Appearances of paranasal fungal sinusitis on computed tomography.

Dahniya, M H; Makkar, Raj; Grexa, E; Cherian, Julie; Al-Marzouk, N; Mattar, Mohamed Abdel Bari; Saghir, E; al-Samman, T Fathi

doi:10.1259/bjr.71.843.9616249

Cited by 27 publications

(18 citation statements)

References 7 publications

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“…The radiological findings are similar to AFIFRS, but the duration of these variants are in months. The classical radiological findings of chronic fungal rhinosinusitis are: (1) Unilateral sinus involvement, (2) homogeneity in contrast enhancement, (3) bone erosion, (4) hyperattenuation with the destruction of bony sinus walls, and (5) extrasinus involvement is extremely higher when compared to intrasinus involvement [4,7,8,12,13]. The complications of chronic fungal invasive infections are similar to AFIFRS, and the duration might prompt the clinician to consider a differential diagnosis of malignancy.…”

Section: Chronic Invasive Fungal Rhinosinusitis and Chronic Granulomamentioning

confidence: 99%

A Radiological Profile of Fungal Sinusitis

Pillai

Bhandarkar

Jha

et al. 2017

Asian J Pharm Clin Res

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Objectives: To create a radiological profile of fungal sinusitis and determine the radiological differences between fungal and nonfungal sinusitis based on the presence of hyperattenuation, bony erosion, neo-osteogenesis, air-fluid level, and extrasinus extension.Methods: This is a retrospective, single-blind, case-control study involving the analysis of 119 computed tomography (CT) scans of the paranasal sinuses. Based on the histopathology, they were divided into cases comprising fungal sinusitis and controls of nonfungal sinusitis. Benign and malignant tumors and previously operated cases of fungal sinusitis were excluded from the study. The principal investigators were blinded to the diagnosis. The comparison parameters were hyperattenuation, the presence of air-fluid level, bone erosion, neo-osteogenesis, and extrasinus extension. Data was analyzed by Chi-square and Fischer exact t-test using SPSS 14.0 software and a p < 0.05 was considered significant. Results:Our study showed the presence of hyperattenuation, neo-osteogenesis, bone erosion, air-fluid level, extrasinus extension in 75.2%, 48.3%, 25.9%, 36.2%, and 6.9% of the cases and 13.1%, 16.4%, 6.6%, 9.8%, and 0 controls, respectively. All the parameters were statistically significant in cases when compared to controls. Conclusion:Hyperattenuation, neo-osteogenesis, air-fluid level, bone erosion, and extrasinus extension are the parameters on CT imaging that will help routinely assess and differentiate fungal sinusitis from nonfungal sinusitis with considerable accuracy, although, there is an overlap with malignancy when the parameter of bone erosion is considered as a differential diagnosis of chronic invasive fungal sinusitis. It reiterates the fact that history, clinical examination, and laboratory evaluation hold an important role in provisional diagnosis.

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Section: Chronic Invasive Fungal Rhinosinusitis and Chronic Granulomamentioning

confidence: 99%

A Radiological Profile of Fungal Sinusitis

Pillai

Bhandarkar

Jha

et al. 2017

Asian J Pharm Clin Res

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“…Bilateral involvement is slightly more common than unilateral involvement [32]. Radiologic findings include opacification of multiple paranasal sinuses, with possible demonstration of sinus cavity expansion and erosion of the involved sinus wall.…”

Section: Sinus Imagingmentioning

confidence: 99%

Diagnostic Radiology

Hospenthal

Carswell

2015

Diagnosis and Treatment of Fungal Infections

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“…Fungal sinusitis may be invasive (indolent or fulminant) or noninvasive (allergic or mycetoma). Chronic changes seen on CT scanning in indolent invasive fungal sinusitis include sinus expansion, bony erosion, bone sclerosis, and remodeling, as well as intraorbital and intracranial extension [18]. In certain fungi, such as Aspergillus, calcification may be seen on the CT scans, raising ones suspicion to the possible diagnosis.…”

Section: Indications and Modality Of Imagingmentioning

confidence: 99%

The utility of radiologic studies in the diagnosis and management of rhinosinusitis

Marshall

Jones

2003

Curr Infect Dis Rep

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The past two decades have seen the development of computed tomography scanning as the principal investigation for paranasal sinus disease. This article describes the benefits and limitations of computed tomography scanning in the assessment of rhinosinusitis. It also discusses the role of magnetic resonance imaging as a further diagnostic tool in the assessment of rhinosinusitis and in particular its complications. Other imaging modalities such as plain radiographs and ultrasound have limited use in this field. The introduction of image guidance techniques as an aid to surgical treatment and possible future developments are outlined.

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Appearances of paranasal fungal sinusitis on computed tomography.

Cited by 27 publications

References 7 publications

A Radiological Profile of Fungal Sinusitis

A Radiological Profile of Fungal Sinusitis

Diagnostic Radiology

The utility of radiologic studies in the diagnosis and management of rhinosinusitis

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