Liability of ultrasound in maxillary sinus disease

Mann, W.; Beck, Chl.; Apostolidis, Th.

doi:10.1007/bf00463193

Cited by 56 publications

(12 citation statements)

References 5 publications

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“…For chronic sinusitis, a statistically significant correlation between ultrasound and X-ray diagnoses of mucosal thickening and fluid retention, was reported by Mann et al in their study in 1977 (10). The correlation between radiographic lateral mucosal thickening and A-US results was also statistically significant in the group of chronic sinusitis patients studied by Revonta (1980) (14).…”

Section: Introductionmentioning

confidence: 61%

“…A-US has proved to be a clinically reliable detec-tor of fluid retention in patients suffering from acute maxillary sinusitis in most studies. Mann et al (1977) reported a confidence of 90.2% between A-US and puncture findings in a series of 256 acute suspected maxillary sinusitis patients (10). Revonta (1979) found that fluid retention in the maxillary sinus could be even more reliably diagnosed with A-US in children (96%) (11).…”

Section: Introductionmentioning

confidence: 99%

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A-mode Ultrasound in the Diagnosis of Chronic Polypous Sinusitis

Vento

Ertama²,

Hytönen³

et al. 1999

Acta Oto-Laryngologica

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A-mode ultrasound (A-US) is a simple, non-invasive and non-ionizing method for detecting fluid or even mucosal swelling in inflamed maxillary and frontal sinuses. A-US has been shown to be a quite reliable tool in the diagnosis of acute maxillary sinusitis. However, controversy still exists over the reliability of A-US in detecting fluid retention or mucosal swelling in patients suffering from chronic polypous rhinosinusitis or in transantrally operated maxillary sinuses. We have compared the results of maxillary sinus A-US with computed tomography (CT) images in a selected series of chronic polypous rhinosinusitis comprising 40 patients. Fluid retention was seen in 20 of 79 maxillary sinuses on CT scanning. Only 6 of these 20 retentions were detected with A-US. There were 11 false positive findings. In six of these cases a back-wall echo was received through polypoid masses in the sinus. Mucosal swelling was also difficult to diagnose. The results of A-US were not easily reproduced; only in 50% of cases were identical results obtained by two investigators. We do not recommend the use of A-US to diagnose fluid retention or mucosal swelling in a patient with chronic mucosal changes in the maxillary sinus or if surgery has been performed on the anterior wall of the maxillary sinus.

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Section: Introductionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

A-mode Ultrasound in the Diagnosis of Chronic Polypous Sinusitis

Vento

Ertama²,

Hytönen³

et al. 1999

Acta Oto-Laryngologica

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“…The advantages of this diagnostic procedure have been described several times (1)(2)(3)(4). Broader application was limited not only due to the subtle handling and difficulties in individual equipment adjustments but also to a lack of formal training in the interpretation of various echograms.…”

Section: Uliyilmentioning

confidence: 99%

Diagnostic Ultrasonography in Paranasal Sinus Disease A 5-Year Review

Mann¹

1979

ORL

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“…The most common cause of a false negative ultrasonic finding was the small amount of secretion, which could not carry the ultrasonic beam to a perpendicular bony back wall (10). False positive indications of sinus fluid were mostly caused by mucosal thickening or polypslcysts, which cannot be detected with the same high degree of confidence as fluid either by using the one-dimensional A-mode or the two-dimensional B-mode (8,10).…”

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confidence: 99%

Radiography and Ultrasonography in Paranasal Sinusitis

Jensen¹,

Sydow²

1987

Acta Radiol

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In order to analyze whether ultrasonography with a reasonable degree of confidence can replace radiography in the diagnosis of sinusitis, 138 patients with clinical signs of sinusitis were examined with both methods. It was found that maxillary sinus fluid was recognized ultrasonographically with a confidence that increased with the amount of fluid, judged from radiographic examinations. In a sub-group of 45 cases, fluid confirmed by maxillary sinus puncture was detected by ultrasonography in 35/45 sinuses (78%) and by radiology in 38/45 sinuses (84%). In patients with radiographically normal maxillary sinuses, the correlation to ultrasound was good. However, mucosal swelling and polyps or cysts observed at radiography were poorly demonstrated by ultrasonography. In addition, the ultrasound method was not reliable for frontal sinus diagnosis. It was concluded that ultrasonography can be recommended in maxillary sinusitis for follow-up of treatment and as a screening method before sinus radiography.

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Liability of ultrasound in maxillary sinus disease

Cited by 56 publications

References 5 publications

A-mode Ultrasound in the Diagnosis of Chronic Polypous Sinusitis

A-mode Ultrasound in the Diagnosis of Chronic Polypous Sinusitis

Diagnostic Ultrasonography in Paranasal Sinus Disease A 5-Year Review

Radiography and Ultrasonography in Paranasal Sinusitis

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