Chronic sinusitis in Malta - correlation between symptoms and CT scan

2010 ◽  
Vol 48 (1) ◽  
Author(s):  
A.M. Agius
Keyword(s):  
Ct Scan ◽  
1993 ◽  
Vol 103 (9) ◽  
pp. 985???990 ◽  
Author(s):  
Max M. April ◽  
S. James Zinreich ◽  
Fuad M. Baroody ◽  
Robert M. Naclerio
Keyword(s):  
Ct Scan ◽  

2002 ◽  
Vol 16 (4) ◽  
pp. 199-202 ◽  
Author(s):  
James A. Stankiewicz ◽  
James M. Chow

Background The current definition of chronic rhinosinusitis is a symptom-based definition with minimal reliance on objective information. Based on this definition, patients are diagnosed and treated with medical therapy. A computed tomography (CT) scan is obtained only if the patient is not improved after medical therapy. No study is available evaluating in an evidence-based manner the accuracy of the current definition and its impact on diagnosis and treatment. Methods This study represents 78 patients evaluated in a prospective fashion who met the subjective criteria for the definition of chronic rhinosinusitis. All patients underwent a complete history with a questionnaire evaluating symptom severity, a physical exam including anterior rhinoscopy and endoscopy, and a CT scan obtained on the day of their initial visit. Objective CT scan findings were compared with the subjective findings and related to the ultimate diagnosis of chronic sinusitis. Results Only 37/78 (47%) had a positive (1) CT scan, indicating demonstrable sinusitis. There also was no real difference in symptom severity between patients with positive (1) and negative (2) CT scanning. Conclusion The current symptom-based definition of chronic sinusitis poorly predicts whether a patient truly has chronic sinusitis and needs reevaluation.


Author(s):  
Michael G. Stewart ◽  
Romaine F. Johnson
Keyword(s):  
Ct Scan ◽  

2005 ◽  
Vol 119 (12) ◽  
pp. 950-954 ◽  
Author(s):  
Ahmed Bassiouny ◽  
Mahmoud Abd El Raouf ◽  
Ahmed Atef ◽  
Safaa Nasr ◽  
Soha Talaat ◽  
...  

Objective: To investigate the relationship between the extent of sinus disease in chronic sinusitis as detected radiologically by computed tomography (CT) scan and the population of cilia (ciliary area) both before and after functional endoscopic sinus surgery (FESS). In a simple way this is a trial to statistically prove that the CT scan could be a valid indicator and a mirror of the histological status of the sinus mucosa.Design: Twenty adult patients were enrolled in this study. Radiological extension of the sinus disease was quantitated using the classification proposed by Kennedy in 1992 and the ciliary population was studied using scanning electron microscopy and image analysis softwares.Results and conclusion: The more advanced the sinusitis, as evidenced by CT scans, the more the expected reduction in the ciliary area (CA) and in the ciliary count. But after FESS the degree of ciliary regeneration does not depend statistically on the radiological condition of the sinuses and the degree of opacity prior to intervention, i.e. a statistically valid inverse relationship exists between the radiological stage of sinusitis and the ciliary population pre-operatively but the same relation does not extend to the ciliary population post-operatively.


1999 ◽  
Vol 13 (3) ◽  
pp. 161-167 ◽  
Author(s):  
Michael G. Stewart ◽  
Michael W. Sicard ◽  
Jay F. Piccirillo ◽  
Pedro J. Diaz-Marchan
Keyword(s):  
Ct Scan ◽  

1999 ◽  
Vol 121 (2_suppl) ◽  
pp. P110-P110
Author(s):  
Michael G Stewart ◽  
Donald T Donovan ◽  
Robert B Parke ◽  
Marilyn Bautista
Keyword(s):  
Ct Scan ◽  

2005 ◽  
Vol 15 (3) ◽  
pp. 315 ◽  
Author(s):  
K Dua ◽  
H Chopra ◽  
AS Khurana ◽  
M Munjal
Keyword(s):  
Ct Scan ◽  

2016 ◽  
Vol 15 (07) ◽  
pp. 30-35
Author(s):  
Dr.D.Dakshina Murthy ◽  
Dr. B. Rama Chandra Rao ◽  
Dr.S.Surya Prakasa Rao

Author(s):  
Harika Surapaneni ◽  
Shalini Singh Sisodia

<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis is one of the common problems in ENT Department which can be caused due to infections or anatomical blockage or allergy. We performed this study to assess the cause, clinical features and the effect of treatment on rhinosinusitis.</p><p class="abstract"><strong>Methods:</strong> 60 patients of chronic sinusitis with symptoms persisting beyond three months, Nasal Endoscopic findings with Polyps/Discharge/edematous mucosa were included in the study. A detailed clinical history, with complete Ear, Nose, Throat, and Head and Neck examination, blood tests like complete blood picture, Blood sugar levels, ESR and Hepatitis profile. X ray of paranasal sinuses, (water’s view) and lateral view, Chest x-ray –PA View and CT scan of paranasal sinuses (axial and coronal section with 3mm cuts at OMC) was done for all patients. Diagnostic Nasal Endoscopic examination (DNE) for detection of polyps / discharge / edematous mucosa in middle meatus was also done for the patients where it was necessary. The patients were given medical or surgical treatment according to the symptom and followup was done for 3 months for all patients.  </p><p class="abstract"><strong>Results:</strong> Over 75% of the patients had incidence of sinusitis in the age group of 16 – 45 years. The most common etiology was sinusitis caused by infections (26 – 44%) followed by anatomical obstruction (22 – 36%). Of the 22 anatomical obstruction the most common was Deviated nasal septum in 14 (62%) of the cases followed by 4 (19%) CB, 3 (15%) pradixical MT and 1 (4%) prominent aggernasi. The most common sign and symptom was headache and polypoidal changes observed in 36 patients each (60%), followed by nasal obstruction in 35 patients (50%). 12 (20%) of the patients were treated with polypectomy + FESS while 14 (23%) of them were treated with septoplasty + FESS. 34 (57%) were treated with only FESS.</p><strong>Conclusions:</strong> Chronic sinusitis doesnot affect a particular age or sex and is more common among patietns with an upper respiratory tract infection. CT scan of the paranasal sinuses is the most useful tool in diagnosing the disease and FESS is the treatment of choice.


2019 ◽  
Vol 8 (35) ◽  
pp. 2743-2747
Author(s):  
Parthasarathi A. ◽  
Sindhu N. ◽  
Bysani Swaroop ◽  
Gautham M.

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