The Accuracy of Computed Tomography in the Diagnosis of Chronic Rhinosinusitis

Bhattacharyya, Neil; Fried, Marvin P.

doi:10.1097/00005537-200301000-00023

Cited by 181 publications

(186 citation statements)

References 24 publications

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“…In practice, interviews concerning the causal relation, frequency, latent period and atopic disposition often provide suggestions but sometimes give unreliable evidence to base the diagnosis of occupational nasal allergy. Therefore, nasal provocation tests (144,(1314)(1315)(1316)(1317) are necessary to confirm the causality between the disease and any work exposure (1390 Computerized tomography has become the principal radiological investigation for major sinonasal disorders but is of limited use in the diagnosis of allergic rhinitis (1392)(1393)(1394)(1395)(1396). Computerized tomography scans can be carried out after receiving specialist advice:…”

Section: Diagnosis Of Inhalant Allergymentioning

confidence: 99%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

3,861

1,761

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Section: Diagnosis Of Inhalant Allergymentioning

confidence: 99%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

3,861

1,761

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“…8 CT scan has been frequently used by the clinicians to make diagnosis, delineate disease extent and identify the involved sinonasal structures. 9 It further serves as a road map for the surgeons during endoscopic sinus and base of skull surgeries. 10 Though relatively good prevalence and significant disease persistence encountered in this study, it seems that the usefulness of the diagnostic modality such as sinonasal CT evaluation is underused for the diagnosis of RARS keeping the disease under evaluated many times.…”

Section: Discussionmentioning

confidence: 99%

Radiological significance of isolated ethmoid sinus infections in asymptomatic patients of recurrent acute rhinosinusitis

et al. 2017

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Background: Recurrent acute rhinosinusitis (RARS) being a low form chronic rhinosinusitis (CRS), is relatively under diagnosed many times because of lack of awareness regarding pattern of the disease presentation. Aim of the study is to evaluate the radiological significance of isolated ethmoid sinusitis in patients of RARS during the asymptomatic interval in between acute episodes of rhinosinusitis.Methods: Total 124 patients with history suggestive of RARS who had undergone computed tomography study of brain during April 2015 to October 2016 for indications other than sinonasal diseases, were evaluated for isolated ethmoid sinusitis in the department of Radiology. Patients having any inflammatory or expansile sinonasal masses were excluded.Results: Of total 124 patients of RARS aged from 18 to 70 years (mean age of 38.6 years), the study population included only seventy-two (58%) patients having isolated ethmoid sinus infections, were classified in to mild unilateral group I (46%) cases with grade I or II sinus infections and relatively severe bilateral group II (54%) cases having grade III or IV infections. Infective process involving two to three ethmoid cells each on either side is the most common variety encountered in 39% cases. Prevalence of infective process was fairly equal among all age groups. Statistical correlation between the severity of RARS in patients having group II variety of isolated ethmoid sinus infections was found highly significant.Conclusions: Isolated ethmoid sinus infections are commonly encountered CT findings in adult RARS patients while they are asymptomatic from acute episodes of rhinosinusitis.

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“…Em 73% desses casos, o espessamento mucoso foi o único achado, enquanto que a opacificação total de uma cavidade e o nível líquido ocorreram em uma minoria. Esse predomínio de opacidades discretas em pacientes não portadores de RS é a regra nos dados de literatura 12,13,17,19,22 , assim como o predomínio de opacificação nos seios maxilares (43%) e etmoidais (29%) e a opacificação difusa e bilateral aqui observada 13 .…”

Section: Discussionunclassified

“…Desses critérios, o menos específico é o espessamento mucoso 25,26 . Usando o sistema de escore para medida de opacificação sinusal de Lund e Mackay (SLM), Bhattacharia e Fried estabeleceram que um valor ≥ 4, definido como alta probabilidade de RS, atingiu o melhor escore para acurácia para o diagnóstico 22 . Um SLM ≥ 4 corresponde a ROD ≥ 15 (aqui denominada ROD suspeita), conforme correlação estabelecida em estudo prévio 21 .…”

Section: Discussionunclassified

Clinical progression of incidental tomographic findings in paranasal sinuses of asymptomatic individuals: cohort study

Araújo-Neto¹,

Baracat²

2011

J Pediatr (Rio J)

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Objective: To determine whether the presence of opacification in the paranasal sinuses of children and adolescents without rhinosinusitis implies an increased risk of later development of upper respiratory tract symptoms. Methods:This was a prospective study of a cohort of patients aged 0 to 18 years who underwent computerized tomography (CT) scans for indications unrelated to rhinosinusitis. Sinus opacification was evaluated using an opacification/development ratio score. The patients' clinical progression was followed up using a questionnaire for 1 month after the scans.Results: Fifty-six percent (56%) of the 106 patients enrolled in the study had opacity, the majority due to mucosal thickening. Intense opacification was defined as "suspected" (score ≥ 15) and patients in this subset had a greater risk of developing symptoms during followup (odds ratio = 2.74; 95%CI 1.10-6.83) compared to those with no findings or discrete findings. Conclusions ResumoObjetivo: Verificar se, em crianças e adolescentes sem rinossinusite, a presença de opacificações dos seios paranasais implica em maior risco de desenvolvimento posterior de sintomas do trato respiratório superior.Métodos: Estudo prospectivo de coorte, com pacientes entre 0 e 18 anos, submetidos à tomografia computadorizada do crânio por indicações não relacionadas à rinossinusite. As opacificações sinusais foram aferidas pelo escore razão opacificação/desenvolvimento. A evolução clínica dos pacientes foi então avaliada por questionários durante o mês que se seguia ao exame.Resultados: Dos 106 pacientes incluídos, as opacidades acometeram 56%, a maioria de espessamento mucoso. Opacidades intensas, ditas suspeitas (escore ≥ 15), impuseram maior risco de desenvolvimento de sintomas no seguimento (odds ratio = 2,74; IC95%:1,10-6,83), em comparação aos exames normais ou às opacidades discretas. Conclusão:Opacidades tomográficas sinusais incidentais em crianças e adolescentes oferecem risco de desenvolvimento futuro de quadro clínico respiratório quando intensas. J Pediatr (Rio J) IntroduçãoA inflamação sintomática do revestimento mucoso dos seios paranasais (SPNs), conhecida por rinossinusite (RS), é altamente prevalente e pode ser classificada em aguda, recorrente e crônica 1 . A RS aguda (RSA) é uma das cinco indicações mais frequentes para a prescrição de antibióticos 2 e, por isso, é desejável que não seja confundida com outras enfermidades a fim de evitar o uso desnecessário desses medicamentos.O diagnóstico da RS é prioritariamente clínico 1 . A radiografia simples apresenta baixa acurácia, sendo, atual-

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The Accuracy of Computed Tomography in the Diagnosis of Chronic Rhinosinusitis

Abstract: The paranasal sinus CT scan exhibits good sensitivity and above-average specificity for the diagnosis of CRS. When added to the history and physical findings, CT may add to the diagnostic accuracy of CRS.

Cited by 181 publications

References 24 publications

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Radiological significance of isolated ethmoid sinus infections in asymptomatic patients of recurrent acute rhinosinusitis

Clinical progression of incidental tomographic findings in paranasal sinuses of asymptomatic individuals: cohort study

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