alexa Revisiting the interpretation of positive sinus CT findings: a radiological and symptom-based review.


Primary Healthcare: Open Access

Author(s): Wittkopf ML, Beddow PA, Russell PT, Duncavage JA, Becker SS

Abstract Share this page

Abstract OBJECTIVE: It is widely believed that a high percentage of normal, healthy patients without sinusitis symptoms have abnormal findings on sinus CT. Experiences of the authors of this study suggest otherwise. STUDY DESIGN: Cross-sectional survey. SUBJECTS AND METHODS: Head/sinus CT scans of 50 consecutive patients from each of three study groups were reviewed. Group 1 consisted of patients without any sinus symptoms. Group 2 consisted of patients with acute headache symptoms. Group 3 consisted of patients with complaints consistent with chronic sinusitis. CT scans were evaluated with the Lund-Mackay scoring system. RESULTS: In the asymptomatic patient group (group 1), six (3\%) patients had positive sinus CT scan findings, compared with 11 (5.5\%) in the acutely symptomatic group (group 2), and 32 (64\%) in the chronically symptomatic group (group 3). In the chronically symptomatic group (group 3), 64 percent of patients were allergic compared with 18\% of the acute headache group (group 2) and 8 percent of the asymptomatic patient group (group 1). CONCLUSION: Results of this study suggest that symptomatic sinus patients are much more likely to have positive sinus CT scan findings than asymptomatic patients. Conversely, normal healthy patients should not be expected to have abnormal sinus CT scans. This article was published in Otolaryngol Head Neck Surg and referenced in Primary Healthcare: Open Access

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version