Clinical and histopathological correlations in rhinosinusitis Student: Blebea Cristina Conferentiar: Muhlfay Gheorghe Assistant: Lostun Gabriel.

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Presentation transcript:

Clinical and histopathological correlations in rhinosinusitis Student: Blebea Cristina Conferentiar: Muhlfay Gheorghe Assistant: Lostun Gabriel

Rhinosinusitis Clinical Surgical (Functional endoscopic sinus surgery) Treatment

 The objective of this study was to assess the correlation between histological and clinical diagnosis in rhinosinusitis, by evaluating the results of histopathological examination of postoperative material from FESS. Clinical diagnosis Histopatho logical diagnosis ?

Is routine histological investigation of all FESS material necessary?

 Crossectional retrospective study on 673 cases ( )  Inclusion criteria: patients with rhinosinusal pathology who underwent FESS and had a histological diagnosis  Histopathological examination: HE and PAS staining Otorhinolaringology Department Morphopathology Department

Ethical approval from UMF Targu Mures. Collected data analyzed via Chi-Square test using MedCalc. A p value of less than 0.05 considered significant.

Number of patients673 Mean age47 Minimum age5 Maximum age87 SD16,46

 2 Special aspects

Fungal rhinosinusitis

Schneider papilloma

Strong correlation between clinical and histopathological diagnosis of the FESS material Is histological confirmation needed?

Se of clinical diagnosis in: Schneider papilloma Fungal rhinosinusitis Reason to perform routine histopathological examination of FESS

 Fokkens, WJ; Lund, VJ; Mullol, J; Bachert, C; Alobid, I; Baroody, F;... Wormald, PJ; (2012) EPOS 2012: European position paper on rhinosinusitis and nasal polyps A summary for otorhinolaryngologists.  The Royal College of Pathologists (2005) Histopathology of limited or no clinical value, 2nd edn. RCPath, London, UK.  Collins JG, Blackwell DL, Tonthat L,Shashy RG, Moore EJ, Weaver A, et al Prevalence of selected chronic conditions:United States, Summary health statistics for the U.S. population:National Health Interview Survey, 1997 Prevalence of the chronic sinusitis diagnosis in Olmsted County, Minnesota The role of nasal endoscopy in outpatient management. Vital Health Stat 10.  Halawi AM, Smith SS, Chandra RK. Chronic rhinosinusitis: epidemiology and cost. Allergy Asthma Proc Jul-Aug;34(4):  Razmpa, Ebrahim, et al. "Correlation of preoperative sinusitis patients' characteristics with final diagnostic findings." Acta Medica Iranica 51.8 (2013).

Thank you for your attention!