Clinical‐radiological correlation and role of computed tomography staging in chronic rhinosinusitis

Rathor, Aakanksha; Bhattacharjee, Abhinandan

doi:10.1016/j.wjorl.2017.02.008

Cited by 26 publications

(20 citation statements)

References 28 publications

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“…There has been conflicting reports in the literature as to the reliability of radiographic findings correlated to intraoperative findings, ranging from 60% to 92%. 21,22 However, these studies specifically addressed correlation to disease burden and not anatomy, thus limiting their applicability to the present evaluation. Despite this, the data in the current study provides high confidence of the anatomic relationship.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Maxillary Sinus Roof as a Landmark for Navigating the Pediatric Skull Base

Evans

Banks

Richman

et al. 2019

Ann Otol Rhinol Laryngol

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Objective: To define a new anatomic relationship in pediatric sinus surgery, assessing the maxillary roof as a constant safe landmark to avoid skull base injury in the pediatric population. Study Design: Retrospective analysis. Setting: Tertiary care children hospital. Subjects and Methods: A retrospective analysis was performed of all computed tomography scans of the sinuses and facial bones at the emergency department of a tertiary children’s hospital over the course of a year. Radiographic measurements included the lowest cribriform plate and planum sphenoidale (PS) heights, or posterior skull base when not yet pneumatized, as well as the highest maxillary roof height. The nasal floor was used for reference. Statistics were performed via Shapiro-Wilks test with a P-value of .05 indicating statistical significance. Results: Three hundred and seven unique scans were reviewed (38.9% female; n = 122; P = .58). Age stratification was based on previously described sinus growth patterns. In all patients, the maximum maxillary height was inferior to the lowest measured cribriform lamella and PS ( P < .001; CI, 98.5%-99%). Inter- and intrarater reliability and accuracy were verified through blinded review and re-review (ρ = .99 and .98 respectively, P ≤ .001). The validity of sole coronal measurements due to incomplete sagittal reformatting was also confirmed (ρ = 1.00, P ≤ .001). Conclusion: Despite variation in sinus growth and development in children, the current study demonstrated the validity of the maxillary sinus roof as a constant safe landmark in the pediatric population, offering a novel anatomic relationship for teaching safety in performing pediatric sinus surgery. Level of Evidence: 4

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Section: Discussionmentioning

confidence: 99%

Validation of the Maxillary Sinus Roof as a Landmark for Navigating the Pediatric Skull Base

Evans

Banks

Richman

et al. 2019

Ann Otol Rhinol Laryngol

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“…In ECRS, inflammation is mainly found in the ethmoid sinus of the nose, and ethmoid sinus inflammation is a major characteristic on imaging examination. ECRS has a high recurrence rate due to eosinophil infiltration.…”

Section: Discussionmentioning

confidence: 99%

Impact of genetic variants of GLCCI1 on operational therapy in Chinese chronic rhinosinusitis patients

Liu

Che

Fan

et al. 2018

Int Forum Allergy Rhinol

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Background: Endoscopic surgery and postoperative glucocorticoids may effectively control inflammation in patients with chronic rhinosinusitis (CRS). However, some patients who are insensitive to glucocorticoids have a poor prognosis. Studies have shown that the GLCCI1 polymorphism is related to sensitivity to glucocorticoids, but no study has been conducted in China to investigate the relationship between GLCCI1 polymorphisms and postoperative prognosis of CRS. Methods:A total of 208 CRS patients received routine functional endonasal sinus surgery and then were treated with glucocorticoids. Polymerase chain reactionrestriction fragment length polymorphism was employed to detect the rs37973G/A polymorphism of GLCCI1. The visual analogue scale (VAS) score, Lund-Kennedy score, and computed tomography (CT) Lund-Mackay score were determined 6 months a er surgery among patients with different genotypes. Moreover, the polymorphism frequency was compared among different subgroups.Results: There were no marked differences in VAS score, Lund-Kennedy score, or CT Lund-Mackay score among patients with different genotypes before surgery. In patients with the AA genotype, the changes in VAS score, Lund-Kennedy score, and CT Lund-Mackay scores were significantly higher than in patients with the GA/GG genotype (p < 0.05). However, there were no marked differences between patients with the GA genotype and those with the GG genotype (p > 0.05). Compared with patients with noneosinophilic sinusitis, the difference between the AA genotype and the GA/GG genotype was more evident in patients with eosinophilic sinusitis (p < 0.01). Conclusion:The rs37973 polymorphism is related to postoperative recovery from CRS for individual sensitivity to glucocorticoids. Furthermore, AA genotype was associated with be er treatment response in CRS. C 2018 ARS-AAOA, LLC. How to Cite thisArticle: Liu S, Che N, Fan K, et al. Impact of genetic variants of GLCCI1 on operational therapy in Chinese chronic rhinosinusitis patients. Int Forum Allergy Rhinol. 2018;8:1356-1362.C hronic rhinosinusitis (CRS) has a high prevalence, 1 and some sinusitis patients usually have concomitant nasal polyps. Recent studies indicate that chronic sinusitis

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“…The CT scans were scored according to the Lund–MacKay system which has been used for many years as an objective measure of disease severity. 7 Nasal endoscopy was performed using 2.7 mm, 0°, and 70° endoscopes after completion of medical therapy. The findings are scored according to the Lund–Kennedy endoscopic scoring system.…”

Section: Methodsmentioning

confidence: 99%

Severity of Rhinosinusitis: Comparison Between Visual Analog Scale Given by Patients and Otorhinolaryngologists

Zhao

Tan

et al. 2020

Am J Rhinol�Allergy

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Background Visual Analog Scale (VAS) as determined by the patient is recommended by the European Position Paper on Rhinosinusitis and Nasal Polyps 2012 in evaluation of the total severity of the chronic rhinosinusitis (CRS) patients’ symptoms. Objective To evaluate the correlation between evaluations performed by otorhinolaryngologists and CRS patients with commonly used systems. Methods Scores of VAS and Sino-Nasal Outcome Test-20 (SNOT-20) Chinese version were obtained from 110 CRS patients with nasal polyps (CRSwNPs, n = 61) and without nasal polyps (CRSsNPs, n = 49) before surgery, which were compared with scores of Lund–Kennedy endoscopic staging system, the Lund–Mackay computed tomography (CT) staging system, and VAS from 3 attending otorhinolaryngologists. Results The median VAS scores given by CRS patients (6.0; 4.25–7.5) do not correlate significantly with the VAS scores by the 3 otorhinolaryngologists (5.5; 4.83–6.5) with a correlation coefficient of .218 (−0.146 to 0.466). For CRS patients, there was only a moderate correlation between scores of VAS and the SNOT-20 ( r = .37), and no significant difference of VAS scores between CRSwNP and CRSsNP, and between unilateral and bilateral nasal polys. For otorhinolaryngologists, a higher median VAS score was found in CRSwNP (6.0; 5.17–7.0), especially in bilateral (6.0; 5.0–7.08) and revision surgery (6.08; 5.33–7.63). The VAS scores of otorhinolaryngologists correlated significantly with the Lund–Mackay CT score ( r = .7536) and Lund–Kennedy endoscopic staging ( r = .5947). Conclusions VAS scores between patients and physicians are not correlated significantly in this study, but they fall within the same therapeutic range and do not change the clinical management of the patients.

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Clinical‐radiological correlation and role of computed tomography staging in chronic rhinosinusitis

Cited by 26 publications

References 28 publications

Validation of the Maxillary Sinus Roof as a Landmark for Navigating the Pediatric Skull Base

Validation of the Maxillary Sinus Roof as a Landmark for Navigating the Pediatric Skull Base

Impact of genetic variants of GLCCI1 on operational therapy in Chinese chronic rhinosinusitis patients

Severity of Rhinosinusitis: Comparison Between Visual Analog Scale Given by Patients and Otorhinolaryngologists

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