CT characterization of inflammatory paranasal sinus disease in cystic fibrosis

Eggesbø, Heidi B.; Søvik, Signe; Dölvik, S.; Kolmannskog, F.

doi:10.1034/j.1600-0455.2002.430105.x

Cited by 42 publications

(55 citation statements)

References 39 publications

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“…In 6 patients (32%), the mucocele caused partial obstruction, and in 13 patients (68%), the resulting obstruction was complete, often along with displacement of the nasal septum. This rate seems comparable to the 82% medial bulging of the lateral nasal wall in advanced maxillary disease among patients with CF who were not yet operated on, as described by Eggesbø et al 17 The presence of an anatomical obstruction, accompanied by subjective congestion or obstruction, is an accepted indication for considering surgery, 2,24 hence the importance of the imaging in these cases.…”

Section: Commentsupporting

confidence: 57%

Restricting Indications for Sinonasal Computed Tomography in Children With Cystic Fibrosis

Cavel¹,

Quintal²,

Marcotte³

et al. 2013

JAMA Otolaryngol Head Neck Surg

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OBJECTIVES To evaluate whether a low rate of exposure to sinonasal computed tomographic (CT) scans can be achieved when strict criteria are applied for their use in children with cystic fibrosis (CF) and to emphasize the importance of limiting radiation exposure in the context of the current longer life expectancy in this group of patients. DESIGN Retrospective chart review. SETTING Tertiary care children's hospital. PATIENTS The study included 277 children who were regularly followed up in the CF clinic in the last 11 years (mean duration of follow up, 7.87 years), 33 of whom underwent sinonasal CT. MAIN OUTCOME MEASURES Indications used for scanning, health professional (ear, nose, and throat specialist or pulmonologist) ordering the test, eventual modifications of ongoing treatment according to CT results, and time lapse between CT scanning and surgery. RESULTS Of 277 children with CF, 33 (12%) underwent a total of 39 sinonasal CT scans during the follow-up period (0.018 scans per patient per year of follow-up). Twenty-nine of the CT scans (74% of all cases, 90% of CT scans ordered by the ear, nose, and throat surgeon) were performed in the preoperative context and demonstrated the extent of the polypoid disease whenever present (26 cases [90%]) and the cause of nasal obstruction (20 cases [69%]). The mean period between the scanning and the surgery was 57 days (range, 0.10-173 days). Computed tomographic scans that were not meant for preoperative planning were performed in 10 cases (26%). The indications were disease evaluation (10%), ruling out a mucocele (5%); pre-lung transplantation status (5%), ruling out an intraorbital complication (3%); and headache investigation (3%). The results of the scans did not modify the management of the disease in those patients. CONCLUSIONS With the use of stringent criteria, it is possible to achieve a low rate of exposure to sinonasal CT scans in the population of children with CF. The main indication should be the preoperative planning regarding anatomy, extent of disease, and sites of nasal obstruction. The use of CT scans for disease evaluation does not seem to appreciably modify the treatment course and could be avoided.

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Section: Commentsupporting

confidence: 57%

Restricting Indications for Sinonasal Computed Tomography in Children With Cystic Fibrosis

Cavel¹,

Quintal²,

Marcotte³

et al. 2013

JAMA Otolaryngol Head Neck Surg

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“…Normal SSCT is common in patients suspected of having sinusitis and has been reported in 27% [102]. In the normal population, only a few patients have more than one inflammatory pattern, while this phenomenon is common in patients with an underlying systemic disease as in CF patients [33].…”

Section: Sporadic (Unclassifiable) Patternmentioning

confidence: 99%

“…Anatomical variants in the OMC may cause a predisposition to mucosal contact and obstruction of mucociliary clearance [27][28][29][30][31][32]. However, at imaging, pneumatisation variants are commonly displayed without concomitant obstruction of the drainage routes [30], and opacification may be seen without pneumatisation and anatomical variants [33,34]. Nasal septal deviation may interfere with mucociliary clearance due to mechanical obstruction of the OMC.…”

Section: Mucociliary Clearancementioning

confidence: 99%

Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses

Eggesbø

2006

Eur Radiol

115

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Paranasal sinus development and pneumatisation variants are described, and rhinosinusitis and different patterns of inflammatory sinonasal diseases are reviewed. Other inflammatory sinonasal diseases, e.g., fungal sinusitis, mucocele, pyocele and sinonasal manifestations in systemic diseases, are briefly described. Computed tomography (CT) is the primary modality in diagnosing and mapping suspected inflammatory sinonasal disease. Magnetic resonance (MR) imaging is complementary to CT if fungal sinusitis, pyocele or malignancy are suspected.

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“…In four studies, 14,16,25,33 it was unclear whether the patients received antibiotics before or during sampling. Fifty percent of the studies 10,11,13,14,17,[22][23][24][26][27][28][29][30][31][32][33]36,38,39,42,45,47,49 provided information about culture methods. Most studies 10,11,14,17,[22][23][24][27][28][29][30][31][32]38,39,42,45,47,49 used conventional culture methods (41%).…”

Section: Figure 1 Flowchart Preferred Reporting Items For Systematimentioning

confidence: 99%

Sinus Bacteriology in Patients with Cystic Fibrosis or Primary Ciliary Dyskinesia: A Systematic Review

Grønhøj

et al. 2017

Am J Rhinol�Allergy

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CT characterization of inflammatory paranasal sinus disease in cystic fibrosis

Cited by 42 publications

References 39 publications

Restricting Indications for Sinonasal Computed Tomography in Children With Cystic Fibrosis

Restricting Indications for Sinonasal Computed Tomography in Children With Cystic Fibrosis

Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses

Sinus Bacteriology in Patients with Cystic Fibrosis or Primary Ciliary Dyskinesia: A Systematic Review

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