Comparison between preoperative computed tomography scan of paranasal sinuses and operative findings in functional endoscopic sinus surgery (FESS) in chronic sinusitis
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 12
Abstract
Background and objectives: The study was done to evaluate the role of computed tomography (CT) in clinically suspected cases of chronic sinusitis for detection, assessment of anatomical variants and pathological abnormalities of nasal cavity and paranasal sinuses. Also findings of CT were co-related with operative findings in functional endoscopic sinus surgery (FESS). The study was conducted on 60 cases attending CT section of Radiodiagnosis Department and ENT Department Rajindra Hospital, Patiala. Materials and Methods: The study was conducted on 60 cases over a period 3 years from 2010 to 2013 irrespective of gender and age group attending the ENT and radiology department. Selections of patients were based on clinical features like nasal or post nasal discharge, nasal obstruction, headache anosmia, cough and hoarseness of voice. Relevant history, clinical examination and CT examination of every patient were done. Results: In our study, the CT scan and operative findings correlated excellently in cases of paradoxical middle turbinate, bony destruction, concha bullosa, polypoidal changes in ethmoidal sinuses and osteomeatal complex normal widening. There was very good agreement between preoperative CT scan and operative findings for concha bullosa, paradoxical middle turbinate, bony destruction, osteomeatal complex normal widening, polypoidal change in sphenoid sinus. The most common pattern observed on CT scan was osteomeatal unit pattern in 35% followed by infundibular pattern (20%), sphenoethmoidal recess pattern (23.3%), unclassified pattern (15%) & sinonasal polyposis pattern (6.6%). Conclusion: CT is the imaging modality of choice to reveal mucosal changes deeper in osteomeatal complex which are not visible endoscopically and to identify extent of paranasal sinus disease. However, endoscopy has complementary role with CT in evaluation of patients of chronic sinusitis.
Authors and Affiliations
Amita Kumari, Amarjit Kaur, Manoj Mathur, Jasvir Singh, Jaswinder Kaur Mohi, Samrin Haq
Keywords
Related Articles
- EP ID EP231780
- DOI 10.17511
- Views 116
- Downloads 0
Double inferior vena cava with L-type crossed fused renal ectopia: A rare case report
Duplication of the inferior vena cava (IVC), a rare anomaly reported to occur in 0.2-3% of the population and is known to be associated with various urogenital tract anomalies such as horseshoe kidneys, crossed fused ect...
To compare the outcome of intramedullary nailing and locking compression plate fixation in treatment of proximal one third tibia fracture: A randomized control trial
Background: Fractures of tibia shaft are most common of long bone fractures. Proximal tibia fractures account for approximately 5% to 11% of all tibial injuries and affect knee function and stability in most of the cases...
Insulin resistance and significance of postprandial lipid profile in normoglycemic coronary artery disease
Background: Coronary artery disease is a continuum of a pathological process, in which the coronary arteries gradually thicken, harden and atherosclerotic plaques develop which further occludes the blood flow. The preval...
Fracture Penis – An atypical presentation
Blunt penile traumatic injury is usually of concern only with an erect penis, when fracture of the tunica albuginea may result. Here we report a case of fracture penis with an atypical presentation.
Effects of Escitalopram on C reactive protein in patients of depression
Objective: To study the anti-inflammatory activity of Escitalopram in newly diagnosed patients of depression. Materials and Methods: 100 Newly diagnosed patients of Depression as per ICD 10 (International classification...