X-Ray Examination and Sinoscopy in Maxillary Sinus Disease

Illum, P; Jeppesen, F; Langebaek, E

doi:10.3109/00016487209128452

Cited by 36 publications

(6 citation statements)

References 3 publications

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“…Computerized tomography (CT) is the best tool in confirming changes in the paranasal sinuses (8), but implies transport of the patient to the C T scanner. Radiographic examination has a high specificity (0.86-0.97) but a much lower sensitivity (0.35-0.74) (8,9). Thus the incidence of affection of the paranasal sinuses found in this investigation is a minimum for the studied group.…”

Section: Discussionmentioning

confidence: 61%

The effect of nasotracheal intubation on the paranasal sinuses: A prospective study of 434 intensive care patients

Pedersen¹,

Schurizek²,

Melsen³

et al. 1991

Acta Anaesthesiol Scand

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A total of 434 patients admitted to the intensive care unit for mechanical ventilation were followed prospectively to investigate the influence of a nasotracheal tube on the paranasal sinuses. Twenty-five patients died before the examination was completed. The rest were examined for clinical symptoms of sinusitis. If sinusitis was suspected or the patients were intubated for 5 days or more, an x-ray of the sinuses was performed. In patients intubated for less than 5 days (N = 357), sinusitis was clinically suspected in three, but radiographically verified in only one. In patients intubated for 5 days or more (N = 47), 23 (49%) had affection of the paranasal sinuses. Patients needing a nasotracheal tube should be examined for sinusitis if they are intubated for more than 5 days or if unexplained fever, sepsis or purulent nasal secretion develops. If the suspicion is confirmed, the nasotracheal tube should be removed.

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Section: Discussionmentioning

confidence: 61%

The effect of nasotracheal intubation on the paranasal sinuses: A prospective study of 434 intensive care patients

Pedersen¹,

Schurizek²,

Melsen³

et al. 1991

Acta Anaesthesiol Scand

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“…Detection of postaugmentation maxillary sinusitis on conventional radiographs is difficult. Misinterpretation may easily occur, for example due to altered pneumatization and sinus depth as a result of the grafting procedure (Illum et al. 1972; Larenne et al.…”

mentioning

confidence: 99%

Maxillary sinus floor elevation surgery

Timmenga

Raghoebar

Weissenbruch

et al. 2003

Clinical Oral Implants Res

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Although augmentation of the maxillary sinus floor with autogenous bone grafts has become a well established preimplantology procedure, its effect on the function of the maxillary sinus has not been the subject of prospective human studies. In this prospective study the effects of sinus floor augmentation on maxillary sinus performance were evaluated. Seventeen consecutive patients who were to undergo augmentation of the maxillary sinus floor with an iliac crest autogenous bone graft agreed to participate in this study. All patients were subject to (i) extensive anamnestic and clinical investigation on sinusitis, (ii) conventional radiography (Waters' projection) and (iii) unilateral endoscopic inspection of the maxillary sinus. This triad of evaluations was performed preoperatively, immediately preceding the augmentation procedure (the maxillary sinus to be inspected endoscopically was randomly selected), and at 3 (at insertion of the implants) and 9 months (at uncovering of implants) postaugmentation. None of the 17 patients showed clinical or radiological signs of actual sinus pathology preoperatively, though 5 patients had a history of an impeded sinus clearance. By contrast, unilateral endoscopic evaluation revealed pre-existing subclinical mucosal pathology in two out of five patients with a history of sinus clearance impairment and in one out of the other 12 patients. At 3 months' postaugmentation, clinical and radiographical examination showed chronic maxillary sinusitis in one non-compromised patient. Moreover, serial unilateral endoscopic evaluation revealed subclinical maxillary mucosal pathology in four other patients (two of whom had a history of an impeded sinus clearance), confirmed by Waters' projection in three of these four patients. At 9 months' postaugmentation, only subclinical maxillary mucosal pathology was detected endoscopically in two patients (one compromised, one non-compromised patient), confirmed by Waters' projection in this last patient. Five implants were lost during the 9-month observation period. As is obvious from this prospective evaluation, the effects of the augmentation procedure on maxillary sinus performance in patients without signs of maxillary sinusitis are of no clinical significance.

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“…The advantages of antroscopy over standard radiography and proof puncture have been well documented by both British and European groups (Ilium et al, 1972;Pfleidereref a/., 1986;Smith and Cable, 1988). Plain film abnormalities such as an 'opaque' antrum and 'polypoidal' mucosal thickening may represent allergic, infective or early neoplastic lesions and antroscopy will clarify this distinction with the option of biopsy available in cases of doubt.…”

Section: Discussionmentioning

confidence: 98%

Antroscopy: current practice—a survey of UK otolaryngologists

Fisher

Croft²

1989

J. Laryngol. Otol.

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The use of antroscopy by otolaryngologists in the UK was assessed by means of a postal questionnaire. A response of 70 per cent was obtained. Thirty-three per cent of otolaryngologists currently perform antroscopy; the principal reason for not using the technique being lack of suitable equipment. Twenty-four per cent of non-users believed that antroscopy would not alter their management of patients, and 19 per cent of all responders thought that antroscopy had no proven clinical role. Few surgeons recognized a role for antroscopy in the treatment of antral disease.Antroscopists preferred to operate on in-patients (73 per cent), under a general anaesthetic (60 per cent) and via the inferior meatus (66 per cent); 76 per cent consider that morbidity is insignificant.There is clearly a need for studies clarifying the role of antroscopy in clinical practice and to establish the cost-effectiveness of the technique.

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X-Ray Examination and Sinoscopy in Maxillary Sinus Disease

Cited by 36 publications

References 3 publications

The effect of nasotracheal intubation on the paranasal sinuses: A prospective study of 434 intensive care patients

The effect of nasotracheal intubation on the paranasal sinuses: A prospective study of 434 intensive care patients

Maxillary sinus floor elevation surgery

Antroscopy: current practice—a survey of UK otolaryngologists

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