Haziness in X-Ray Paranasal Sinus Water’s View in Sinusitis: A Fact or Fiction

Gujrathi, Aatish; Wakode, PT

doi:10.1007/s12070-011-0366-8

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…In case of sinusitis haziness is seen in 97.6% of the X-rays. 14 In our study the X-ray of the para nasal sinus showed maxillary sinus haziness or mucosal thickening in 32 patients (61.5%).…”

Section: Discussionsupporting

confidence: 48%

An endoscopic study on the prevalence of the accessory maxillary ostium in chronic sinusitis patients

Varadharajan

Sahithya

Venkatesan

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic maxillary sinusitis is one of the common ENT problems. Accessory maxillary ostium (AMO) has been postulated in many publications to play a role in the development of chronic maxillary sinusitis. AMO is found in the medial wall of maxillary sinus and located in the lateral wall of the nose. It’s been frequently identified in the routine nasal endoscopy. The variations in the location of AMO have been evaluated by nasal endoscopy in live subjects or through cadaver dissections by many authors. This live study is conducted to identify the prevalence of AMO during nasal endoscopic evaluation of chronic sinusitis patients.Methods: 52 adult patients with symptoms of chronic sinusitis attending the ENT outpatient department were selected and subjected to X-ray of the paranasal sinuses and laboratory tests. Nasal endoscopy was done in all patients to identify the presence and location of the AMO and the results presented. Results: In the 52 patients studied the X-ray of the paranasal sinuses showed positive signs of sinusitis in 32 patients (61.5%). During nasal endoscopy in those 32 patients AMO was identified in 20 patients (62.5%).Conclusions: In patients presenting with symptoms of chronic sinusitis, apart from routine X-ray of the para nasal sinus, identification of the AMO during nasal endoscopy provides an additional evidence of obstruction of the natural ostia of the maxillary sinus. This will be valuable information to the surgeon who is contemplating on a surgical treatment to manage the chronic sinusitis.

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Section: Discussionsupporting

confidence: 48%

An endoscopic study on the prevalence of the accessory maxillary ostium in chronic sinusitis patients

Varadharajan

Sahithya

Venkatesan

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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“…Various studies reported the sensitivity and specificity of the X-ray PNS in diagnosing sinusitis, which ranges from 41%-95% and 30%-85%, respectively [ 12 - 15 ]. But the diagnostic ability of the X-ray PNS with respect to individual sinuses was not studied.…”

Section: Discussionmentioning

confidence: 99%

Role of Thermography in the Diagnosis of Chronic Sinusitis

Raja

Vijayakumar

Archana

et al. 2018

Cureus

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IntroductionThermography is a form of radiography that images the skin surface temperature. Thermograms are pictorial representations of thermal maps of the entire body’s outer surface. Thermography was applied as an attempt to evaluate its usefulness in the diagnosis of chronic sinusitis (CS). Hence, this study was done to determine the diagnostic value of thermography for patients suffering from CS.MethodologyPatients attending the Department of Otorhinolaryngology and Head and Neck Surgery over a two years' duration with symptoms suggestive of CS were included in this diagnostic evaluation study. X-ray paranasal sinuses (PNS) and nose, thermography of head and neck, and computed tomography (CT) of PNS and nose (axial and coronal sections) were performed on them. The thermograms and X-ray sinuses obtained were compared with the computed tomography of PNS findings.ResultsThe study population consisted of 167 patients (75 males and 92 females) and the mean age of the study population was 38.6 years. The sensitivity and specificity of thermography of the head and neck in diagnosing frontal, ethmoidal, maxillary, and sphenoidal sinusitis were 92.59% and 68.58%, 100% and 66.32%, 70.06% and 85.88%, 99.18% and 0%, respectively. Whereas the sensitivity and specificity of the X-ray PNS and nose in diagnosing frontal, ethmoidal, maxillary, and sphenoidal sinusitis were 92.59% and 77.88%, 73.61% and 81.05%, 89.19% and 98.92%, 74.44% and 99.18%, respectively.ConclusionThermography is better than X-rays in diagnosing frontal and ethmoidal sinusitis and as good as X-ray PNS and nose in diagnosing maxillary sinusitis. Thermography failed to pick up sphenoidal sinusitis. The advantages of thermography are that it is a radiation-free, non-invasive, and cost-effective method for diagnosing CS.

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“…Both exams have variable but generally moderate sensitivity and specificity according to published data. [10][11][12][13][14][15][16][17][18][19] A previous study in our hospital revealed that the diagnostic rates of sinus ultrasound and sinus plain film were 78.4% and 75.6%, respectively. 13 Although they are widely used in daily practice for the investigation or follow-up of bacterial sinusitis, there has been no study addressing the use of these imaging modalities in fungal sinusitis.…”

Section: Introductionmentioning

confidence: 99%

Combining sinus plain film and sinus ultrasound as a screening tool for maxillary fungal sinusitis

Hung

Kuan

et al. 2022

Journal of the Chinese Medical Association

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Background: Early identification of fungal sinusitis remains a challenge. Previously, we observed a high false negative rate of using A-mode ultrasound to diagnose maxillary fungal sinusitis. This study aims to assess the accuracy of the diagnosis of fungal maxillary sinusitis using sinus plain film and ultrasound. Methods: The screening criteria is defined as the combination of a positive sinus plain film and a false negative sinus ultrasound. We retrospectively reviewed preoperative imaging of patients with fungal sinusitis and unilateral bacterial sinusitis of the maxillary sinus undergoing functional endoscopic sinus surgery from May 2013 to December 2019 in our hospital and evaluated the diagnostic performance of this screening method. Results: Forty-eight patients were included. Twenty-two and 26 patients were diagnosed with fungal sinusitis and bacterial sinusitis, respectively. Sixteen patients (72.7%) with fungal sinusitis presented with a false negative sinus ultrasound and met our screening criteria for fungal sinusitis. The screening criteria reached significance in the receiver operating characteristic curve analysis (p < 0.001). The area under the curve was 0.829. The sensitivity, specificity, and accuracy are 72.7%, 93.2%, and 88.4%, respectively. Conclusion: A high false negative rate of sinus ultrasound in patients with fungal sinusitis was found. A positive sinus plain film combined with a false negative sinus ultrasound can potentially become an easy and cost-effective screening tool for diagnosing fungal maxillary sinusitis before consideration of computed tomography scanning.

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Haziness in X-Ray Paranasal Sinus Water’s View in Sinusitis: A Fact or Fiction

Cited by 5 publications

References 11 publications

An endoscopic study on the prevalence of the accessory maxillary ostium in chronic sinusitis patients

An endoscopic study on the prevalence of the accessory maxillary ostium in chronic sinusitis patients

Role of Thermography in the Diagnosis of Chronic Sinusitis

Combining sinus plain film and sinus ultrasound as a screening tool for maxillary fungal sinusitis

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