CT Findings in General Practice Patients with Suspected Acute Sinusitis

Lindbæk, M.; Johnsen, U. L.-H.; Kaastad, E.; Dølvik, S.; Møll, P.; Lærum, E.; Hjortdahl, P.

doi:10.3109/02841859609177704

Cited by 13 publications

(4 citation statements)

References 6 publications

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“…When we use CT as the reference standard for AMS, this study showed that only 70% of patients suspected by the GP of having AMS had radiological signs of AMS, but the study also showed a great variation of CT findings in patients with similar signs and symptoms, which is in accordance with other studies (7, 8, 13). In clinically diagnosed patients, we were only able to demonstrate a significant association with purulent nasal discharge, increased CRP, elevated ERS rate and a limited association with unilateral oedema over maxillary sinus, and preceding URTI.…”

Section: Discussionsupporting

confidence: 90%

“…Relying on symptoms and signs are shown to be rather uncertain (1, 5–7). Computerized tomography scan (CT) of the sinuses may be the diagnostic test of choice, and is used in this way in many studies (8–11). Besides, CT is also especially valuable for visualizing all the sinus regions, if necessary (8).…”

mentioning

confidence: 99%

“…Computerized tomography scan (CT) of the sinuses may be the diagnostic test of choice, and is used in this way in many studies (8–11). Besides, CT is also especially valuable for visualizing all the sinus regions, if necessary (8). Yet, there are varying reports of both positive and negative correlation between sinonasal symptoms and CT evidence of rhinosinusitis (12, 13).…”

mentioning

confidence: 99%

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The association between paranasal computerized tomography scans and symptoms and signs in a general practice population with acute maxillary sinusitis

Hansen¹,

Lund²

2010

Apmis

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The objective of this study was to evaluate the association between changes revealed by computerized tomography scan (CT) and symptoms, signs, and bacteriological diagnoses in a general practice population who had been diagnosed with acute maxillary sinusitis (AMS). This study was designed as a prospective cohort study in Danish general practice in cooperation with the otorhinolaryngology and neuroradiology departments at Aalborg County Hospital. One hundred and seventy-four patients, aged 18-65 years, suspected of having AMS were included. The strongest associations were with purulent nasal discharge, preceding upper respiratory tract infection, maxillary toothache and oedema over the maxillary sinuses. Self-reported previous sinusitis was negatively associated with sinus infection. There was a strong association between increasing values of C-reactive protein (CRP) and erythrocyte sedimentation rate and changes on the CT scan. CT scans contributed only little to the final diagnosis, whereas increased CRP values and elevated erythrocyte sedimentation rates were more reliable indicators of inflammation in the sinuses.

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The association between paranasal computerized tomography scans and symptoms and signs in a general practice population with acute maxillary sinusitis

Hansen¹,

Lund²

2010

Apmis

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“…Lately it has also been used in the diagnostic process of acute sinusitis,15 16 documenting involvement of several sinuses, mainly the maxillary and ethmoid sinuses 17 18. Computed tomography was used as a reference standard in the present study.…”

Section: Introductionmentioning

confidence: 99%