Endoscopic and CT-scan evaluation of rhinosinusitis in cystic fibrosis.
In order to obtain an accurate evaluation of nasal and paranasal sinus disease in cystic fibrosis patients, 75 patients with a proven cystic fibrosis diagnosis have been investigated using the following standard techniques: questionnaire, ENT examination, endoscopical examination, sinus X-rays, and in 31% of the cases a CT scan. The analysis of results shows that nasal obstruction is the most frequent symptom (32%) and that nasal polyps are present in 43% of the cases. Endoscopic examination seems to be of great interest in giving a more accurate picture of nasal and paranasal sinus disease. Analysis of CT scan images leads the authors to describe a new and specific entity in nasal and paranasal sinus disease in cystic fibrosis patients: the pseudomucocele. In this report, the authors discuss the various aspects of pseudomucocele, attaching particular importance to the CT scan results.
Coste
A
A
Service d'ORL et de Chirurgie Cervicofaciale, Hôpital intercommunal de Créteil, France.
Gilain
L
L
Roger
G
G
Sebbagh
G
G
Lenoir
G
G
Manach
Y
Y
Peynegre
R
R
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003550:Cystic Fibrosis / Q000150:complications*; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D009078:Mucocele / Q000175:diagnosis / Q000209:etiology; D015508:Nasal Obstruction / Q000175:diagnosis / Q000209:etiology; D009298:Nasal Polyps / Q000175:diagnosis / Q000209:etiology; D012220:Rhinitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D012852:Sinusitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed