Comparison of Clinical Symptoms, Plain Radiographs, Coronal CT and AntralLavage in Patients with Chronic Maxillary Sinusitis

A. Al-Azzawi Khalil K. Al-Umeri, Ayad

	Comparison of Clinical Symptoms, Plain Radiographs, Coronal CT and AntralLavage in Patients with Chronic Maxillary Sinusitis
Medical Journal of Babylon
Article 1, Volume 8, Issue 1, 2011, Pages 73-78
Author
Ayad A. Al-Azzawi Khalil K. Al-Umeri
Abstract
AbstractAim of the study : this study was conducted to compare the clinical symptoms of chronic maxillary sinusitis ,plain x-ray ( Water's view) , CT scan of the maxillary sinuses and the results of antral lavage .Material and Methods: 150 patients had been examined at the otolaryngology department of Al-Diwaniyateaching hospital and diagnosed as chronic maxillary sinusitis.Plain x-ray ( Water's view ) and CT scan done to all of these patients. Radiological features of chronic sinusitisfound in 118 patients , 84 bilateral (71% ) and 34 unilateral (29% ) , the radiological findings classified aswell aerated , mucosal thickening , fluid level, haziness and complete opacity .Antral lavage done to 202 sinus and return classified to be clear, mucoid , mucopurulent and frank purulent .Results: plain x-ray and CT scan show sinus opacity in 32 patients (16%) , haziness 80 patients ( 39 % ) ,fluid level 54 patients ( 27% ) , mucosal thickening 36 patients (18%).False negative plain x-ray found in 8 patients ,while false positive found in 14 patients . The antral lavagereturn was 100% purulent in opaque sinus , while hazy sinus shows 50% purulent , 31% clear , 19% mucoid .Fluid level 80% purulent , 18.5% mucoid , 1.5% clear .Mucosal thickening 55.5% clear , 44.5% mucoid return .Conclusions: radiological findings of maxillary sinus opacity is the most reliable evidence of sinus infectionfollowed by fluid level .Water's view gives good information about sinus pathology but CT scan is the most sensitive radiographicmodality for the diagnosis of chronic sinusitis.

Statistics Article View: 52 PDF Download: 22