Studying the relationship between the Lund Mackay score and response to medical treatment in patients with chronic sinusitis
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Ali Dashti Khavidaki Gholam1, Reza Gharibi1
1Department of ENT Disorder, AL-Zahra Hospital, Zahedan University of Medical Sciences, Zahedan, Iran.
Introduction:
One of the most common reasons for patients to visit a doctor is Sinusitis. Treatment of this disease involves a wide range of topical and systemic drugs, if it left untreated, surgery and sinus drainage will be the only choice. Due to symptoms and problems caused by chronic sinusitis and its treatment, as well as the need for an appropriate solution to reduce this, the present study was conducted to investigate the relationship between The Lund Mackay score and response to medical treatment in patients with chronic sinusitis.
Materials And Methods:
The present study was performed cross-sectionally on 150 patients referred to Khatamul- Anbia Hospital in Zahedan for whom the diagnosis of chronic sinusitis was confirmed and met the study criteria. Demographic data and clinical signs of patients were recorded and for based on CT scan, The Lund Mackay score was evaluated. Patients were treated for 4 to 6 weeks and finally re-evaluated for symptoms and response to treatment. Data were analyzed using SPSS software version 24, McNemar test, Mann-Whitney and other necessary tests for descriptive statistics. A significance level of 0.05 was considered.
Results:
3.55% of patients were male (83 patients) and 7.44% were female (67 patients). The mean score of the Lund Mackay in the present study was 92.11 with a standard deviation of 2.3. Symptoms of olfactory dysfunction, sinus pain, nasal obstruction and nasal discharge showed significant improvement after treatment (p <05.0). Based on the results obtained at the end of the study, the presence of nasal polyps (p = 001.0) and nasal obstruction (p = 003.0), after the end of the treatment period, showed a significant relationship with the response to treatment.
Conclusion:
In general, this study suggested that the mean score of The Lund Mackay had a significant positive relationship with the severity of patients' clinical symptoms and the severity of sinusitis. Therefore, it can be considered as a suitable criterion in diagnostic and therapeutic evaluations of patients.
