PMID- 30560101 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220330 IS - 2251-7251 (Print) IS - 2251-726X (Electronic) IS - 2251-7251 (Linking) VI - 30 IP - 101 DP - 2018 Nov TI - Eosinophilic Mucin Rhinosinusitis in Iranian Patients Undergoing Endoscopic Sinus Surgery. PG - 347-353 AB - INTRODUCTION: Eosinophilic mucin rhinosinusitis is a type of chronic rhinosinusitis (CRS). Diagnosis and treatment of this condition play a significant role in reducing the patients' clinical symptoms. This type of rhinosinusitis has a higher relapse rate, compared to the other types. This disease is more resistant to treatment and more dependent on corticosteroid therapy, compared to the other types of rhinosinusitis. Regarding this, the present study was designed to evaluate the frequency of eosinophilic mucin rhinosinusitis in patients undergoing sinus surgery in a tertiary referral center and examine some clinical and laboratory characteristics regarding this type of rhinosinusitis. MATERIALS AND METHODS: This cross-sectional observational study was performed on patients over the age of 16 years, who were diagnosed with CRS in the otolaryngology clinic of a referral tertiary-level hospital, and were candidates for endoscopic sinus surgery. Based on the detection of eosinophilic mucin, the subjects were divided into two groups of eosinophilic mucin and non-eosinophilic mucin rhinosinusitis (controls). The groups were compared in terms of sino-nasal outcome test (SNOT-22) scores, Lund-Mackay staging scores, osteitis status, immunoglobulin E (IgE) level, and eosinophilia. RESULTS: In this study, 46 subjects participated, 29 (63%) cases of whom had eosinophilic mucin. The SNOT-22 score and serum IgE level were significantly higher in the eosinophilic mucin group, compared to those in the control group. Osteitis and Lund-Mackay scores were also higher in the eosinophilic mucin group than those in the control group; however, this difference was not statistically significant. CONCLUSION: Patients with eosinophilic mucin rhinosinusitis showed a more severe clinical involvement. Seemingly, the Iranian patients have a lower and higher frequency of eosinophilic mucin rhinosinusitis, compared to the patients from the Western countries and East Asia, respectively. FAU - Ghorbani, Jahangir AU - Ghorbani J AD - Chronic Respiratory Diseases Research Center,National Research Institute of Tubeclosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Hosseini Vajari, Ali AU - Hosseini Vajari A AD - Department of Otolaryngology,DR. Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Pourdowlat, Guitti AU - Pourdowlat G AD - Chronic Respiratory Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Ghasemi, Parisa AU - Ghasemi P AD - Department of Otolaryngology,DR. Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Eskandari, Yousef AU - Eskandari Y AD - Department of Otolaryngology,DR. Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Ghasemi, Keyvan AU - Ghasemi K AD - Medical student ,Student Research Committee,Arak University of Medical Sciences, Arak ,Iran. LA - eng PT - Journal Article PL - Iran TA - Iran J Otorhinolaryngol JT - Iranian journal of otorhinolaryngology JID - 101577699 PMC - PMC6291821 OTO - NOTNLM OT - Chronic OT - Eosinophilic OT - IgE OT - Mucin OT - Nasal polyps OT - Osteitis OT - Rhinitis OT - Sinusitis EDAT- 2018/12/19 06:00 MHDA- 2018/12/19 06:01 PMCR- 2018/11/01 CRDT- 2018/12/19 06:00 PHST- 2018/12/19 06:00 [entrez] PHST- 2018/12/19 06:00 [pubmed] PHST- 2018/12/19 06:01 [medline] PHST- 2018/11/01 00:00 [pmc-release] AID - ijo-30-347 [pii] PST - ppublish SO - Iran J Otorhinolaryngol. 2018 Nov;30(101):347-353.