Effect of pulsed ultrasound on chronic rhinosinusitis: a case report.
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.
Ansari
Noureddin Nakhostin
NN
Faculty of Rehabilitation, Tehran University of Medical Sciences, Iran.
Fathali
Mojtaba
M
Naghdi
Soofia
S
Hasson
Scott
S
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*