maxillary antrum, where acute and chronic disease occurred equally. Mucosal thickening was the second most common occurring abnormality but it had the highest percentage rate of both acute and chronic sinus conditions.
Walker, Margo Justine, "True Sinus Disease and the Occurrence of Anatomical Abnormalities of the Nasal Passages" (2006). School of Physician Assistant Studies. 37.