J Rhinol > Volume 26(2); 2019
Journal of Rhinology 2019;26(2):82-85.
Published online November 30, 2019.
DOI: https://doi.org/10.18787/jr.2019.26.2.82   
Clinical Characteristics of Patients Receiving Sinonasal Surgery after Neurologic Evaluation
Bu Kwan Kil, Deok Su Kim, Mi Kyung Ye, Dong Won Lee, Seung Heon Shin
Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea. hsseung@cu.ac.kr
신경과 진료 후 비부비동 수술을 시행받은 환자의 임상적 특성
길부관, 김덕수, 예미경, 이동원, 신승헌
대구가톨릭대학교 의과대학 이비인후과학교실
Background and Objectives
Magnetic resonance imaging is commonly used in neurologic examination of intracranial problems. Incidental abnormalities in the sinonasal area without clinical symptoms have been reported in about 38% of patients.
The aim of this study was to evaluate the clinical characteristics of sinonasal surgical patients transferred from neurologists. Two hundred two patients were enrolled and divided into two groups. Group I patients had been directly transferred from the Neurology Department within 1 month after neurologic evaluation. Group II patients directly visited the Rhinology Department without a neurologic evaluation within the prior year. Both groups had received sinonasal endoscopic surgery or septal surgery. Clinical characteristics, pathologic findings, and surgical results were compared between groups.
Headache and dizziness were common symptoms in group I. Group II patients displayed more severe sinus involvement with nasal symptoms. Fungal ball was the main pathologic finding in group I. Nasal polyps were common in group II. Most patients had improved symptoms after sinonasal surgery.
Patients transferred from the Neurology Department had different clinicopathologic characteristics than patients without neurologic problems who had first been evaluated at the Rhinology Department.
Key Words: Neurology;Rhinology;Sinus surgery;Headache

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