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The correlation between computed tomography findings of the paranasal sinuses and the symptoms of acute sinusitis

Year 2003, Volume: 11 Issue: 2, 39 - 45, 20.03.2003

Abstract

Objectives: We investigated the relationship between symptoms, coronal paranasal computed tomography CT findings and anatomic variations in patients with acute sinusitis.Patients and Methods: The study included 44patients 23 females, 21 males; mean age 35 years; range 21 to 74 years whose diagnosis was acute sinusitis by history and physical examination. A com- prehensive inquiry into the symptoms was made and coronal paranasal CT seans were obtained in ali the patients. Correlations were sought between symptom scores, CT scores, and anatomic variations.Results: No correlations were found between anatomic variations and CT scores. Total symptom scores did not correlate with CT scores. A statisti- cally significant correlation existed only between headache and CT scores. The most commonly affected sinuses were maxillary sinuses 73% , fol- lowed by posterior ethmoidal sinuses 60% .Conclusions: Our data suggest that routine CT evaluations are superfluous in acute sinusitis.

References

  • Önerci M. Paranazal sinüslerin anatomisi ve histoloji- si. In: Endoskopik sinüs cerrahisi. 1. baskı. Ankara: Kutsan Ofset; 1996. s. 1-12.
  • Karcı B, Günhan Ö (editörler). Paranazal sinüslerin ve lateral nazal duvarın cerrahi anatomisi. In: Endoskopik sinüs cerrahisi. 1. baskı. İzmir: Özen Ofset; 1999. s. 1-13.
  • Becker SP. Anatomy for endoscopic sinus surgery. Otolaryngol Clin North Am 1989;22:677-82.
  • Rao VM, el-Noueam KI. Sinonasal imaging. Anatomy and pathology. Radiol Clin North Am 1998;36(5):921- 39, vi.
  • Bhattacharyya T, Piccirillo J, Wippold FJ 2nd. Relationship between patient-based descriptions of sinusitis and paranasal sinus computed tomographic findings. Arch Otolaryngol Head Neck Surg 1997;123: 1189-92.
  • Knops JL, McCaffrey TV, Kern EB. Inflammatory dis- eases of the sinuses: physiology. Clinical applications. Otolaryngol Clin North Am 1993;26:517-34.
  • Ferguson JL, McCaffrey TV, Kern EB, Martin WJ 2nd. The effects of sinus bacteria on human ciliated nasal epithelium in vitro. Otolaryngol Head Neck Surg 1988; 98:299-304.
  • Weir N, Golding-Wood DG. Infective rhinitis and sinusitis. In: Kerr AG, editor. Scott-Brown’s otolaryn- gology. 6th ed. Oxford: Butterworth-Heinemann; 1997. p. 4/8/1-49.
  • Guyatt GH, Bombardier C, Tugwell PX. Measuring disease-specific quality of life in clinical trials. CMAJ 1986;134:889-95.
  • Guyatt GH, Cook DJ. Health status, quality of life, and the individual. JAMA 1994;272:630-1.
  • Juniper EF, Guyatt GH. Development and testing of a new measure of health status for clinical trials in rhinoconjunctivitis. Clin Exp Allergy 1991;21:77-83.
  • Piccirillo JF, Edwards DE, Haiduk AM, Yonan C, Thawley SE. Psychometric and clinimetric validity of the 31-Item Rhinosinusitis Outcome Measure (RSOM-31). Am J Rhinol 1995;9:297-306.
  • Zinreich J. Imaging of inflammatory sinus disease. Otolaryngol Clin North Am 1993;26:535-47.
  • Lindbaek M, Johnsen UL, Kaastad E, Dolvik S, Moll P, L a e rum E, et al. CT findings in general practice patients with suspected acute sinusitis. Acta Radiol 1996;37:708-13.
  • Lloyd GA, Lund VJ, Scadding GK. CT of the paranasal sinuses and functional endoscopic surgery: a critical analysis of 100 symptomatic patients. J Laryngol Otol 1991;105:181-5.
  • Hahnel S, Ertl-Wagner B, Tasman AJ, Forsting M, Jansen O. Relative value of MR imaging as compared with CT in the diagnosis of inflammatory paranasal sinus disease. Radiology 1999;210:171-6.
  • Uygur K, Yariktas M, Tuz M, Dogru H. Functional endoscopic sinus surgery in the treatment of rhinosi- nusitis. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2001;8:141-5.
  • Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surg e r y. Laryngoscope 1991;101(1 Pt 1):56-64.
  • Z i n reich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imag- ing re q u i rements for endoscopic surg e r y. Radiology 1 9 8 7 ; 1 6 3 : 7 6 9 - 7 5 .
  • Tonai A, Baba S. Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol Suppl 1996;525:9-13.
  • Messerklinger W. On the drainage of the normal fro n t a l sinus of man. Acta Otolaryngol 1967;63:176-81.
  • Kennedy DW, Zinreich SJ. Functional endoscopic approach to inflammatory sinus disease. Current per- spectives and technique modifications. Am J Rhinol 1988;2:89-96.
  • Iemma M, Maurer J, Mann W. The incidence and loca- tion of inflammatory paranasal sinus lesions in CT. Acta Otorhinolaryngol Ital 1992;12:135-42. [Abstract]
  • Havas TE, Motbey JA, Gullane PJ. Prevalence of inci- dental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg 1988;114:856-9.
  • Diament MJ, Senac MO Jr, Gilsanz V, Baker S, Gillespie T, Larsson S. Prevalence of incidental paranasal sinus- es opacification in pediatric patients: a CT study. J Comput Assist Tomogr 1987;11:426-31.

Akut sinüzitte paranazal sinüs bilgisayarlı tomografi bulguları ile semptomlar arasındaki ilişki

Year 2003, Volume: 11 Issue: 2, 39 - 45, 20.03.2003

Abstract

A maç: Akut sinüzitli hastalarda karflılaflılan semp- tomların, koronal paranazal bilgisayarlı tomografi BT bulguları ve belirlenen anatomik varyasyonlarla iliflki- si arafltırıldı. Hastalar ve Yöntemler: Sinüzit flikayetleri ile baflvu- ran ve muayene bulguları ile akut sinüzit tanısı konan 44 hasta incelendi. Tüm hastalarda semptomlar ayrıntılı bir flekilde sorgulandı ve koronal paranazal BT ince- lemesi yapıldı. Elde edilen semptom skorları, BT skorları ve anatomik varyasyonlar arasında korelas- yon olup olmadığı arafltırıldı. Bulgular: Anatomik varyasyonlar ile BT skorları ara- sındaki korelasyon yoktu. Toplam BT skorları ile semptom skorları arasında anlamlı iliflkiye rastlan- madı. Sinüzit semptomu olarak sadece bafl ağrısı ile BT skoru arasında anlamlı iliflki saptandı. En sık tu- tulumun maksiller sinüslerde %73 olduğu, bunu posterior etmoid sinüslerin %63 izlediği görüldü. Sonuç: Akut sinüzitli olgularda rutin BT incelemesi- nin gerekli olmadığı sonucuna varıldı

References

  • Önerci M. Paranazal sinüslerin anatomisi ve histoloji- si. In: Endoskopik sinüs cerrahisi. 1. baskı. Ankara: Kutsan Ofset; 1996. s. 1-12.
  • Karcı B, Günhan Ö (editörler). Paranazal sinüslerin ve lateral nazal duvarın cerrahi anatomisi. In: Endoskopik sinüs cerrahisi. 1. baskı. İzmir: Özen Ofset; 1999. s. 1-13.
  • Becker SP. Anatomy for endoscopic sinus surgery. Otolaryngol Clin North Am 1989;22:677-82.
  • Rao VM, el-Noueam KI. Sinonasal imaging. Anatomy and pathology. Radiol Clin North Am 1998;36(5):921- 39, vi.
  • Bhattacharyya T, Piccirillo J, Wippold FJ 2nd. Relationship between patient-based descriptions of sinusitis and paranasal sinus computed tomographic findings. Arch Otolaryngol Head Neck Surg 1997;123: 1189-92.
  • Knops JL, McCaffrey TV, Kern EB. Inflammatory dis- eases of the sinuses: physiology. Clinical applications. Otolaryngol Clin North Am 1993;26:517-34.
  • Ferguson JL, McCaffrey TV, Kern EB, Martin WJ 2nd. The effects of sinus bacteria on human ciliated nasal epithelium in vitro. Otolaryngol Head Neck Surg 1988; 98:299-304.
  • Weir N, Golding-Wood DG. Infective rhinitis and sinusitis. In: Kerr AG, editor. Scott-Brown’s otolaryn- gology. 6th ed. Oxford: Butterworth-Heinemann; 1997. p. 4/8/1-49.
  • Guyatt GH, Bombardier C, Tugwell PX. Measuring disease-specific quality of life in clinical trials. CMAJ 1986;134:889-95.
  • Guyatt GH, Cook DJ. Health status, quality of life, and the individual. JAMA 1994;272:630-1.
  • Juniper EF, Guyatt GH. Development and testing of a new measure of health status for clinical trials in rhinoconjunctivitis. Clin Exp Allergy 1991;21:77-83.
  • Piccirillo JF, Edwards DE, Haiduk AM, Yonan C, Thawley SE. Psychometric and clinimetric validity of the 31-Item Rhinosinusitis Outcome Measure (RSOM-31). Am J Rhinol 1995;9:297-306.
  • Zinreich J. Imaging of inflammatory sinus disease. Otolaryngol Clin North Am 1993;26:535-47.
  • Lindbaek M, Johnsen UL, Kaastad E, Dolvik S, Moll P, L a e rum E, et al. CT findings in general practice patients with suspected acute sinusitis. Acta Radiol 1996;37:708-13.
  • Lloyd GA, Lund VJ, Scadding GK. CT of the paranasal sinuses and functional endoscopic surgery: a critical analysis of 100 symptomatic patients. J Laryngol Otol 1991;105:181-5.
  • Hahnel S, Ertl-Wagner B, Tasman AJ, Forsting M, Jansen O. Relative value of MR imaging as compared with CT in the diagnosis of inflammatory paranasal sinus disease. Radiology 1999;210:171-6.
  • Uygur K, Yariktas M, Tuz M, Dogru H. Functional endoscopic sinus surgery in the treatment of rhinosi- nusitis. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2001;8:141-5.
  • Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surg e r y. Laryngoscope 1991;101(1 Pt 1):56-64.
  • Z i n reich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imag- ing re q u i rements for endoscopic surg e r y. Radiology 1 9 8 7 ; 1 6 3 : 7 6 9 - 7 5 .
  • Tonai A, Baba S. Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol Suppl 1996;525:9-13.
  • Messerklinger W. On the drainage of the normal fro n t a l sinus of man. Acta Otolaryngol 1967;63:176-81.
  • Kennedy DW, Zinreich SJ. Functional endoscopic approach to inflammatory sinus disease. Current per- spectives and technique modifications. Am J Rhinol 1988;2:89-96.
  • Iemma M, Maurer J, Mann W. The incidence and loca- tion of inflammatory paranasal sinus lesions in CT. Acta Otorhinolaryngol Ital 1992;12:135-42. [Abstract]
  • Havas TE, Motbey JA, Gullane PJ. Prevalence of inci- dental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg 1988;114:856-9.
  • Diament MJ, Senac MO Jr, Gilsanz V, Baker S, Gillespie T, Larsson S. Prevalence of incidental paranasal sinus- es opacification in pediatric patients: a CT study. J Comput Assist Tomogr 1987;11:426-31.
There are 25 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Hasan Yasan This is me

Nilgün Kabaalioğlu This is me

Kemal Uygur This is me

Harun Doğru This is me

Adnan Kabaalioğlu This is me

Publication Date March 20, 2003
Published in Issue Year 2003 Volume: 11 Issue: 2

Cite

APA Yasan, H., Kabaalioğlu, N., Uygur, K., Doğru, H., et al. (2003). Akut sinüzitte paranazal sinüs bilgisayarlı tomografi bulguları ile semptomlar arasındaki ilişki. The Turkish Journal of Ear Nose and Throat, 11(2), 39-45.
AMA Yasan H, Kabaalioğlu N, Uygur K, Doğru H, Kabaalioğlu A. Akut sinüzitte paranazal sinüs bilgisayarlı tomografi bulguları ile semptomlar arasındaki ilişki. Tr-ENT. March 2003;11(2):39-45.
Chicago Yasan, Hasan, Nilgün Kabaalioğlu, Kemal Uygur, Harun Doğru, and Adnan Kabaalioğlu. “Akut sinüzitte Paranazal sinüs Bilgisayarlı Tomografi Bulguları Ile Semptomlar arasındaki ilişki”. The Turkish Journal of Ear Nose and Throat 11, no. 2 (March 2003): 39-45.
EndNote Yasan H, Kabaalioğlu N, Uygur K, Doğru H, Kabaalioğlu A (March 1, 2003) Akut sinüzitte paranazal sinüs bilgisayarlı tomografi bulguları ile semptomlar arasındaki ilişki. The Turkish Journal of Ear Nose and Throat 11 2 39–45.
IEEE H. Yasan, N. Kabaalioğlu, K. Uygur, H. Doğru, and A. Kabaalioğlu, “Akut sinüzitte paranazal sinüs bilgisayarlı tomografi bulguları ile semptomlar arasındaki ilişki”, Tr-ENT, vol. 11, no. 2, pp. 39–45, 2003.
ISNAD Yasan, Hasan et al. “Akut sinüzitte Paranazal sinüs Bilgisayarlı Tomografi Bulguları Ile Semptomlar arasındaki ilişki”. The Turkish Journal of Ear Nose and Throat 11/2 (March 2003), 39-45.
JAMA Yasan H, Kabaalioğlu N, Uygur K, Doğru H, Kabaalioğlu A. Akut sinüzitte paranazal sinüs bilgisayarlı tomografi bulguları ile semptomlar arasındaki ilişki. Tr-ENT. 2003;11:39–45.
MLA Yasan, Hasan et al. “Akut sinüzitte Paranazal sinüs Bilgisayarlı Tomografi Bulguları Ile Semptomlar arasındaki ilişki”. The Turkish Journal of Ear Nose and Throat, vol. 11, no. 2, 2003, pp. 39-45.
Vancouver Yasan H, Kabaalioğlu N, Uygur K, Doğru H, Kabaalioğlu A. Akut sinüzitte paranazal sinüs bilgisayarlı tomografi bulguları ile semptomlar arasındaki ilişki. Tr-ENT. 2003;11(2):39-45.