[CT imaging of fungal and nonfungal caseous sinusitis. A report of 50 cases].
OBJECTIVE
Evaluate the contribution of CT for the diagnosis of caseous fungal and not fungal sinusitis, mostly of dental origin and often improperly called aspergillus sinusitis.


METHODS
and methods. About 50 cases of caseous maxillary sinusitis, including 34 fungal sinusitis, the authors analyse the most important CT criteria. All patients underwent thereafter surgery, and the removal material was submitted to mycological investigations.


RESULTS
Constructive and destructive modifications of the bone walls, fillings of sinus cavities and middle meatus are aspecific signs of chronicity. Dental origin foreign bodies and microcalcifications are more evocative but also non specific. Only the mycological investigation leads to the diagnosis of fungal and identifies by round fifty percent cases to the exact nature of fungal.


CONCLUSIONS
There are no valid predictive criteria for fungal etiology by CT investigation.
Braun
J J
JJ
ORL, Hôpital de Hautepierre, Avenue Molière, 67098 Strasbourg Cedex, France.
Bourjat
P
P
D000328:Adult; D001228:Aspergillosis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D002114:Calcinosis / Q000150:complications; D002908:Chronic Disease; D004724:Endoscopy; D005260:Female; D005547:Foreign Bodies / Q000150:complications; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015523:Maxillary Sinusitis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D009181:Mycoses / Q000000981:diagnostic imaging* / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000592:standards*