gms | German Medical Science

86. 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.

13.05. - 16.05.2015, Berlin

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Correlation between the preoperative endoscopic, radiological and operative findings in sinonasal polyposis

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  • corresponding author Mahmoud Youssef - Kasr Alainy Hospitals, Faculty of Medicine, Cairo, Cairo, Egypt
  • Nabil Galal Zeid - Kasr El Aini Hospital Cairo Universit, Cairo, Egypt
  • Ahmed Ahmed Kamel - Kasr El Aini Hospital Cairo Universit, Cairo, Egypt
  • Basim Metwally Wahba - Kasr El Aini Hospital Cairo Universit, Cairo, Egypt

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 86. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Berlin, 13.-16.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15hnod641

doi: 10.3205/15hnod641, urn:nbn:de:0183-15hnod6412

Veröffentlicht: 26. März 2015

© 2015 Youssef et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen. Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden. Lizenz-Angaben siehe http://creativecommons.org/licenses/by-nc-nd/3.0/.

Gliederung

Text

Introduction: NP (nasal polyposis) is a common condition in medical practice, which affects many people worldwide and its prevalence is rising. The diagnosis of NP relies on clinical judgment based on a number of subjective symptoms and few findings in physical examination. In this study we want to assess the correlation between preoperative endoscopic, radiological and operative findings of NP.

Methods: Thirty Patients with sinonasal polyposis not responding to a full course of medical) were attending the ENT outpatient clinic, Kasr Al Aini Hospital, Cairo University between Novomber 2013 and June 2014, underwent pre operative endoscopic using Meltzer staging system, radiologic evaluation using Lund-Macky staging system and operative evaluation during FESS (general correlation using Meltzer staging system, specific about what we found in each sinus (discharge, polyp and fungal mud).

Results: There was a highly significant positive correlation between pre operative CT and operative findings (e.g. RT side r=0.731, p<0.001). And, there was a highly significant positive correlation between the preoperative endoscopic and operative staging scores (e.g. RT side r=0.892, p<0.001). And, there was a highly significant positive correlation between preoperative endoscopic and CT staging scores (e.g. RT side r=0.768, p<0.001).

Conclusion: No single procedure can be sufficient in accurately diagnosing NP, and both the preoperative CT the preoperative endoscopic examination are complementary to each other

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