A comparison of imaging techniques in patients with chronic sinusitis (X-ray, MRI, A-mode ultrasound).
Thirty-five patients age 9 to 67 were evaluated for chronic sinusitis by history, physical and laboratory examination, and imaging techniques (X-ray, magnetic resonance imaging (MRI) and flexible rhinoscopy). MRI was the most predictive. To establish the diagnosis of sinusitis, it was more sensitive than plain X-ray for intrasinus disease. Findings of edema, erythema, and drainage on flexible rhinoscopy were consistent with chronic sinusitis and were confirmed by MRI and sinus X-rays in 41% of the cases. Nasal smears for polymorphonuclear cells and eosinophils were suggestive of a diagnosis of chronic sinusitis, but other laboratory tests (CBC, sedimentation rate, quantitative immunoglobulins, total IgEs) were of very limited value in the diagnosis of chronic sinusitis.
Katz
R M
RM
Department of Pediatrics, UCLA School of Medicine, USA.
Friedman
S
S
Diament
M
M
Siegel
S C
SC
Rachelefsky
G S
GS
Spector
S L
SL
Rohr
A S
AS
Schoettler
J
J
Dorris
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002908:Chronic Disease; D003952:Diagnostic Imaging; D004724:Endoscopy / Q000379:methods; D005069:Evaluation Studies as Topic; D005260:Female; D005336:Fiber Optic Technology; D006403:Hematologic Tests; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D012852:Sinusitis / Q000175:diagnosis* / Q000503:physiopathology