Antral computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function

Carmeli, Guy; Artzi, Zvi; Segev, Yoram; Landsberg, Roee

doi:10.1111/j.1600-0501.2010.01986.x

Cited by 102 publications

(98 citation statements)

References 23 publications

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“…In our study most of the cases diagnosed as chronic rhinusinusitis have the score between16-20 (35%) and minimum has the score between 21-24 (10%). The findings are consistent with the study done by Silberstein S et al 5 On the basis of mucosal thickening most common pattern noted is circumferential (7%) followed by irregular (2%).This finding is supported by Carmeli G et al 6 Fungal sinusitis is a chronic form of inflammation which shows complete opacification of sinus, bony erosion, and calcification with involved sinus showing higher attenuation than bacterial sinusitis. In our study 6 patients had fungal sinusitis, of which nasal involvement was seen in 16% and bony erosion and calcification seen in 30% and 50% respectively.…”

Section: Figure 10: Classification Of Cases On the Basis Of Nasal Patsupporting

confidence: 82%

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

Verma

Tyagi

Srivastava³

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Pathological lesions of the paranasal sinuses include a wide spectrum of conditions ranging from inflammation to neoplasms both benign and malignant. Most patient of common cold present with symptoms of nasal discharge, nasal obstruction, headache and nasal allergy etc. The patient of paranasal mass usually present with facial deformity, swelling or repeated episodes of epistaxis. The aim of the study was to establish the role of CT in evaluation of pathologies and their proper early diagnosis.Methods: It is a prospective study. A total of 100 patients who were referred to our department with clinical suspicion of PNS disease underwent CT evaluation of PNS using 64 multi slice CT scanner from December 2012 to October 2015. Results: Out of 100 cases 51 (51%) cases were males and rest 49 (49%) patients were females. The majority of the cases were of age group 16-30 which were 37case (37%) The most common symptoms were nasal obstruction (50%), followed by nasal discharge (49%), headache in 20% cases. Most common anatomical variations seen was deviated nasal septum (49%) more commonly on right side next common was agger nasi in 48% of cases. Maxillary sinuses are most commonly involved in the study (82 cases), followed by the ethmoid sinuses (ant. group 77 cases, post group 40 case) and frontal sinus 55 cases. The most common pathology seen was masses in 30% cases followed by DNS in 21% cases. The most common form of mucosal thickening noted is circumferential type seen in 7% cases. The most common pathology involving the sinuses was sinusitis (30%) followed by polyp (25%).Conclusions: Most of the patients with PNS pathology were from 2nd and 3rd decade. Slight male preponderance was noted. Majority of the patients presented with nasal obstruction. Most common anatomical variant seen was DNS. Most common sinus involved was maxillary. Sinonasal pathologies were the most common followed by pure nasal or pure sinosal. The most common pathology was inflammatory (74%). The most common benign pathologies were polyps with 92% accuracy. 15% of cases had malignancy with diagnostic accuracy of 90%.

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Section: Figure 10: Classification Of Cases On the Basis Of Nasal Patsupporting

confidence: 82%

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

Verma

Tyagi

Srivastava³

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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“…Incidental findings such as mucosal thickening can be associated with a sinus outflow obstruction which can impact on the clinician’s treatment decisions [6]. This abnormality is frequently investigated in exams for implant treatment planning, but other abnormalities are often overlooked.…”

Section: Discussionmentioning

confidence: 99%

“…Incidental abnormalities of the maxillary sinus are common findings in spiral computed tomography (CT) scans [3-6] and CBCT dental scans [7,8]. In a study by Cha et al, using CBCT examinations, the abnormalities found were signs of acute sinusitis (7.5%), retention cysts (3.5%), and polypoid mucosal thickening (2.3%) [7].…”

Section: Introductionmentioning

confidence: 99%

Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients

et al. 2012

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BackgroundAlthough cone beam computed tomography (CBCT) images of the maxillofacial region allow the inspection of the entire volume of the maxillary sinus (MS), identifying anatomic variations and abnormalities in the image volume, this is frequently neglected by oral radiologists when interpreting images of areas at a distance from the dentoalveolar region, such as the full anatomical aspect of the MS. The aim of this study was to investigate maxillary sinus abnormalities in asymptomatic patients by using CBCT.Methods1113 CBCT were evaluated by two examiners and identification of abnormalities, the presence of periapical lesions and proximity to the lower sinus wall were recorded. Data were analyzed using descriptive statistics, chi-square tests and Kappa statistics.ResultsAbnormalities were diagnosed in 68.2% of cases (kappa = 0.83). There was a significant difference between genders (p < 0.001) and there was no difference in age groups. Mucosal thickening was the most prevalent abnormality (66%), followed by retention cysts (10.1%) and opacification (7.8%). No association was observed between the proximity of periapical lesions and the presence and type of inflammatory abnormalities (p = 0.124).ConclusionsAbnormalities in maxillary sinus emphasizes how important it is for the dentomaxillofacial radiologist to undertake an interpretation of the whole volume of CBCT images.

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“…[16] The variations in the results of our study can be attributed to the different imaging modality,[89101114] population addressed in the study,[1522] variation in sample size[1617] and the definition of abnormality, which is considered. [1823242526]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of incidental maxillary sinus pathologies in dental patients on cone-beam computed tomographic images

Raghav¹,

Karjodkar²,

Sontakke³

et al. 2014

Contemp Clin Dent

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Objectives:The aim of the present study was to infer and to record the prevalence of incidental maxillary sinus pathologies in patients presenting with dental problems using the cone-beam computed tomography (CBCT) scans performed for maxillofacial diagnostic purposes.Materials and Methods:This retrospective study has evaluated 201 patients (402 maxillary sinuses consecutive CBCT) for various incidental maxillary sinus pathologies by two observers. Pathologic findings were categorized as mucosal thickening (MT), opacification (OPA), polypoidal-mucosal thickening (PT), others (antrolith and discontinuity of the sinus floor) and no pathologic findings. Correlations for pathologic findings and the factors of age and gender were calculated.Results:The prevalence for total incidental findings is 59.7%. The present study showed MT (35.1%) as most prevalent finding followed by OPA in (16.6%), PT in 7.2% and others in 0.7%. There was no statistically significant difference between gender and between the age groups. There was no statistically significant difference between different indications groups for CBCT scans.Conclusions:The incidental maxillary sinus abnormalities are highly prevalent in the asymptomatic dental patients; hence oral radiologists should be aware of these incidental findings and comprehensively evaluate the entire captured CBCT volume, which can help in early diagnosis, treatment and follow-up of the patient.

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Antral computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function

Cited by 102 publications

References 23 publications

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients

Prevalence of incidental maxillary sinus pathologies in dental patients on cone-beam computed tomographic images

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