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Symptom and disease severity differences between nasal septal deviation and chronic rhinosinusitis
1Division of Otolaryngology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. neiloy@massmed.org
Summary
Patients with chronic rhinosinusitis (CRS) report more severe nasal symptoms than those with nasal septal deviation (NSD) alone. However, distinguishing CRS from NSD based solely on symptoms is challenging, indicating CRS has a greater disease burden.
Area of Science:
- Otolaryngology
- Rhinology
- Medical Diagnostics
Background:
- Chronic rhinosinusitis (CRS) and nasal septal deviation (NSD) are common sinonasal conditions.
- Differentiating CRS from NSD based on symptoms can be difficult.
- Understanding symptom severity differences is crucial for accurate diagnosis and treatment.
Purpose of the Study:
- To compare sinonasal symptom severity between patients with CRS and those with NSD alone.
- To evaluate differences in medical resource utilization between the two groups.
Main Methods:
- Prospective study comparing two patient cohorts: CRS without NSD and NSD alone.
- Patients underwent endoscopic sinus surgery (CRS) or surgery for NSD.
- Rhinosinusitis Symptom Inventory (RSI) scores and medical resource utilization were compared.
Main Results:
- Patients with CRS reported significantly higher severity scores for nasal, oropharyngeal, and total symptoms compared to the NSD group.
- CRS patients utilized topical nasal steroids and oral antibiotics more frequently than NSD patients.
- Facial and systemic symptom scores did not differ significantly between the groups.
Conclusions:
- While CRS patients exhibit greater sinonasal symptom burden than NSD patients, symptom-based differentiation is challenging.
- CRS represents a significant disease process with a substantial negative impact on patient symptoms.
- Further diagnostic tools may be needed to differentiate CRS from NSD effectively.