Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-18T15:32:52.813Z Has data issue: false hasContentIssue false
  • English
  • Français

A systematic approach to the interpretation of computed tomography scans prior to endoscopic sinus surgery

Part of: Chronic rhinosinusitis

Published online by Cambridge University Press:  29 June 2007

J. D. T. Mason ,
N. S. Jones ,
R. J. Hughes  and
I. M. Holland
J. D. T. Mason
Affiliation:
Departments of Otorhinolaryngology, Royal Bolton Hospital, Nottingham, UK.
N. S. Jones*
Affiliation:
Departments of Otorhinolaryngology, University Hospital, Nottingham, UK.
R. J. Hughes
Affiliation:
Departments of Otorhinolaryngology, Queen Elizabeth Hospital, Birmingham, University Hospital, Nottingham, UK.
I. M. Holland
Affiliation:
Department of Radiology, University Hospital, Nottingham, UK.
*
Address for correspondence: Mr N. S. Jones, Department of Otorhinolaryngology – Head and Neck Surgery, University Hospital, Nottingham NG7 2UH.
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Computed tomography (CT) provides an excellent map for the sinus surgeon aswell as providing information about the extent of disease and the presence of bony destruction. Surgeons need to be aware of the anatomical configuration of the sinuses and the presence of any structural changes such as a dehiscent lamina papyracea, asymmetric skull base, low level of posterior skull base or an Onodi cell, which place the patient at increased risk. Described here is a six-step guide to help the sinus surgeon avoid missing any of the radiologically important features.

Keywords

RadiologyEndoscopyNasal CavitySinusitis
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 10 , October 1998 , pp. 986 - 990
Copyright
Copyright © JLO (1984) Limited 1998

References

Bent, P., Cuilty-Siller, C., Kuhn, F. A. (1994) The frontal cell as a cause of frontal sinus obstruction. American Journal of Rhinology 8(4): 185–191.CrossRefGoogle Scholar
Jones, N. S., Strobl, A., Holland, I. (1997) CT findings in 100 patients with rhinosinusitis and 100 controls. Clinical Otolaryngology 22: 47–51.CrossRefGoogle ScholarPubMed
Kopp, W., Stammberger, H. (1991) Radiology. Chapter 4. In Functional Endoscopic Sinus Surgery. (Stammberger, H., ed.) B.C. Decker, Philadelphia, pp 89–143.Google Scholar
Lang, J. (1989) Clinical anatomy of the nose, nasal cavity and paranasal sinuses. Georg Thieme Verlag, Stuttgart, p 70.Google Scholar
Lawson, W. (1994) The intranasal ethmoidectomy: evolution and an assessment of the procedure. Laryngoscope 104, (Suppl 64); 1–49.CrossRefGoogle Scholar
Lund, V. J., Mackay, V. (1993) Staging in rhinosinusitis. Rhinology 107: 183–184.Google Scholar
Min, Y-G., Koh, T.-Y., Rhee, C. S., Han, M.-H. (1995) Clinical implications of the uncinate process in paranasal sinusitis: Radiologic evaluation. American Journal of Rhinology 9(3): 131–135.CrossRefGoogle Scholar
Royal College of Radiologists' Working Party (1995) Making the best use of a department of clinical radiology: guidelines for doctors. 3rd Edition. The Royal College of Radiologists. London, pp 1–96.Google Scholar
Stammberger, H., Kennedy, D. W. (1995) Paranasal sinuses: anatomic terminology and nomenclature. Annals of Otology, Rhinology and Laryngology (Suppl 167) 104: 7–16.CrossRefGoogle Scholar
Van Alyea, O. E. (1941) Sphenoid sinus anatomic study with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Archives of Otolaryngology 34: 225–253.CrossRefGoogle Scholar
Zinreich, S. J., Kennedy, D. W., Rosenbaum, A. E., Gayler, B. W., Kumar, A. J., Stammberger, H. (1987) CT of the nasal cavity and paranasal sinuses: imaging requirements for functional endoscopic sinus surgery. Journal of Radiology 163: 769–775.CrossRefGoogle Scholar