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82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

01.06. - 05.06.2011, Freiburg

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Clinical, endoscopical and imagistic correlations in chronic rhinogenous maxillary sinusitis

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  • corresponding author Sorin-Emil Necula - CF Universitar Hospital, Cluj-Napoca, Romania
  • Silviu Albu - University of Medicine, Cluj-Napoca, Romania
  • Marcel Cosgarea - University of Medicine, Cluj-Napoca, Romania
  • Ermil Tomescu - University of Medicine, Cluj-Napoca, Romania
  • Violeta Necula - University of Medicine, Cluj-Napoca, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Freiburg i. Br., 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hnod629

doi: 10.3205/11hnod629, urn:nbn:de:0183-11hnod6299

Published: April 19, 2011

© 2011 Necula et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Various studies have sought correlation between symptoms and imaging, using different scoring systems. This article studied the correlations between symptoms of patients with chronic rhinogenous maxillary sinusitis and nasal endoscopy, sinusoscopy and CT scan, and correlations between nasal endoscopy, sinusoscopy and CT.

Methods: This was a retrospective nonrandomised study and I’ve included 56 patients operated for chronic rhinogenous maxillary sinusitis, between 1998 and 2004, in the ENT Clinic of Cluj-Napoca. The nasal endoscopy was performed at the initial evaluation. The CT scan was performed before surgery and the sinusoscopy was done during the surgery. The symptoms and signs were scored using different scales and classification systems.

Results: The scores for rhinorreea didn't correlate statistically with endoscopic scores, sinusoscopic scores and CT scores. Nasal obstruction didn’t corellate with endoscopy, sinusoscopy and CT scores. Pain has a weak but statistically significant correlation with CT scores. I didn’t found significant correlations between scores for pain and for endoscopy or sinusoscopy. Smell disorders didn’t correlate with endoscopy, sinusoscopy or CT scores. I found a weak, but statistically significant correlation between sinusoscopic scores and the results of CT examination, but wit low intensity.

Conclusions: There is a low correlation between endoscopy, imaging and the symptom scores, but they are important in the assessment of the patients with chronic rhinogenous maxillary sinusitis.