SINONASAL POLYPOSIS - INVESTIGATION BY DIRECT CORONAL CT

被引:15
作者
DRUTMAN, J
HARNSBERGER, HR
BABBEL, RW
SONKENS, JW
BRABY, D
机构
[1] UNIV UTAH,MED CTR,DEPT RADIOL,50 N MED CTR DR,SALT LAKE CITY,UT 84132
[2] UNIV UTAH,MED CTR,DIV OTOLARYNGOL HEAD & NECK SURG,SALT LAKE CITY,UT 84132
关键词
SINONASAL POLYPOSIS; CORONAL CT;
D O I
10.1007/BF00593686
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To demonstrate the typical clinical and CT features of sinonasal polyposis, we reviewed the clinical records and preoperative direct coronal CT scans of 35 patients with surgically proven disease. Symptoms included progressive nasal stuffiness (100 %), rhinorrhea (69 %), facial pain (60 %), headache (43 %) and anosmia (17 %). We found associations with rhinitis (46 %), asthma (29 %) and aspirin sensitivity (9 %). Coronal CT features included polypoid masses in the nasal cavity (91 %), partial or complete pansinus opacification (90 %), enlargement of infundibula (89 %), bony attenuation of the ethmoid trabeculae (63 %) and nasal septum (37 %), opacified ethmoid sinuses with convex lateral walls (51 %) and air-fluid levels (43 %). The latter feature correlated with symptoms and signs of acute sinusitis in only 40 % of patients. Recognition of sinonasal polyposis is important to the endoscopic surgeon since it can be the most troubling sinonasal inflammatory disease to manage due to its aggressive nature and tendency to recur despite appropriate treatment.
引用
收藏
页码:469 / 472
页数:4
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