[Clinical relevance of CT of paranasal sinuses prior to bone marrow transplantation].
OBJECTIVE
To investigate the clinical necessity of CT of the paranasal sinuses before bone marrow or peripheral blood stem cell transplantation.


METHODS
80 patients with malignant disease underwent coronal CT of the paranasal sinuses prior to transplantation to exclude sinusitis.


RESULTS
CT revealed sinusitis requesting therapy in 17/80 patients (21%). Patients with leukaemia and non-Hodgkin lymphoma were significantly more affected. Chronic sinusitis was found in two patients, mucosal swelling not requesting therapy in 22, and normal findings in 39.


CONCLUSIONS
CT of the paranasal sinuses is advised in patients suffering haemoblastoses with an increased risk of infectious complications during the transplantation phase, because pathological findings can be expected in 21% of the patients. Diagnosis and therapy of an infectious focus within the paranasal sinuses is especially important prior to allogenous bone marrow transplantation.
Oberholzer
K
K
Klinik für Radiologie, Johannes Gutenberg-Universität Mainz.
Kauczor
H U
HU
Heussel
C P
CP
Derigs
G
G
Thelen
M
M
D000293:Adolescent; D000328:Adult; D000741:Anemia, Aplastic / Q000628:therapy; D016026:Bone Marrow Transplantation; D001943:Breast Neoplasms / Q000628:therapy; D002908:Chronic Disease; D005260:Female; D006689:Hodgkin Disease / Q000628:therapy; D006801:Humans; D007938:Leukemia / Q000628:therapy; D008228:Lymphoma, Non-Hodgkin / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010256:Paranasal Sinuses / Q000000981:diagnostic imaging*; D010954:Plasmacytoma / Q000628:therapy; D012307:Risk Factors; D012852:Sinusitis / Q000000981:diagnostic imaging*; D013736:Testicular Neoplasms / Q000628:therapy; D014057:Tomography, X-Ray Computed