Blinded comparison of maxillary sinus radiography and ultrasound for diagnosis of sinusitis

Gg, Shapiro; Furukawa, CT; Pierson, WE; Gilbertson, Ellen; Bierman, C. Warren

doi:10.1016/0091-6749(86)90324-6

Cited by 84 publications

(22 citation statements)

References 7 publications

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“…Unfortunately, several studies comparing ultrasonography with radiographic techniques (as the gold standard) suggest that the sensitivity and specificity of ultrasonography is poor, ranging from 39% to 61% and 42% to 53%, respectively. [81][82][83][84] Another limitation is that ultrasonography can only be used to evaluate the frontal and maxillary sinuses. 85 Despite these issues, ultrasonography might have some utility as a sinus diagnostic screen in pregnant women to avoid risks of ionizing radiation.…”

Section: Summary Statementsmentioning

confidence: 99%

The diagnosis and management of sinusitis: A practice parameter update

Slavin

Spector

Bernstein

et al. 2005

Journal of Allergy and Clinical Immunology

332

369

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Section: Summary Statementsmentioning

confidence: 99%

The diagnosis and management of sinusitis: A practice parameter update

Slavin

Spector

Bernstein

et al. 2005

Journal of Allergy and Clinical Immunology

332

369

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“…In skilful hands, ultrasound is both high sensitive and speci c in diagnosing ACAMS (6). On the other hand, if the physician is not properly educated and practiced in the use of ultrasound, the method is as good as a guess (7,8). Many symptoms and signs of ACAMS, e.g.…”

mentioning

confidence: 99%

Diagnostic accuracy of acute maxillary sinusitis in adults in primary care

Blomgren

Hytönen²,

Pellinen

et al. 2002

Scandinavian Journal of Primary Health Care

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“…Because of the expense of sinus x rays and the exposure to nonionizing radiation, many studies have examined the usefulness of ultrasound to diagnose sinusitis. While some investigators have found excellent correlation between maxillary ultrasound and radiographic findings, especially in sinuses that are normal or contain airfluid levels [138,139], others have determined that it is not more and may even be less accurate than x rays [140,141]. Another limitation of ultrasound examination of the sinuses is that mucosal abnormalities (e.g., thickening, polyps, and cysts) are poorly differentiated [139,142].…”

Section: Diagnosismentioning

confidence: 98%

Upper Respiratory Tract Infections in the Critically I11

Jacobs

Irwin

Raptopoulos

1990

J Intensive Care Med

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that present in the critically ill (supraglottitis [epiglottitis], deep neck infections, and sinusitis) is presented with attention to pathogenesis, pathophysiology, diagnosis, differential diagnosis, and treatment. Supraglottitis is increasingly diagnosed in adults and, as with children, early recognition is crucial to limit mortality. To aid in diagnosis and treatment, a management algorithm is used. Deep cervical infections, usually extensions of upper airway infections, can spread along fascial planes with fatal results. Knowledge of the interconnections between anatomical spaces is a prerequisite to diagnosis and treatment. Sinusitis will present in the critically ill as orbital or intracranial complications or as a nosocomial infection. Discussions of acute and chronic community-acquired sinusitis in general, nosocomial sinusitis, and sphenoid sinusitis as a separate entity highlight differences in clinical presentation and bacteriology that are important to diagnosis and treatment.The upper respiratory tract consists of the nose, mouth, nasopharynx and oropharynx, hypopharynx. and the paranasal sinuses. While minor infections in these areas are common outpatient entities, they may infrequently become severe and life threatening. It is this class of disease that requires intensive observation and aggressive treatment, and is the focus of this review. Supraglottitis (Epiglottitis). Acute supraglottitis is an uncommon infection of the epiglottis and other supralaryngeal structures, which may progress to abrupt and fatal airway obstruction. The condition is well recognized in children, in whom the presentation and course are usually fulminant. In pediatric age groups, increased awareness and prophylactic airway control have reduced the overall mortality to less than 1% [1]. In adults, however, the course is often more indolent and the mortality approximates 7%, largely due to misdiagnosis and unexpected airway obstruction [2]. Pathogenesis and Pathophysiology. Supraglottitis, the term more recently preferred, since it is more anatomically correct, is an acute, usually bacterial inflammation of the supraglottic structures including the epiglottis, aryepiglottic folds, and arytenoids. The true vocal cords are seldom involved in the process. Since the lingual aspect of the epiglottis in children has a more loose mucosa than in adults, providing an easy space for edema to collect [3], swelling in this area tends to curl the epiglottis posteriorly and inferiorly, accentuating the juvenile &dquo;omega&dquo; shape characteristically seen in children. This swelling reduces the airway aperture [4]. The obstruction increases and respiratory distress occurs when edema spreads and involves the aryepiglottic folds [5]. Inspiration draws these swollen structures downward, thus exacerbating the obstruction and producing stridor [6]. Since the larynx is larger and the epiglottis is shaped less like an omega and more like a &dquo;spatula&dquo; in adults [7], these

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Blinded comparison of maxillary sinus radiography and ultrasound for diagnosis of sinusitis

Cited by 84 publications

References 7 publications

The diagnosis and management of sinusitis: A practice parameter update

The diagnosis and management of sinusitis: A practice parameter update

Diagnostic accuracy of acute maxillary sinusitis in adults in primary care

Upper Respiratory Tract Infections in the Critically I11

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