The value of Waters' projection for assessing maxillary sinus inflammatory disease

Timmenga, Nicolaas M.; Stegenga, Boudewijn; Raghoebar, Gerry M.; Hoogstraten, Jos van; Weissenbruch, Ranny van; Vissink, Arjan

doi:10.1067/moe.2002.120056

Cited by 18 publications

(14 citation statements)

References 27 publications

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“…A plain sinus radiograph such as the Water's view radiograph is a simple and inexpensive method that has sufficient sensitivity for evaluating the severity of inflammation in maxillary sinuses [26]. Using computed tomography results as the standard criterion, the diagnostic sensitivity of the Water's view radiograph for maxillary sinusitis is approximately 83.3% [27]. When the results of sinus puncture are considered as the diagnostic criterion, the diagnostic sensitivity of the Water's view radiograph for maxillary sinusitis is approximately 90% [28].…”

Section: Discussionmentioning

confidence: 99%

Association of adenoid hyperplasia and bacterial biofilm formation in children with adenoiditis in Taiwan

Lin

Tsai

et al. 2011

Eur Arch Otorhinolaryngol

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The adenoid is a bacterial reservoir that contributes to chronic otolaryngologic infections. Staphylococcus aureus (S. aureus) is a common pathogen in the adenoid. The increase of antibiotic resistance in S. aureus has become an important issue in public health. The aim of this study was to compare adenoid hyperplasia and biofilm formation in children with S. aureus adenoiditis in Taiwan. The patients were divided into methicillin-resistant and methicillin-sensitive S. aureus groups according to the S. aureus obtained from adenoid tissue after antibiotic susceptibility testing. Adenoid hyperplasia was assessed by lateral cephalometry, and the severity of sinusitis was evaluated by Water's view. Microbiological investigation of available S. aureus isolates was performed by in vivo morphological observation and an in vitro bacterial biofilm assay. Sixty isolates of S. aureus were identified in 283 children (21.2%) after adenoidectomy, of which 21 (35%) were methicillin-resistant S. aureus (MRSA). The severity of adenoid hyperplasia and extensive biofilm formation were more prominent in patients infected with methicillin-resistant S. aureus than in those infected with methicillin-sensitive S. aureus (MSSA). The primary outcome of this study was to provide evidence that S. aureus constituted a significant portion of the adenoidal pathogens. The secondary outcome of this study was that MRSA adenoiditis may be associated with adenoid hyperplasia and biofilm formation.

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Section: Discussionmentioning

confidence: 99%

Association of adenoid hyperplasia and bacterial biofilm formation in children with adenoiditis in Taiwan

Lin

Tsai

et al. 2011

Eur Arch Otorhinolaryngol

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“…Other investigators have demonstrated the superiority of CT when studying patients with sinusitis (24)(25)(26)(27). Data for asthmatic patients with sinus disease are scarce, but studies have shown the superiority of conventional CT over paranasal sinus radiography (28,29).…”

Section: Discussionmentioning

confidence: 98%

Chronic Rhinosinusitis in Allergic Asthmatic Patients: Radiography Versus Low-Dose Computed Tomography Evaluation

et al. 2010

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“…In a study performed on 134 patients by Waters’ projections and high‐resolution CT in the same day, and using CT as the gold standard, plain radiography had a sensitivity of 68% and a specificity of 87% (45). In another study on patients with suspected chronic maxillary sinusitis using CT as the reference standard, Waters’ projection had a sensitivity of 83.3% and a specificity of 69.2% (46). In children, using nasal endoscopy as a reference, we could observe by Waters’ view radiography a sensitivity of 84.2% and a specificity of 76.6% (47).…”

Section: Imaging Criteriamentioning

confidence: 99%

Diagnosis of chronic rhinosinusitis

Leo

Triulzi

Incorvaia

2012

Pediatric Allergy Immunology

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Chronic rhinosinusitis (CRS) is a rather common disease in children, but its symptoms are often subtle and non-specific and this may result in overlooking a correct diagnosis. In turn, a missed diagnosis of CRS prevents a correct management to be performed and is associated with uneffective investigations and improper treatments. Actually, when CRS symptoms, which are mainly nasal congestion and obstruction, nasal discharge, facial pain, cough, and halitosis, are correctly assessed, the clinical diagnosis of CRS may be achieved, and confirmation may be obtained by imaging criteria or nasal fibroendoscopy. In imaging, computed tomography (CT) is the first choice technique for the evaluation of CRS and is able to provide an anatomic road map when surgery is required. Magnetic resonance imaging (MRI) of the sinuses, orbits, and brain should be performed whenever extensive or multiple complications of sinusitis are suspected. Also for middle ear disorders, CT is the first choice because it detects opacification of the middle ear cavity and mastoid cells, presence of fluids or debris, and allows the ossicular chain and the cortical bone of the mastoid to be evaluated. Another important diagnostic issue is the need to look for disorders that are frequently associated with CRS, such as obstructive sleep apnea syndrome (OSAS), that has some recognized risk factors in adenotonsillar hypertrophy, craniofacial anomalies, obesity, and neuromuscular disorders. Other associated disorders requiring investigation are recurrent or persistent otitis media and difficult asthma.

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The value of Waters' projection for assessing maxillary sinus inflammatory disease

Cited by 18 publications

References 27 publications

Association of adenoid hyperplasia and bacterial biofilm formation in children with adenoiditis in Taiwan

Association of adenoid hyperplasia and bacterial biofilm formation in children with adenoiditis in Taiwan

Chronic Rhinosinusitis in Allergic Asthmatic Patients: Radiography Versus Low-Dose Computed Tomography Evaluation

Diagnosis of chronic rhinosinusitis

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