Clinical Presentation of Rhinosinusitis in Western Uttar Pradesh

A restrospective evaluation of clinical features of rhinosinustis in Saraswathi institute of medical sciences, Hapur between period of March 2008 to February 2013. 131 cases were analysed with the M:F = 1:1.05. The mean age was 36.7 years. The three major presenting symptoms were mucoid nasal discharge 90 (68.7%), nasal obstruction/congestion 80 (61.1%) and excessive sneezing 61(46.6%). 75.6% of patients presented after three months of onset of symptoms. Oedematous nasal mucosa 94 (71.8%) engorged nasal turbinates, mucopurulent anterior rhinorrhoea 37(28.2%) and polypoidal nasal growth 21(16.0%) were the common nasal examination findings. 69.5% of the patients had abnormalities on plain X-rays, most of which were in the maxillary sinuses. 27.5% of the patients had other associated nasal diseases or complications while the two common individual nasal diseases diagnosed were allergic rhinosinusitis (40.5%) and infective rhinosinusitis (29.8%). Better health education of our patients and need for early specialist referrals were emphasized.