Rhinosinusitis CT: Difference between revisions
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==Overview== | ==Overview== | ||
Although not routinely indicated for suspected cases of rhinosinusitis and findings are highly nonspecific, CT scan is the imaging modality of choice in cases of chronic or complicated rhinosinusitis. Positive CT scan findings are not essential for diagnosis, but negative CT scan findings rules out rhinosinusitis. Findings include mucosal thickening and narrowing of the osteomeatal sinuses.<ref name="pmid21490181">{{cite journal |vauthors=Meltzer EO, Hamilos DL |title=Rhinosinusitis diagnosis and management for the clinician: a synopsis of recent consensus guidelines |journal=Mayo Clin. Proc. |volume=86 |issue=5 |pages=427–43 |year=2011 |pmid=21490181 |pmc=3084646 |doi=10.4065/mcp.2010.0392 |url=}}</ref><ref name="pmid22438350">{{cite journal |vauthors=Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA, Pankey GA, Seleznick M, Volturo G, Wald ER, File TM |title=IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults |journal=Clin. Infect. Dis. |volume=54 |issue=8 |pages=e72–e112 |year=2012 |pmid=22438350 |doi=10.1093/cid/cir1043 |url=}}</ref><ref name="pmid20974374">{{cite journal |vauthors=Hoxworth JM, Glastonbury CM |title=Orbital and intracranial complications of acute sinusitis |journal=Neuroimaging Clin. N. Am. |volume=20 |issue=4 |pages=511–26 |year=2010 |pmid=20974374 |doi=10.1016/j.nic.2010.07.004 |url=}}</ref><ref name="pmid27602668">{{cite journal |vauthors=Rosenfeld RM |title=CLINICAL PRACTICE. Acute Sinusitis in Adults |journal=N. Engl. J. Med. |volume=375 |issue=10 |pages=962–70 |year=2016 |pmid=27602668 |doi=10.1056/NEJMcp1601749 |url=}}</ref> | |||
==CT== | ==CT== | ||
Although not routinely indicated for suspected cases of rhinosinusitis and findings are highly nonspecific, CT scan is the imaging modality of choice in cases of chronic or complicated rhinosinusitis. Positive CT scan findings are not essential for diagnosis, but negative CT scan findings rules out rhinosinusitis. Findings include mucosal thickening and narrowing of the osteomeatal sinuses.<ref name="pmid21490181">{{cite journal |vauthors=Meltzer EO, Hamilos DL |title=Rhinosinusitis diagnosis and management for the clinician: a synopsis of recent consensus guidelines |journal=Mayo Clin. Proc. |volume=86 |issue=5 |pages=427–43 |year=2011 |pmid=21490181 |pmc=3084646 |doi=10.4065/mcp.2010.0392 |url=}}</ref><ref name="pmid22438350">{{cite journal |vauthors=Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA, Pankey GA, Seleznick M, Volturo G, Wald ER, File TM |title=IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults |journal=Clin. Infect. Dis. |volume=54 |issue=8 |pages=e72–e112 |year=2012 |pmid=22438350 |doi=10.1093/cid/cir1043 |url=}}</ref><ref name="pmid20974374">{{cite journal |vauthors=Hoxworth JM, Glastonbury CM |title=Orbital and intracranial complications of acute sinusitis |journal=Neuroimaging Clin. N. Am. |volume=20 |issue=4 |pages=511–26 |year=2010 |pmid=20974374 |doi=10.1016/j.nic.2010.07.004 |url=}}</ref><ref name="pmid27602668">{{cite journal |vauthors=Rosenfeld RM |title=CLINICAL PRACTICE. Acute Sinusitis in Adults |journal=N. Engl. J. Med. |volume=375 |issue=10 |pages=962–70 |year=2016 |pmid=27602668 |doi=10.1056/NEJMcp1601749 |url=}}</ref> | Although not routinely indicated for suspected cases of rhinosinusitis and findings are highly nonspecific, CT scan is the imaging modality of choice in cases of chronic or complicated rhinosinusitis. Positive CT scan findings are not essential for diagnosis, but negative CT scan findings rules out rhinosinusitis. Findings include mucosal thickening and narrowing of the osteomeatal sinuses.<ref name="pmid21490181">{{cite journal |vauthors=Meltzer EO, Hamilos DL |title=Rhinosinusitis diagnosis and management for the clinician: a synopsis of recent consensus guidelines |journal=Mayo Clin. Proc. |volume=86 |issue=5 |pages=427–43 |year=2011 |pmid=21490181 |pmc=3084646 |doi=10.4065/mcp.2010.0392 |url=}}</ref><ref name="pmid22438350">{{cite journal |vauthors=Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA, Pankey GA, Seleznick M, Volturo G, Wald ER, File TM |title=IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults |journal=Clin. Infect. Dis. |volume=54 |issue=8 |pages=e72–e112 |year=2012 |pmid=22438350 |doi=10.1093/cid/cir1043 |url=}}</ref><ref name="pmid20974374">{{cite journal |vauthors=Hoxworth JM, Glastonbury CM |title=Orbital and intracranial complications of acute sinusitis |journal=Neuroimaging Clin. N. Am. |volume=20 |issue=4 |pages=511–26 |year=2010 |pmid=20974374 |doi=10.1016/j.nic.2010.07.004 |url=}}</ref><ref name="pmid27602668">{{cite journal |vauthors=Rosenfeld RM |title=CLINICAL PRACTICE. Acute Sinusitis in Adults |journal=N. Engl. J. Med. |volume=375 |issue=10 |pages=962–70 |year=2016 |pmid=27602668 |doi=10.1056/NEJMcp1601749 |url=}}</ref> | ||
Revision as of 13:53, 3 October 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
Although not routinely indicated for suspected cases of rhinosinusitis and findings are highly nonspecific, CT scan is the imaging modality of choice in cases of chronic or complicated rhinosinusitis. Positive CT scan findings are not essential for diagnosis, but negative CT scan findings rules out rhinosinusitis. Findings include mucosal thickening and narrowing of the osteomeatal sinuses.[1][2][3][4]
CT
Although not routinely indicated for suspected cases of rhinosinusitis and findings are highly nonspecific, CT scan is the imaging modality of choice in cases of chronic or complicated rhinosinusitis. Positive CT scan findings are not essential for diagnosis, but negative CT scan findings rules out rhinosinusitis. Findings include mucosal thickening and narrowing of the osteomeatal sinuses.[1][2][3][4]
References
- ↑ 1.0 1.1 Meltzer EO, Hamilos DL (2011). "Rhinosinusitis diagnosis and management for the clinician: a synopsis of recent consensus guidelines". Mayo Clin. Proc. 86 (5): 427–43. doi:10.4065/mcp.2010.0392. PMC 3084646. PMID 21490181.
- ↑ 2.0 2.1 Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA, Pankey GA, Seleznick M, Volturo G, Wald ER, File TM (2012). "IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults". Clin. Infect. Dis. 54 (8): e72–e112. doi:10.1093/cid/cir1043. PMID 22438350.
- ↑ 3.0 3.1 Hoxworth JM, Glastonbury CM (2010). "Orbital and intracranial complications of acute sinusitis". Neuroimaging Clin. N. Am. 20 (4): 511–26. doi:10.1016/j.nic.2010.07.004. PMID 20974374.
- ↑ 4.0 4.1 Rosenfeld RM (2016). "CLINICAL PRACTICE. Acute Sinusitis in Adults". N. Engl. J. Med. 375 (10): 962–70. doi:10.1056/NEJMcp1601749. PMID 27602668.