gms | German Medical Science

76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

04.05. - 08.05.2005, Erfurt

False positives for conventional X-rays of para-nasal sinuses

Meeting Abstract

Suche in Medline nach

  • corresponding author Bernhard Roth - UKE Hamburg, Hamburg
  • Christian Habermann - UKE Hamburg, Hamburg
  • Frank U. Metternich - UKE Hamburg, Hamburg

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Erfurt, 04.-08.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05hno549

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2005/05hno205.shtml

Veröffentlicht: 22. September 2005

© 2005 Roth et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: In past years several studies have severely questioned the real value of conventional X-ray images when diagnosing paranasal sinus dis-eases. Nevertheless conventional X-ray images are used as standard proce-dure when screening for suspected sinus diseases. Compared to the gold standard of computer tomography (CT) X-rays are more easily available and expose patients to less radiation. Therefore sinus X-rays are still seen as helpful when performing searches for focus.

Method: We will present a case where conventional X-rays and a CT were performed for the paranasal sinus. The patient urgently required an artificial heart valve and came in for a focus search.

Observation: The conventional X-ray images showed shadows on the paranasal sinus. Consequently, a surgical focal therapy was being planned. Then a CT was carried out while preparing the surgery. The CT results did not display any pathological changes so that a surgery was not necessary.

Conclusion: The results of conventional X-rays of paranasal sinus should be subject to a critical evaluation – even if the results are posi-tive. It should be discussed whether X-rays should be used at all when the anamnesis and the examination results are uneventful, and conversely whether a CT of the sinus should be made as soon as a sinusitis is strongly suspected in the patient.