Characterization Of The Maxillary Sinus Pathology Using Multidetector Computed Tomography And Endoscope

Abstract

This study was carried out to find the common sinuses diseases and evaluate the significance of computerized tomography (CT) scan in diagnosing sinus lesions and to determine the correlation between radiological and endoscopic findings as well to evaluate diagnostic value of nasal endoscopy and CT in diagnosing sinuses disease. The current study was obtained during the period extended from 2015 to 2017, at Prince Abdalazeez hospital - Arar -Saudi Arabia. A total of 96 patients with clinical evidence of sinonasal diseases were evaluated. All patients were subjected to thorough ENT examination. Nasal Endoscopy was done. CT of paranasal sinuses was performed in patients whose symptoms, examination and clinical picture were sufficient to warrant the procedure. 63 (64.3%) were females and 34(35.7 5%) were males. Their ages were between ˂10 and 50-60 years old. With the maximum affected age were the ages between 21-30 years old constituting 37(37.8%). After a detailed history and thorough clinical examination, they were investigated using standard protocol of investigations, which included CT scan for paranasal sinuses (axial and coronal sections) protocol. Hence, the present study was carried out to assess the relevance of CT radiological method in diagnosing maxillary sinus lesions and to determine the correlation between radiological and endoscopic findings; Chi square test was performed and showed that there were significant association between the two methods Since P= 0.000 indicates there is a high association between diagnostic endoscopy and CT scan. Using CT examination is an important tool in detecting pathology. The study recommended using both CT scan and Diagnostic nasal endoscopy when evaluating patients with sinus diseases.