Prevalence and risk factors of Fungal Nasal Polyposis in Tertiary Care Hospital.

  • Ayub Musani Abbasi Shaheed Hospital, Karachi.
  • Qaisar Sajjad Abbasi Shaheed Hospital, Karachi.
  • Faheem Ahmed Khan Abbasi Shaheed Hospital, Karachi.
  • Itrat Jawaid Abbasi Shaheed Hospital, Karachi.
  • Hina Iqbal Karachi Medical and Dental College, Karachi.
  • Aqeel-ur-Rehman Hameed Abbasi Shaheed Hospital, Karachi.
Keywords: Chronic Rhino-Sinusitis, Fungal Rhino-Sinusitis, Immuno-Compromised, Nasal Polyps

Abstract

Objectives: To determine the prevalence of fungal rhinosinusitis in nasal polyps’ patients and to determine the risk factors of fungal rhino sinusitis. Study Design: Prospective study. Setting: Out patients and in patients department of Abbasi Shaheed Hospital and Karachi Medical and Dental College. Period: October 2014 to April 2017. Total duration of study was two and a half years. Material & Methods: In this study 221 cases were included who diagnosed nasal polyposis on clinical ground. Both sexes were included in this study. After informed consent complete history were taken and noted in pre designed Performa. Complete ENT and physical examination was done. Relevant investigations were advised as per requirement. Results: Total numbers of patients selected for this study were 221. The overall prevalence of fungal rhino-sinusitis was found in 90 patients (40.70%). Mostly patients belong to poor socio-economical status i.e. 59 (65.55%) followed by middle class 18 (20%) patients. Mean age was 30.16 +/_ 12.33. Male were 55 (61%) and female were 35 (38.8%) with male female ratio was 1:1.57. In risk factors, 36 (40%) patients were farmers while history of allergy was found in 35 patients (38.88%). Conclusions: Patients with nasal polyps should be properly evaluated for the early treatment of fungal rhino-sinusitis and also remove the risk factors to prevent the recurrence and unnecessary complications.

Author Biographies

Ayub Musani, Abbasi Shaheed Hospital, Karachi.

MBBS, DLO, FCPS

Professor ENT

 

Qaisar Sajjad, Abbasi Shaheed Hospital, Karachi.

MBBS, DLO, MS

Consultant ENT

 

Faheem Ahmed Khan, Abbasi Shaheed Hospital, Karachi.

MBBS, DLO, FCPS, Diploma in Speech Pathology.

Assistant Professor ENT

 

Itrat Jawaid, Abbasi Shaheed Hospital, Karachi.

MBBS, DLO, MS

Associate Professor ENT

 

Hina Iqbal, Karachi Medical and Dental College, Karachi.

MBBS

Demonstrator Pathology

 

Aqeel-ur-Rehman Hameed, Abbasi Shaheed Hospital, Karachi.

MPA (HRM), MASP, Speech Therapist

Published
2020-02-10