Introduction
Chronic rhino sinusitis is defined as inflammation of the mucosa of the
nose and paranasal sinuses which lasts for 12 weeks or longer without
completes resolution. (1) Chronic rhino sinusitis is
one of the most common chronic diseases with an estimated prevalence of
10.4% and usually had a significant impact on patients’ quality of
life.(2) There are several subtypes of chronic rhino
sinusitis with two major phenotypes: CRS with or without polyps (CRSwNP
or CRSsNP, respectively) with a complex and multifactorial for example
dental sinusitis, pediatric sinusitis as well as fungal sinusitis among
others and people with allergic rhinitis .(3) The
impairment of paranasal sinus ventilation and drainage disorders with
interacting triad of intrinsic mucosal inflammation; local microbial
community; and mucociliary dysfunction leading to a blockage of the
osteo-meatal complex in the middle nasal meatus.(4)The chronicity of rhino sinusitis can be aggravated with deviated nasal
septum , smoking and impaired immune defense mechanism
.(5) Although the chronic rhino sinusitis is not life
threating disease but has significant negative influence on patient’s
daily activities and emotions and the impact on health related quality
of life including physical, social, emotional, cognitive and work has to
be proved to be greater than other condition like angina pectoris and
chronic obstructive pulmonary disease. (6-7) the
chronicity and frequency of classic sino-nasal symptoms play the main
reason of decrease in work performance with loss of productivity and
impairment of quality of life of the patients. (8-9)In recent years assessment of CRS related quality of life from the
patient’s perspective and the way of affection is more important than
other procedures such as CT scan. Therefore, evaluation of the impact of
chronic rhinosinusitis on the quality of life has become an integral
part of the diagnostic protocol and management
plan.(10) In regard to its psychiatric effect, two
illnesses are associated, depression and generalized anxiety disorder,
approximately 30% of the patients with CRS are suffering from these
psychiatric conditions, due the chronicity and frequency of the symptoms
.(11-12)
The correlation between chronic rhino sinusitis and depression with
psychological disorders such as anxiety and mood disorders may be the
result of several factors such as the effects of either syndrome on
immunity and immune- related illnesses leads to a great burden on
quality of life (QOL) mainly due to disturbed sleep , nasal congestion,
facial pain and long term medication. (13-14)
Our present study aims to evaluate the quality of life among patients
with chronic rhino sinusitis and the risk of developing depression and
psychological stress disorder.