A Study Of Paranasal Sinus Complications In Post Covid Patients At A Tertiary Care Centre

Abstract

Background: Paranasal sinus complications in patients recovering from COVID 19 is on the rise. This study is to evaluate the clinically suspected cases of Post Covid Sinusitis patients. Material And Methods: Total 200 cases of Post Covid Sinusitis patients were included in this study. The demographic profile, clinical and radiological presentation, underlying immunocompromised status, laboratory results and treatment outcome of the patients was analysed. Result: Post Covid Sinusitis was observed mainly in the fifth and sixth decade of life with a male predominance. Most common associated disease was diabetes mellitus (77%). Laboratory analysis revealed infection with Mucor and Aspergillus species most commonly. Sino-nasal, orbital, cerebral, palatine and skin involvement found in 100%, 40%, 12.5%,37% and 2.5% of patients, respectively. Symptoms and signs are headache (62.5%), cheek swelling(40%),and decreased vision(26.5%). All patients were treated by surgical debridement, antibiotics and antifungal medications. Overall survival rate was 87.5%. Conclusion: Clinical suspicion and early diagnosis in post covid patients followed by surgical debridement of diseased tissue, antifungal and antibiotic medications are crucial for better prognosis and improved survival rates. [Daymakumar A Natl J Integr Res Med, 2021; 12(4):8-13]