International Journal of Homoeopathic Sciences

Background: Chronic rhinosinusitis is defined as a symptomatic inflammation of the paranasal sinuses and nasal cavity persisting for more than 12 weeks and is characterised by mucopurulent discharge, nasal obstruction, facial pain/pressure/fullness, and decreased sense of smell. In India, 1 in 8 individuals, or 5 to 15% of the urban population, suffer from chronic rhinosinusitis. This study aims to compare the constitutional and sector approaches for treating chronic rhinosinusitis symptoms by assessing SNOT22 scores and quality of life.

Aim: To assess and compare the effectiveness of constitutional approach and sector approach in the management of Chronic Rhinosinusitis along with the assessment of quality of life among adults.

Methodology: This is a prospective, non-randomised, interventional study. Seventy subjects were selected by purposive sampling who fulfilled the diagnostic, inclusion, and exclusion criteria from the Government Homoeopathic Medical College and Hospital, Bengaluru. Subjects were divided into two groups, Group A and Group B, of thirty-five subjects each. Data was collected by detailed case taking and recorded in the standardised case proforma. Selection of the remedy for group A was done through the constitutional approach, and for group B, the sector approach. The Sino Nasal Outcome Test 2022 was used for outcome assessment during follow-up, and a paired t test was used for statistical evaluation.

Results: The study found that out of 35 subjects in group A, 22.9% recovered, 68.6% improved, and 8.6% did not show improvement, while in group B, only 2.9% recovered, 54.3% improved, and 42.9% did not show improvement, indicating a statistically significant difference in treatment outcomes.

Interpretation and Conclusion: The study reveals that the Homoeopathic medicines selected through the constitutional approach are more effective than the sector approach in the treatment of Chronic Rhinosinusitis.