Three Years’ Experience of Management of Different Types of Rhinosporidiosis in Rural Part of Western West Bengal

• Main Authors: Debdulal Chakraborty, Chiranjib Das, Rajesh Hansda
• Format: Article
• Language: English
• Published: The Association of Otolaryngologists of India, West Bengal 2015-12-01
• Series: Bengal Journal of Otolaryngology and Head Neck Surgery
• Subjects: Rhinosporidiosis; Otolaryngology; Endoscopy; Epinephrine; Lidocaine; Electrocoagulation.
• Online Access: http://bjohns.in/journal/index.php/bjohns/article/view/85

Introduction: The incidence of different types of rhinosporidiosis is very high in the rural western part of West Bengal.  The treatment of choice is surgical excision and cauterization of the base. The recurrence rate is very high. Aims and objectives: The objectives of this study were to assess the distribution of rhinosporidiosis according to age, sex, presenting features, site of origin, recurrence rate and compare them with literature; and describe the surgical technique to reduce recurrence of the disease. Materials and methods: This prospective case study was done in the department of Otorhinolaryngology in a tertiary care hospital in the western part of West Bengal from April 2012 to March 2015. Wide local excision of rhinosporidiosis along with electrocautery of the base was done. We took the help of endoscope and microscope whenever needed. Regular follow up with endoscope was done in postoperative period. Results: Out of total 112 patients 62 were male and 50 were female. Commonest age group affected was 2nd decade. There was no recurrence in patients undergoing operation for the first time. Recurrence was noted in nasopharynx of 3 patients undergoing revision surgery. Conclusion: Complete removal of rhinosporidiosis from the base is the basic criterion to reduce recurrence. It is possible by using meticulous technique along with the guidance of endoscope or microscope whenever needed. Regular postoperative follow up with endoscope is must to detect and treat early recurrence.