Diagnosis and Pathology of Unilateral Maxillary Sinus Opacification with or without Evidence of Contralateral Disease

Kaplan, Brian A.; Kountakis, Stilianos E.

doi:10.1097/00005537-200406000-00005

Cited by 45 publications

(28 citation statements)

References 22 publications

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“…[5][6][7] Bilgisayarlı tomografide (BT) tek taraflı maksiller sinüs opasifikasyonu görülen hastaların değerlendirildiği ça-lışmalarda da en çok inflamatuvar hastalıkların görül-düğü (%42-46) tespit edilmiştir. 8,9 Tritt'in 7 tek taraflı 44 nazal polipli hastanın değerlendirildiği bir çalışmada en sık nedenin kronik sinüzitin olduğu tespit edilmiş, neoplastik hastalıklar arasında ise inverted papillom varlığı %16 sıklıkta bulunmuştur. Aynı çalışmada mukosel oranı %2.2 olarak bulunmuş ve üç malign hastalık tespit edilmiştir.…”

Section: Discussionunclassified

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Evaluation of patients with unilateral endoscopic sinus surgery

Erkul¹,

Cekin²,

Kurt³

et al. 2013

Turk Arch Otolaryngol

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Section: Discussionunclassified

“…4,7 Bununla beraber kemik erozyonuna bağlı ağrı, kanama ve burun tıkanıklığı malign hastalıklarda daha sık görülür. 5,9 Koku bozukluğu olan hastalarda estesionörob-lastoma akılda tutulmalıdır. 15 Bizim çalışmamızda neoplastik hastalıklarda epistaksis ve görme bozukluklarının görülme risklerinin daha fazla olduğu tespit edildi.…”

Section: 13-15unclassified

Evaluation of patients with unilateral endoscopic sinus surgery

Erkul¹,

Cekin²,

Kurt³

et al. 2013

Turk Arch Otolaryngol

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“…15 Early identification of inverting papillomas and mucoceles may avoid delay in surgical intervention, whereas acute/chronic rhinosinusitis and nasal polyposis can initially be managed medically. Careful history, endoscopic examination, and radiographic studies can often determine the responsible disease process.…”

Section: Figure 10: Classification Of Cases On the Basis Of Nasal Patmentioning

confidence: 99%

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

Verma

Tyagi

Srivastava³

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Pathological lesions of the paranasal sinuses include a wide spectrum of conditions ranging from inflammation to neoplasms both benign and malignant. Most patient of common cold present with symptoms of nasal discharge, nasal obstruction, headache and nasal allergy etc. The patient of paranasal mass usually present with facial deformity, swelling or repeated episodes of epistaxis. The aim of the study was to establish the role of CT in evaluation of pathologies and their proper early diagnosis.Methods: It is a prospective study. A total of 100 patients who were referred to our department with clinical suspicion of PNS disease underwent CT evaluation of PNS using 64 multi slice CT scanner from December 2012 to October 2015. Results: Out of 100 cases 51 (51%) cases were males and rest 49 (49%) patients were females. The majority of the cases were of age group 16-30 which were 37case (37%) The most common symptoms were nasal obstruction (50%), followed by nasal discharge (49%), headache in 20% cases. Most common anatomical variations seen was deviated nasal septum (49%) more commonly on right side next common was agger nasi in 48% of cases. Maxillary sinuses are most commonly involved in the study (82 cases), followed by the ethmoid sinuses (ant. group 77 cases, post group 40 case) and frontal sinus 55 cases. The most common pathology seen was masses in 30% cases followed by DNS in 21% cases. The most common form of mucosal thickening noted is circumferential type seen in 7% cases. The most common pathology involving the sinuses was sinusitis (30%) followed by polyp (25%).Conclusions: Most of the patients with PNS pathology were from 2nd and 3rd decade. Slight male preponderance was noted. Majority of the patients presented with nasal obstruction. Most common anatomical variant seen was DNS. Most common sinus involved was maxillary. Sinonasal pathologies were the most common followed by pure nasal or pure sinosal. The most common pathology was inflammatory (74%). The most common benign pathologies were polyps with 92% accuracy. 15% of cases had malignancy with diagnostic accuracy of 90%.

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“…The aetiology is usually an inflammatory condition which can be managed conservatively with medical treatment with few patients requiring surgical intervention [1]. The presence of unilateral symptoms or pathology is regarded with caution as sinonasal neoplasms may also present during their early stages with subtle symptoms that mimic an inflammatory pathology [2].…”

Section: Introductionmentioning

confidence: 99%

A Review of the Clinicopathological and Radiological Features of Unilateral Nasal Mass

Nair

James

Awasthi

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Unilateral sinonasal pathology are common presentations but are regarded with caution as neoplastic conditions during their early stages may mimic an inflammatory pathology. The aim of the review was to analyse the varied presentations of patients with unilateral nasal mass and to identify features suggestive of neoplastic pathology. A retrospective review of all cases of unilateral nasal mass/polyp from Jan 09 to Jan 10 presenting at a tertiary care hospital were analysed. The patients were grouped as per their histopathological diagnosis as inflammatory and neoplastic. The demographic data, presenting symptoms, radiological and histopathological findings were compared between the two groups. Out of the 53 patients of unilateral nasal mass, 44 (83.1%) had inflammatory conditions and 9 (16.9%) had neoplastic conditions. Benign nasal polyp and inverted papilloma were the commonest inflammatory and neoplastic condition. Neoplastic conditions were significantly commoner in males (P = 0.0315) and in the age group above 50 years (P = 0.0046). Epistaxis and extranasal symptoms like facial pain, dental and orbital complaints were found to be significantly higher in neoplastic conditions. Neoplastic lesions of nose and paranasal sinus are one of the most challenging conditions that otolaryngologists have to diagnose and treat due to their hidden nature and late presentations. In our review neoplastic conditions were found to be higher in elderly male with epistaxis, extranasal symptoms and presence of extensive soft tissue involvement and bony destruction on CT scan. The clinician should have a high index of suspicion to rule out a neoplastic aetiology in all cases of unilateral nasal mass.

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Diagnosis and Pathology of Unilateral Maxillary Sinus Opacification with or without Evidence of Contralateral Disease

Cited by 45 publications

References 22 publications

Evaluation of patients with unilateral endoscopic sinus surgery

Evaluation of patients with unilateral endoscopic sinus surgery

Computed tomography of paranasal sinuses for early and proper diagnosis of nasal and sinus pathology

A Review of the Clinicopathological and Radiological Features of Unilateral Nasal Mass

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