The role of plain radiographs in the diagnosis of chronic maxillary rhinosinusitis in adults

Kolo, Emmanuel Sara

doi:10.4314/ahs.v12i4.10

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…There were more males with the disease in this study. This agrees with the findings from other similar studies on chronic rhinosinusitis where the disease has been reported to have a higher male sex predilection [ 16 , 17 ].…”

Section: Discussionsupporting

confidence: 93%

Chronic rhinosinusitis: correlation of symptoms with computed tomography scan findings

Amodu¹,

Fasunla²,

Akano³

et al. 2014

Pan Afr Med J

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IntroductionSymptomatology, nasal endoscopy and Computerised Tomographic (CT) scan have been used to diagnose chronic rhinosinusitis. The value of disease severity score in the assessment of chronic rhinosinusitis has not been well investigated. Hence, this study aims to correlate the pre-operative symptom severity score as well as overall disease severity scoreof patients with chronic rhinosinusitis with CT scan scores.MethodsThis is a prospective study of 60 patients diagnosed clinically with chronic rhinosinusitis. Each patientsubjectively assessed his/her presenting symptoms and severity of disease on a visual analogue scale. The patients had CT scan of the paranasal sinuses which were graded and scored using Lund-Mackay grading system. The correlation study between severity of symptoms/disease severity and CT scores was performed. The level of statistical significance was considered at p < 0.05 and confidence interval at 95%.ResultsAll patients had more than one symptom with mean symptom severity scores highest for nasal discharge and nasal obstruction. There was a significant correlation between CT scores and nasal discharge (r = -0.132; p = 0.03)and nasal obstruction (r = 0.193; p = 0.049). No correlation with other symptoms. There wasno correlation between the overall disease severity scores and the Lund-Mackay CT scores (r = 0.195; p = 0.6).ConclusionThis study showed that CT scan scores can help clinicians to predict severity of symptom for nasal obstruction and discharge but not for other symptoms of chronic rhinosinusitis. However, there was no association of CT score with the overall disease severity score.

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Section: Discussionsupporting

confidence: 93%

Chronic rhinosinusitis: correlation of symptoms with computed tomography scan findings

Amodu¹,

Fasunla²,

Akano³

et al. 2014

Pan Afr Med J

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show abstract

“…[ 20 ] found a slight male preponderance in their studies on patients presenting with rhinosinusitis. The mean duration of CRS symptoms revealed by this study was also within the range reported by previous studies where mean duration of CRS ranged between 2 to 6 years [ 6 , 7 , 21 , 22 ]. This high mean duration may be as a result of the fact that many of our patients in this environment tend to take the nasal symptoms as a common but simple problem.…”

Section: Discussionsupporting

confidence: 90%

Clinical evaluation and nasoendoscopic scores of patients with chronic rhinosinusitis in Ilorin, Nigeria

et al. 2021

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Introduction chronic rhinosinusitis (CRS) is characterised by inflammation of the mucosal lining of the nose and paranasal sinuses for at least 12 weeks duration. Other than the diagnostic criteria that is based on clinical features; nasoendoscopy and/or computerized tomographic scan have been included in the diagnosis. This study seeks to outline the clinical evaluation and nasoendoscopic assessment of CRS patients. Methods a hospital-based analytical study carried out on 154 participants. Clinical assessment and nasoendoscopy were performed and scored according to the discharge, inflammation and polyps/oedema (DIP) scale. Statistical analysis was carried out and results were presented in charts and tables. Results of the 154 participants, 71 (46.1%) were males and 83 (53.9%) females with a male to female ratio of 1: 1.7. Nasal discharge and blockage were the commonest symptoms. Nasoendoscopy had higher yield in the examination of intranasal polyps (NPs) over anterior rhinoscopy. The prevalence of NPs was 26.6%. The result of DIP nasoendoscopic findings revealed more participants with moderate scores. There was a significant statistical difference between the presence of NPs on nasoendoscopy and DIP score. Conclusion nasoendoscopy is an important aspect in the diagnosis and evaluation of patients with CRS. It provides a better visualization of NPs; therefore, it should be made routine in the clinical assessment and treatment of patients with CRS. The nasal endoscopic scoring of CRS should be considered as a common practice in clinical setting as well.

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“…1 Rhinosinusitis is a major health issue that is associated with an increase in the prevalence of allergic rhinosinusitis all over the world. 2,3 Reports show that the CT scan can evaluate the nasal cavities, osteomeatal complex, and paranasal sinuses simultaneously. In addition, CT scan is reliable, accurate, and effective in showing the extent of disease and complications related to it.…”

Section: Introductionmentioning

confidence: 99%

The frequencies of different types of nasal septum deviation and their effect on increasing the thickness of maxillary sinus mucosa

Taghiloo

Halimi

2019

J Dent Res Dent Clin Dent Prospects

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Background. Diseases of the paranasal sinuses are very prevalent in East Azerbaijan Province, Iran, which is attributed to various reasons, including environmental and anatomical factors. This study investigated the prevalence of anatomical variations of nasal septum deviation and evaluated the effect of this factor on increasing the mucosal thickness of the sinuses. Methods. The samples included all the patients referred to Tabriz Faculty of Dentistry, and the frequency of nasal septum deviation in the sample population was evaluated. The samples were re-examined to select the samples with a thickened mucosa of the maxillary sinus. The results were reported using descriptive statistical methods. Results. Deviation of the nasal septum was seen in 75% of the cases. The results showed that 31.76 % of males and 56.67% of females had an increased maxillary sinus mucosa thickness. Conclusion. There was a significant relationship between nasal septum deviation and thickening of the maxillary sinus mucosa.

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The role of plain radiographs in the diagnosis of chronic maxillary rhinosinusitis in adults

Cited by 9 publications

References 8 publications

Chronic rhinosinusitis: correlation of symptoms with computed tomography scan findings

Chronic rhinosinusitis: correlation of symptoms with computed tomography scan findings

Clinical evaluation and nasoendoscopic scores of patients with chronic rhinosinusitis in Ilorin, Nigeria

The frequencies of different types of nasal septum deviation and their effect on increasing the thickness of maxillary sinus mucosa

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