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Prevalence of Incidental Abnormalities on Computed Tomographic Scans of the Paranasal Sinuses

Prevalence of Incidental Abnormalities on Computed Tomographic Scans of the Paranasal Sinuses Abstract • A prospective analysis of 666 patients was performed to examine the prevalence of radiologic abnormalities of the paranasal sinuses in asymptomatic adults. The initial sample group included 1000 patients who were referred for cranial computed tomographic scans for conditions such as head injuries and seizures. Patients in whom there was clinical suspicion of sinus disease were excluded from the study. A questionnaire was completed by each patient and cranial computed tomography, including magnetic resonance imaging of the paranasal sinuses, was performed. Abnormality of one or more of the paranasal sinuses was reported in 42.5% of scans. Mucosal thickening in the ethmoid sinus was the abnormality most often identified. The high frequency of reported radiologic abnormalities in asymptomatic patients highlights the importance of correlation with the clinical presentation when interpreting computed tomographic scans of the paranasal sinuses. (Arch Otolaryngol Head Neck Surg 1988;114:856-859) References 1. DeWeese DD, Saunders WH: Acute and chronic sinusitis , in Textbook of Otolaryngology , ed 6. St Louis, CV Mosby Co, 1982, chap 16, p 232. 2. Kennedy DW, Zinreich SJ, Rosenbaum AE, et al: Functional endoscopic sinus surgery: Theory and diagnostic evaluation . Arch Otolaryngol Head Neck Surg 1985;111:576-582.Crossref 3. Shurin PA: Inflammatory diseases of the nose and paranasal sinuses , in Bluestone C, Stool S (eds): Pediatric Otolaryngology . Philadelphia, WB Saunders Co, 1983, pp 781-789. 4. Douek E: Chronic sinusitis , in Ballantyne J, Groves J (eds): Scott-Brown's Diseases of the Ear, Nose and Throat , ed 3. Stoneham, Mass, Butterworths, 1971. 5. Pfleiderer AG: Ultrasound investigation of the sinuses: A real advance in diagnosis? J R Soc Med 1985;78:277-278. 6. McNeill RA: Comparison of the findings on transillumination x-ray and lavage of the maxillary sinus . J Laryngol 1963;77:1009-1013.Crossref 7. Kuhn JP: Imaging of the paranasal sinuses: Current status: I . J Allergy Clin Immunol 1986;77:6-8.Crossref 8. Shapiro GG, Furukawa CT, Pierson WE, et al: Blinded comparison of maxillary sinus radiography and ultrasound for diagnosis of sinusitis: I . J Allergy Clin Immunol 1986;77:59-64.Crossref 9. Cummings CW, Fredrickson JM, Harkur LA (eds): Otolaryngology—Head and Neck Surgery . St Louis, CV Mosby Co, 1986. 10. Zinreich SJ, Kennedy DW, Rosenbaum AE, et al: Paranasal sinuses: CT imaging requirements for endoscopic surgery . Radiology 1987; 163:769-775.Crossref 11. Bilaniuk LT, Zimmerman RA: Computed tomography of the paranasal sinuses . Radiol Clin North Am 1982;2:51-66. 12. Schatz CJ, Becker TS: Normal CT anatomy of the paranasal sinuses . Radiol Clin North Am 1984;22:107-130. 13. Som PM: Paranasal sinuses , in Taveras JM, Ferrucei JT: Radiology: Diagnosis, Imaging and Intervention . Philadelphia, JB Lippincott, 1986, chap 12. 14. Wald ER, Milmoe GJ, Delbert Bowen A, et al: Acute sinusitis in children . N Engl J Med 1981;304:749-754.Crossref 15. Fascenelli FW: Maxillary sinus abnormalities: Radiographic evidence in an asymptomatic population . Arch Otolaryngol Head Neck Surg 1969;90:98-101.Crossref 16. Diament MJ, Senac MO, Gilsanz V, et al: Prevalence of incidental paranasal sinuses opacification in paediatric patients: A CT study . J Comput Assist Tomogr 1987;11:426-431.Crossref 17. De Cleyn KM, Kersschot EA, De Clerck LS, et al: Paranasal sinus pathology in allergic and nonallergic respiratory tract diseases . Allergy 1986;41:313-318.Crossref 18. Shopfner CE, Rossi JO: Roentgen evaluation of the paranasal sinuses in children . AJR 1973;118:176-186.Crossref 19. Glasier CM, Ascher DP, Williams KD: Incidental paranasal sinus abnormalities on CT of children: Clinical correlation . AJNR 1986; 7:861-864. 20. Curtin HD: Nose, paranasal sinuses and facial bones , in Latchaw RE (ed): CT of Head, Neck and Spine . Chicago, Year Book Medical Publishers Inc, 1985. 21. Simonetti G, Teating G, Salvolini M, et al: Computed tomography of the ethmoid labyrinth and adjacent structures . Ann Otol Rhinol Laryngol 1987;96:239-250. 22. Sutton D: Textbook of Radiology and Imaging , ed 3. New York, Churchill Livingstone Inc, 1980, pp 1232-1233. 23. Osborn AG, Anderson RE: Direct sagittal computed tomographic scans of the face and paranasal sinuses . Radiology 1978;129:81-87.Crossref 24. Stammberger H: Endoscopic endonasal surgery: Concepts in treatment of recurring rhinosinusitis . Arch Otolaryngol Head Neck Surg 1986;94:143-165. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Prevalence of Incidental Abnormalities on Computed Tomographic Scans of the Paranasal Sinuses

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1988.01860200040012
Publisher site
See Article on Publisher Site

Abstract

Abstract • A prospective analysis of 666 patients was performed to examine the prevalence of radiologic abnormalities of the paranasal sinuses in asymptomatic adults. The initial sample group included 1000 patients who were referred for cranial computed tomographic scans for conditions such as head injuries and seizures. Patients in whom there was clinical suspicion of sinus disease were excluded from the study. A questionnaire was completed by each patient and cranial computed tomography, including magnetic resonance imaging of the paranasal sinuses, was performed. Abnormality of one or more of the paranasal sinuses was reported in 42.5% of scans. Mucosal thickening in the ethmoid sinus was the abnormality most often identified. The high frequency of reported radiologic abnormalities in asymptomatic patients highlights the importance of correlation with the clinical presentation when interpreting computed tomographic scans of the paranasal sinuses. (Arch Otolaryngol Head Neck Surg 1988;114:856-859) References 1. DeWeese DD, Saunders WH: Acute and chronic sinusitis , in Textbook of Otolaryngology , ed 6. St Louis, CV Mosby Co, 1982, chap 16, p 232. 2. Kennedy DW, Zinreich SJ, Rosenbaum AE, et al: Functional endoscopic sinus surgery: Theory and diagnostic evaluation . Arch Otolaryngol Head Neck Surg 1985;111:576-582.Crossref 3. Shurin PA: Inflammatory diseases of the nose and paranasal sinuses , in Bluestone C, Stool S (eds): Pediatric Otolaryngology . Philadelphia, WB Saunders Co, 1983, pp 781-789. 4. Douek E: Chronic sinusitis , in Ballantyne J, Groves J (eds): Scott-Brown's Diseases of the Ear, Nose and Throat , ed 3. Stoneham, Mass, Butterworths, 1971. 5. Pfleiderer AG: Ultrasound investigation of the sinuses: A real advance in diagnosis? J R Soc Med 1985;78:277-278. 6. McNeill RA: Comparison of the findings on transillumination x-ray and lavage of the maxillary sinus . J Laryngol 1963;77:1009-1013.Crossref 7. Kuhn JP: Imaging of the paranasal sinuses: Current status: I . J Allergy Clin Immunol 1986;77:6-8.Crossref 8. Shapiro GG, Furukawa CT, Pierson WE, et al: Blinded comparison of maxillary sinus radiography and ultrasound for diagnosis of sinusitis: I . J Allergy Clin Immunol 1986;77:59-64.Crossref 9. Cummings CW, Fredrickson JM, Harkur LA (eds): Otolaryngology—Head and Neck Surgery . St Louis, CV Mosby Co, 1986. 10. Zinreich SJ, Kennedy DW, Rosenbaum AE, et al: Paranasal sinuses: CT imaging requirements for endoscopic surgery . Radiology 1987; 163:769-775.Crossref 11. Bilaniuk LT, Zimmerman RA: Computed tomography of the paranasal sinuses . Radiol Clin North Am 1982;2:51-66. 12. Schatz CJ, Becker TS: Normal CT anatomy of the paranasal sinuses . Radiol Clin North Am 1984;22:107-130. 13. Som PM: Paranasal sinuses , in Taveras JM, Ferrucei JT: Radiology: Diagnosis, Imaging and Intervention . Philadelphia, JB Lippincott, 1986, chap 12. 14. Wald ER, Milmoe GJ, Delbert Bowen A, et al: Acute sinusitis in children . N Engl J Med 1981;304:749-754.Crossref 15. Fascenelli FW: Maxillary sinus abnormalities: Radiographic evidence in an asymptomatic population . Arch Otolaryngol Head Neck Surg 1969;90:98-101.Crossref 16. Diament MJ, Senac MO, Gilsanz V, et al: Prevalence of incidental paranasal sinuses opacification in paediatric patients: A CT study . J Comput Assist Tomogr 1987;11:426-431.Crossref 17. De Cleyn KM, Kersschot EA, De Clerck LS, et al: Paranasal sinus pathology in allergic and nonallergic respiratory tract diseases . Allergy 1986;41:313-318.Crossref 18. Shopfner CE, Rossi JO: Roentgen evaluation of the paranasal sinuses in children . AJR 1973;118:176-186.Crossref 19. Glasier CM, Ascher DP, Williams KD: Incidental paranasal sinus abnormalities on CT of children: Clinical correlation . AJNR 1986; 7:861-864. 20. Curtin HD: Nose, paranasal sinuses and facial bones , in Latchaw RE (ed): CT of Head, Neck and Spine . Chicago, Year Book Medical Publishers Inc, 1985. 21. Simonetti G, Teating G, Salvolini M, et al: Computed tomography of the ethmoid labyrinth and adjacent structures . Ann Otol Rhinol Laryngol 1987;96:239-250. 22. Sutton D: Textbook of Radiology and Imaging , ed 3. New York, Churchill Livingstone Inc, 1980, pp 1232-1233. 23. Osborn AG, Anderson RE: Direct sagittal computed tomographic scans of the face and paranasal sinuses . Radiology 1978;129:81-87.Crossref 24. Stammberger H: Endoscopic endonasal surgery: Concepts in treatment of recurring rhinosinusitis . Arch Otolaryngol Head Neck Surg 1986;94:143-165.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Aug 1, 1988

References