title: Effect of pulsed ultrasound on chronic rhinosinusitis: a case report.
abstract: This case report demonstrates that pulsed ultrasound (US), when used for a total of 20 treatment sessions, provided symptom relief to a patient with chronic rhinosinusitis (CRS). A 16-year-old boy with a 12-month history of rhinosinusitis and candidate for sinus surgery was referred for ultrasound therapy. He presented with facial pain/pressure, nasal obstruction, and postnasal drip (total sinusitis score=7). On computed tomographic (CT) scanning, the total opacification of the right maxillary sinus was observed. The ostiomeatal complex was occluded (total CT score=6). Pulsed ultrasound was administered three times a week, every other day. After 10 treatment sessions, his symptoms were resolved with exception of nasal obstruction being mild (total sinusitis score=2). On CT scan, right maxillary sinus showed partial improvement (total CT score=2). After additional 10 treatments, the nasal obstruction was resolved, and follow-up CT scan of his sinuses showed that right maxillary sinus was clear and normal. At 6-month follow-up, the positive effects were maintained and the patient reported no recurrence of symptoms. Twenty sessions of pulsed ultrasound therapy eradicated the CRS and resolved the symptoms.
authors.affiliation: Faculty of Rehabilitation, Tehran University of Medical Sciences, Iran.
authors.forename: Noureddin Nakhostin
authors.initials: NN
authors.lastname: Ansari
authors.forename: Mojtaba
authors.initials: M
authors.lastname: Fathali
authors.forename: Soofia
authors.initials: S
authors.lastname: Naghdi
authors.forename: Scott
authors.initials: S
authors.lastname: Hasson
mesh_terms: D000293:Adolescent; D002908:Chronic Disease; D005157:Facial Pain / Q000209:etiology; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging; D015508:Nasal Obstruction / Q000209:etiology; D012220:Rhinitis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012720:Severity of Illness Index; D012852:Sinusitis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000379:methods*