Retrospective analysis of the risk of neoplasia associated with unilateral maxillary sinus opacification on computed tomography

Mughal, M Zulf; Daffu, Karanvir; Adeoti, Rachael; Swaminathan, Ramanathan; Henney, Scott

doi:10.1017/s0022215122000470

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…It could be due to sustained release of inflammatory mediator by tumour cell. Some authors [ 28 ] suggested that high inflammatory cell population may help to predict IP recurrence or apparent malignant transformation. However, the correlation of IP recurrence and persistent inflammation need be further studied because of smaller sample in present study.…”

Section: Discussionmentioning

confidence: 99%

The choice of endoscopic surgical approach and four steps of operation of inverted papilloma of the maxillary sinus

Lou

2023

BMC Surg

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Objective The aim of this study was to determine the long-term efficacy of four steps of operation on the treatment of maxillary sinus (MS) inverted papilloma (IP). Methods 83 patients who were diagnosed with IP that originated from the MS, underwent four step procedure of attachment sites, including mucosal stripping, periosteum ablation, bone drilling and bone ablation and had postoperative follow-up of 3 years were enrolled. Results Of the 83 patients, 59 (71.1%) patients were primary surgery and revision surgery in 24 (28.9%), single attachment was in 31(37.3%) patients and multifocal attachments in 52 (62.7%).When the numbers were not mutually exclusive, the most common origin sites of IPs were the medial wall in 54 (37.2%), lateral wall in 29 (20.0%), anterior wall in 18 (12.4%), inferior wall in 22 (15.2%), posterior in 15 (10.3%), and superior wall in 7 (4.8%). Large MMA alone was performed in 5 (6.0%), MMA combined with medial maxillectomy 76 (91.6%), and MMA combined with Caldwell-Luc approach in 2 (2.4%). No major intra- or postoperative complications were observed. The average follow-up was 41 months (range, 37–61 months). CT and endoscope showed that tumor and symptom recurrence occurred in 2 patients (2.41%). In addition, although the opening of antrostomy was closed and CT revealed the uniform soft tissue shadow and hyperostosis of MS in 11(13.3%) patients, they didn’t report any symptoms and showed well epithelization of middle meatus mucosa. Conclusion The four steps of operations of attachment sites of MS IP, including mucosal stripping, periosteum ablation, bone drilling and bone ablation, may effectively prevent the recurrence of MS IP.

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Section: Discussionmentioning

confidence: 99%

The choice of endoscopic surgical approach and four steps of operation of inverted papilloma of the maxillary sinus

Lou

2023

BMC Surg

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“…Furthermore, our study revealed that of the 85 patients who were afflicted, 52 (61.1%) were men and 33 (38.9%) were women, making up the bulk of the patient population. According to multiple studies that have shown a 56% frequency of bone erosion in AFRS, African American men are reportedly 15 times more likely to be affected than Caucasians and African American women combined (22) .…”

Section: Discussionmentioning

confidence: 99%

An Analysis of the Occurrence of Bone Erosion on Computerized Tomography Scans in Allergic Fungal Rhinosinusitis

Khan,

Saleem,

Umar

et al. 2023

PJMHS

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Objective: Bone erosion on a CT scan may be an indication of osteoarthritis, rheumatoid arthritis, or bone infections, among other diseases. Tumors and other bone conditions may also be to blame. A doctor would need to analyze the CT scan and maybe do other tests or imaging investigations to identify the source of bone degradation. The study's goal is to examine the prevalence and locations of bone erosion on computed tomography scans in Pakistani patients with allergic fungus rhinosinusitis. Methods: This retrospective observational study was conducted at The study was conducted in PAC Hospital Kamra, Pakistan, between January 2013 and December 2022. 85 of the patients who had bone erosions on a computed tomography scan out of a total of 230 instances of allergic fungal rhinosinusitis were included in the research. Evaluation of bone erosion in various paranasal sinuses and their sub-sites. Patients were categorized into three groups based on how much bone erosion they had: mild, moderate, and severe. Mild instances were those with erosion at a single site, moderate cases had erosion at two subsites, and severe cases had erosion at more than two subsites. Results: In 85 (36.9%) of the patients, bone erosion was discovered after a thorough analysis of the computed tomography scan of the paranasal sinuses. The average impacted age was 23.96 ± 12.71. There were 33 women and 52 men, or 61.1% of the total. The ethmoid sinus was the sinus that had bone erosions the most often. Frontal sinus 24 (16.6%), maxillary sinus 55 (38.19%), sphenoid sinus 27 (18.75%), and maxillary sinus 38 (26.38%) are listed in that order. Out of 85 patients, 15 (17.6%) had a severe illness, 22 (25.8%) had moderate disease, and 48 (56.1%) had mild disease. Implication: The radiological evaluation of illness, regardless of the method and scoring system employed, is crucial because it allows the otolaryngologist and the radiologist to stratify the severity of the disease in instances of AFRS and aids in clinical evaluation and the avoidance of problems Conclusions: Bone erosion occurs frequently in allergic fungal rhinosinusitis. The ethmoid sinus is the most frequently affected paranasal sinus in terms of bone erosion, and computerized tomography (CT) scan is a crucial and efficient inquiry in detecting these erosions. Keywords: rhinosinusitis, bone erosion, sinusitis, radiological evaluation

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Retrospective analysis of the risk of neoplasia associated with unilateral maxillary sinus opacification on computed tomography

Cited by 2 publications

References 17 publications

The choice of endoscopic surgical approach and four steps of operation of inverted papilloma of the maxillary sinus

The choice of endoscopic surgical approach and four steps of operation of inverted papilloma of the maxillary sinus

An Analysis of the Occurrence of Bone Erosion on Computerized Tomography Scans in Allergic Fungal Rhinosinusitis

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