Karthikeyan P, Vijayasundaram S, Pulimoottil Davis Thomas
Professor and Head of Department, Department of Ear, Nose and Throat, Sri Balaji Vidyapeeth University, Mahatma Gandhi Medical College and Research Institute , Pondicherry, Tamil Nadu, India .
Associate Professor, Department of Ear, Nose and Throat, Sri Balaji Vidyapeeth University, Mahatma Gandhi Medical College and Research Institute , Pondicherry, Tamil Nadu, India .
J Clin Diagn Res. 2016 May;10(5):MC04-8. doi: 10.7860/JCDR/2016/17465.7788. Epub 2016 May 1.
Rhinosporidiosis is an age old endemic scourge which has affected various parts of the world, most notably India and Sri Lanka. Although a large body of literature exists regarding this problem, postoperative recurrence rates continue to vary, and the effect of public health education in the eradication of this disease has not been taken into account.
The aim of this study was to find out the site, presentation and postoperative recurrence rate in patients with rhinosporidiosis.
This was a retrospective study involving operated cases of rhinosporidiosis in the Department of Ear, Nose and Throat of a rural tertiary care referral centre over a period of 3 years. The behavioural pattern of the disease, its epidemiology, rate of recurrence and outcomes of surgical management were analysed.
A statistically significant correlation could be found between male gender and rural residential status and incidence of rhinosporidiosis. Bathing in rivers and ponds were found to be strongly associated with rhinosporidiosis (p=0.005). Almost all patients were found to be of low socioeconomic status. Nasal obstruction and epistaxis were the most common presenting complaints.
Rhinosporidiosis is strongly associated with male gender, young and middle aged adults, agricultural occupations, rural residential status, a history of bathing in ponds and rivers and a low socioeconomic status. Post-surgical recurrence of rhinosporidial masses can be avoided with careful and complete clearance of the mass and cauterization of the base. Appropriate and consistent public health education helps to reduce the incidence of rhinosporidiosis in endemic communities.
鼻孢子虫病是一种古老的地方病，在世界各个地区都有影响，最显著的是印度和斯里兰卡。尽管关于这个问题已有大量文献，但术后复发率仍然各不相同，而且公共卫生教育在根除这种疾病方面的作用尚未得到考虑。
本研究的目的是找出鼻孢子虫病患者的发病部位、临床表现及术后复发率。
这是一项回顾性研究，涉及一家农村三级医疗转诊中心耳鼻喉科3年内接受手术治疗的鼻孢子虫病病例。分析了该病的行为模式、流行病学、复发率及手术治疗结果。
男性、农村居住状况与鼻孢子虫病发病率之间存在统计学上的显著相关性。发现在河流和池塘中洗澡与鼻孢子虫病密切相关（p = 0.005）。几乎所有患者的社会经济地位都较低。鼻塞和鼻出血是最常见的就诊主诉。
鼻孢子虫病与男性、中青年、农业职业、农村居住状况、在池塘和河流中洗澡的历史以及社会经济地位较低密切相关。通过仔细彻底清除肿物并烧灼基底，可以避免鼻孢子虫肿物的术后复发。适当且持续的公共卫生教育有助于降低地方病社区中鼻孢子虫病的发病率。
