title: Radiography of the paranasal sinuses--one or three views?
abstract: A prospective study of 100 adult patients undergoing paranasal sinus radiography was performed. Two experienced radiologists independently assessed a single occipitomental view and, at a later date, the traditional three projections, i.e. occipitomental, occipitofrontal and lateral. There was 99% intra-observer agreement between the diagnosis on a single projection compared with all three films. In five cases, the frontal sinuses were difficult to assess mainly due to poor radiography, and in defined circumstances additional views may be required occasionally. We conclude that with greater attention to radiographic technique the occipitomental view alone is sufficient for diagnostic purposes.
authors.affiliation: Department of Radiology, University of Wales College of Medicine, Heath Park, Cardiff.
authors.forename: M W
authors.initials: MW
authors.lastname: Hayward
authors.forename: K
authors.initials: K
authors.lastname: Lyons
authors.forename: W P
authors.initials: WP
authors.lastname: Ennis
authors.forename: J
authors.initials: J
authors.lastname: Rees
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D015588:Observer Variation; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging; D010256:Paranasal Sinuses / Q000000981:diagnostic imaging*; D011446:Prospective Studies; D011859:Radiography