Nasal and paranasal sinus anomalies in children with chronic sinusitis

Milczuk, Henry A.; Dalley, Robert W.; Wessbacher, Frank W.; Richardson, Mark A.

doi:10.1288/00005537-199303000-00002

Cited by 82 publications

(57 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a previous study of 114 cases Milczuk et al [12] found the uncinate process to be laterally bent in 11 cases (9.64 %). The exact prevalence of these variations and their relation to sinus disease is not determined.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Endoscopic and Computed Tomographic Evaluation of Influence of Nasal Septal Deviation on Lateral Wall of Nose and Its Relation to Sinus Diseases

Poorey

Gupta

2014

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

To correlate symptoms of deviated nasal septum (DNS) and chronic rhinosinusitis with the findings of nasal endoscopy and computed tomographic (CT) imaging. To evaluate the influence of degree of septal angle deviation on the severity of lateral nasal wall abnormalities. A prospective study was conducted on 67 patients with clinical evidence of DNS and chronic sinusitis attending ENT OPD between January 2012 and September 2013. All these patients underwent nasal endoscopy and CT scan PNS coronal sections. Direction and degree of DNS was recorded. Range of sinus mucosal thickening on CT scan films was also recorded. Chronic sinusitis is common in the age group between 21 and 40 years (50.74 %) with male preponderance (55.22 %), chief symptoms being nasal obstruction (86.56 %), headache (73.13 %) and nasal discharge (52.23 %). Left sided DNS is more common (64.17 %). Most of the patients have moderate DNS, i.e. 6°-10°(56.7 %), followed by severe (22.4 %) and then mild (20.9 %). DNS results in compensatory structural changes in the turbinates and/or lateral nasal wall which causes ostiomeatal complex (OMC) obstruction resulting in sinusitis. Contralateral concha bullosa and ethmoid bulla prominence was noted. Maxillary sinus is most commonly affected sinus (73.13 %). Patients with increasing septal angles were associated with a higher incidence of maxillary sinus mucosal changes (p \ 0.05). Present study reemphasized the concept that septal deviation causes obstruction at OMC which results in an increased incidence and severity of bilateral chronic sinus disease.

show abstract

Section: Discussionmentioning

confidence: 90%

“…As a consequence of various anatomic and functional relationships immediately adjacent to the OMC, proliferation of disease into the anterior sinuses is natural [4,12]. Nasal endoscopic examination in conjunction with CT scan has proven to be ideal combination in recent years.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic and Computed Tomographic Evaluation of Influence of Nasal Septal Deviation on Lateral Wall of Nose and Its Relation to Sinus Diseases

Poorey

Gupta

2014

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…[2][3][4] Several radiographic studies have shown a significant relationship between Haller cells' size (greater than 3 mm) and maxillary sinusitis. [5][6][7] To date, there have been few studies comparing image quality in cone beam CT (CBCT) scans with that in multislice CT. 8 Cadaver and clinical studies have provided the principle evidence for the application of CBCT imaging to endoscopic sinus surgery, concluding that both spatial and soft-tissue contrast were sufficient to aid surgical navigation in the sinonasal cavity. [9][10][11] Preliminary evidence suggests that CBCT may be suited to specific imaging tasks in the context of bony structural evaluations enabling low-dose assessment of sinonasal anatomy.…”

Section: Introductionmentioning

confidence: 99%

Cone beam CT analysis of Haller cells: prevalence and clinical significance

Mathew

Omami²,

Hand³

et al. 2013

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

Objectives: Haller cells are anterior ethmoid air cells located in the medial orbital floor immediately lateral to the maxillary infundibulum. The purpose of this study was to demonstrate the prevalence and relationship between the existence and size of these cells with ipsilateral maxillary sinusitis and orbital floor dehiscence as visualized on cone beam CT (CBCT) images. Methods: CBCT image volumes of 50 patients were retrieved and analysed. All CBCT images were acquired with a 9-inch field of view scan. x 2 and Cochran-Mantel-Haenszel tests were used for statistical analysis of the obtained data, and p-values of ,0.05 were considered to be statistically significant. Results: There was no statistically significant association between the existence and size of Haller cells and maxillary sinusitis. There was a significant association between Haller cells and orbital floor dehiscence. Conclusions: The explanation of maxillary sinusitis on the basis of mechanical obstruction is unlikely. This study provides evidence for the usefulness of CBCT scan in delineation of the sinonasal anatomy.

show abstract

“…One prevailing theory considers that ongoing inflammatory mucosal disease leads to decreased pneumatization similar to poor temporal bone pneumatization in chronic otitis media. 46 The general lack of chronic ear disease in CF patients and normal temporal bone development argues against this hypothesis. 47 However, genotype does appear to influence paranasal sinus development as individuals homozygous for the F508del mutation have shown a significantly increased frequency of underdeveloped frontal (98%), maxillary (70%), and sphenoid (100%) sinuses when compared with other genetic mutations (69,8, and 50%, respectively), suggesting CFTR may be a primary contributor to sinus development.…”

Section: Pathophysiology Of Crsmentioning

confidence: 99%