Correlation between presumed sinusitis-induced pain and paranasal sinus computed tomographic findings

Mudgil, Shikha P.; Wise, Scott W.; Hopper, Kenneth D.; Kasales, Claudia J.; Mauger, David T.; Fornadley, John A.

doi:10.1016/s1081-1206(10)62000-5

Cited by 54 publications

(43 citation statements)

References 11 publications

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“…75 The clinical utility, relative safety, ease of performance, availability, and cost of these imaging techniques vary considerably, and all have inherent limitations. 58,[76][77][78][79] Imaging procedures are often useful when symptoms are vague, physical findings are equivocal, or the response to initial management is poor. The possibility of sinusitis can also be confirmed by imaging patients with atypical presentations (eg, a child with refractory conjunctivitis or a patient with acute severe eye or occipital pain).…”

Section: Summary Statementsmentioning

confidence: 99%

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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%

“…88 Extrapolating from more recent CT studies, however, the correlation between radiographic extent of disease and likelihood of resolution without medical therapy is poor. [76][77][78] The decision to treat with antibiotics should therefore be made on clinical grounds alone.…”

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

View full text Add to dashboard Cite

“…Acute sinusitis differs from chronic sinusitis, in which there is a poor correlation between the site of facial pain and evidence of sinus pathology [19,35]. Pain may occur only during an acute exacerbation or with obstruction of sinus ostia.…”

Section: Acute and Chronic Rhinosinusitismentioning

confidence: 99%

The Sinus Headache Explained

Ravindran

Baraniuk

2010

Curr Allergy Asthma Rep

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The concept of a sinus headache is problematic from neurology, allergology, and rhinology perspectives. It may be considered the final neurological diagnosis of exclusion when criteria for other craniofacial pain syndromes are not met. The International Headache Society definition implicates the presence of acute sinusitis, but this requirement is often not met in practice or with a patient's perception of the term. Otorhinolaryngologists have a similar exasperation with this cephalgia but tend to attribute idiopathic, nonallergic rhinopathy as the cause. Allergists often see patients who claim to have a sinus headache but instead have perennial allergic rhinitis or nonallergic rhinitis. A fresh perspective is required to determine the characteristics, differential diagnosis, and veracity of the sinus headache. We recommend using the term with caution only if the clinical picture meets the criteria for acute sinusitis-induced headache.

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“…In addition, a significant number of patients have incidental mucosal changes on CT, in the absence of symptoms [27]. Moreover the extent of mucosal changes on CT does not correlate with severity of symptoms [28,29].…”

Section: Imagingmentioning

confidence: 99%