Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1992-3-2
pubmed:abstractText
The advent of functional endoscopic sinus surgery has created the need for high-quality radiographic images to assess the paranasal sinuses, document the detailed anatomy of the lateral nasal wall and provide an anatomical map allowing safe functional endoscopic sinus surgery. This paper will discuss our experience of 410 paranasal sinus coronal CT scans performed by the technique described by Zinreich prior to consideration of functional endoscopic sinus surgery. The main indications for the scans were acute recurrent sinusitis, abnormal diagnostic nasal endoscopic examination and persistent facial pain. We will consider both the radiological and surgical difficulties that have arisen from the use of this technique and highlight some of the methods to avoid these difficulties. Claustrophobia and limitation of neck movements, particularly in patients over the age of 60, were the most common factors leading to suboptimal scans. Ensuring that the patient was in a symptom-free interval, the differential diagnosis of the opacified paranasal sinus and patients with gross polypoid disease created the most difficulty in interpretation. The anatomical assessment of the frontal recess and the identification of the optic nerve posterolateral to the posterior ethmoidal cell have created the greatest anatomical difficulty.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0381-6605
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
414-8
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
1991
pubmed:articleTitle
Pitfalls in computed tomography of the paranasal sinuses.
pubmed:affiliation
Department of Otolaryngology, University of Toronto, Ontario, Canada.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't