Abstract

Kartagener’s Syndrome is a hereditary autosomal recessive disease of deficiencies in the activity of ciliary movement and consists of the triad of bronchiectasis, situs inversus, and sinusitis. Medical Management includes mucolytic or mucoactive agents and antibiotics with good pseudomonal coverage. Surgical intervention includes Functional Endoscopic Sinus Surgery for chronic sinusitis, Grommet insertion for serous otitis media, lobectomy or even lung transplantation. We present the case of a 17 year old boy who presented with complaints of recurrent cold, headache, bilateral nasal obstruction and discharge for 5 years. Heart sounds were present on the right side of chest and liver dullness was observed on the left side on percussion. Diagnostic Nasal Endoscopy showed polypoidal masses in bilateral nasal cavities. He was diagnosed with Kartagener’s Syndrome based on clinical and radiological findings. Functional Endoscopic Sinus Surgery was done and the polypoidal masses were removed from the nasal cavities and bilateral maxillary sinuses and wide maxillary antrostomy done on both sides. The patient was followed up until Postoperative Day7. The patient was then lost to follow up.

Description