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VOLUME 10 , ISSUE 2 ( May-August, 2017 ) > List of Articles

ORIGINAL ARTICLE

Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis

Anjali Prakash, Anoop Raj, Vikram Wadhwa, Swati Tandon, Praveen K Rathore

Keywords : Functional endoscopic sinus surgery,Multidetector computed tomography,Ostiomeatal complex,Paranasal sinuses,Rhinosinusitis

Citation Information : Prakash A, Raj A, Wadhwa V, Tandon S, Rathore PK. Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis. Clin Rhinol An Int J 2017; 10 (2):78-85.

DOI: 10.5005/jp-journals-10013-1313

License: CC BY 3.0

Published Online: 00-08-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

Chronic sinusitis affects more than 30 million people each year worldwide. Computed tomography (CT) has become a standard diagnostic tool in the evaluation of paranasal sinuses (PNS), but medical literature lacks studies correlating preoperative CT and intraoperative findings of functional endoscopic sinus surgery (FESS). The aim of our study was to evaluate ostiomeatal unit on multidetector CT (MDCT) and correlate findings of MDCT with intraoperative findings during FESS in patients with chronic sinusitis and hence check for its usefulness during surgery.

Study design

Prospective clinical study.

Materials and methods

Forty-nine patients with chronic sinusitis who visited the Lok Nayak Hospital, Delhi, India, between October 2010 and February 2012 were included in the study. All such patients underwent preoperative CT scan of PNS before surgery, i.e., FESS with or without septoplasty under general anesthesia.

Results

Maxillary sinus was found to be the most common sinus involved in chronic sinusitis. Preoperative CT findings correlated well with intraoperative findings for all sinuses except left maxillary sinus.

Conclusion

Multiplanar CT of nose and PNS helps to deli­neate the anatomy of nose and PNS, and drainage pathways of sinuses preoperatively. Therefore, the operating surgeon should be well versed with it. Progress of endoscopic sinus surgery can be partially attributed to revolution in imaging modalities.

How to cite this article

Tandon S, Rathore PK, Raj A, Prakash A, Wadhwa V. Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis. Clin Rhinol An Int J 2017;10(2):78-85.


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