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Relationship between the endoscopic, radiological, and operative findings in sinonasal polyposis

The Egyptian Journal of Otolaryngology volume 32, pages 147–151 (2016)Cite this article

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Abstract

Objectives

The aim of the present study was to assess the correlation between preoperative endoscopic, radiological, and operative findings of sinonasal polypsis.

Materials and methods

A total of 30 patients with sinonasal polypsis underwent preoperative endoscopic assessment using the Meltzer staging system, radiologic evaluation using the Lund–Macky staging system, and operative evaluation during functional endoscopic sinus surgery using the Meltzer staging system, and findings in each sinus (polyp, fungal mud, mucous, and normal) were recorded.

Results

There was a highly significant positive correlation between preoperative computed tomography (CT) and operative findings [right (RT) side=0.731 and left (LT) side=0.814, P<0.001]. There was also a highly significant positive correlation between the preoperative endoscopic and operative staging scores (RT side=0.892 and LT side=0.827, P<0.001). Furthermore, there was a highly significant positive correlation between preoperative endoscopic and CT staging scores (RT side=0.768 and LT side=0.782, P<0.001).

Conclusion

No single procedure can be sufficient in accurately diagnosing nasal polypsis, and both the preoperative CT and the preoperative endoscopic examination are complementary to each other.

References

  1. Brain DJ, Settipane GA, Lund VJ et al. Historical background. In: Brain DJ, editor. Nasal polyps: epidemiology, pathogenesis and treatment. Berlin, Germany: OceanSide Publications; 1997:7–15.

    Google Scholar 

  2. Chan R, Astor F, Younis R et al. Embryology and anatomy of the nose and paranasal sinuses. In: Younis R, editor. Pediatric sinusitis and sinus surgery. UK: Taylor & Francis; 2006:55–65.

    Google Scholar 

  3. Meltzer EO, Hamilos DL, Hadley JA et al. Rhinosinusitis: establishing definitions for clinical research and patient care. J Allergy Clin Immunol 2004; 114: 155–212.

    Article  Google Scholar 

  4. Meltzer EO, Hamilos DL, Hadley JA et al. Rhinosinusitis: developing guidance for clinical trials. J All Clin Immun 2006; 118: 17–61.

    Article  Google Scholar 

  5. Lund VJ, Mackay IS. Staging in rhinosinusitus. Rhinology 1993; 31: 183–184.

    CAS  PubMed  Google Scholar 

  6. Jiannetto DF, Pratt MF. Correlation between preoperative computed tomography and operative findings in functional endoscopic sinus surgery. Laryngoscope 1995; 105: 924–927.

    Article  CAS  Google Scholar 

  7. Stanojković V. Correlation between CT and intra operative findings in FESS. Acta Medica Medianae 2010; 49: 19–26.

    Google Scholar 

  8. Zojaji M, Mirzadeh R, Naghibi S et al. Comparative evaluation of preoperative CT scan and intraoperative endoscopic sinus surgery findings in patients with chronic rhinosinusitis. Iran J Radiol 2008; 5: 12–14.

    Google Scholar 

  9. Duarte A, Soler Rde C, Zavarezzi F et al. Nasal endoscopy associated with paranasal sinus computerized tomography scan in the diagnosis of chronic nasal obstruction. Braz J Otorhinolaryngol 2005; 71: 361–436.

    Article  Google Scholar 

  10. Deepthi NV, Menon UK, Menon IR et al. Correlations and comparison between repeat computed tomography scores, endoscopy scores and symptomatic improvement before and after endoscopic sinus surgery: a pilot study. Clin Rhinol An Int 2013; 6: 32–40.

    Article  Google Scholar 

  11. Casiano RR. Correlation of clinical examination with computer tomography in paranasal sinus disease. Am J Rhinol 1997; 11: 193–196.

    Article  CAS  Google Scholar 

  12. Rosbe KW, Jones KR. Usefulness of patient symptoms and nasal endoscopy in the diagnosis of chronic sinusitis. Am J Rhinol 1998; 12: 167–171.

    Article  CAS  Google Scholar 

  13. Stankiewicz JA, Chow JM. A diagnostic dilemma for chronic rhinosinusitis: definition accuracy and validity. Am J Rhinol 2002; 16: 199–202.

    Article  Google Scholar 

  14. Pizzichetta V, Gualdi GF, Trasimeni G et al. Nasal endoscopy associated with coronal CT in the diagnosis of nonallergic chronic nasal obstruction. Acta Otorhinolaryngol Ital 1994; 14: 185–194.

    CAS  PubMed  Google Scholar 

  15. Morra A, Calgaro A, Cioffi V et al. Virtual endoscopy of the nasal cavity and the paranasal sinuses with computerized tomography. Anatomical study. Radiol Med 1998; 96: 29–34.

    CAS  PubMed  Google Scholar 

  16. Pinheiro SD, Freitas MR. Nasal Obstruction. In: Campos CAH, Costa HOO, editors. Treaty of otolaryngology. São Paulo, Brazil: Editora Roca; 2003:166–174.

    Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Kasr El Ainy School of Medicine, Cairo University, Giza, Egypt

    Nabil G. Zeid, Ahmed A. Kamel MD, Basim M. Wahba & Mahmoud Youssef

Authors
  1. Nabil G. Zeid
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  2. Ahmed A. Kamel MD
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  3. Basim M. Wahba
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  4. Mahmoud Youssef
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Corresponding author

Correspondence to Ahmed A. Kamel MD.

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There are no conflicts of interest.

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Zeid, N.G., Kamel, A.A., Wahba, B.M. et al. Relationship between the endoscopic, radiological, and operative findings in sinonasal polyposis. Egypt J Otolaryngol 32, 147–151 (2016). https://doi.org/10.4103/1012-5574.186533

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  • DOI: https://doi.org/10.4103/1012-5574.186533

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