Evaluation of paranasal sinus diseases and its histopathological correlation with computed tomography
Journal Title: Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology - Year 2018, Vol 4, Issue 1
Abstract
Introduction Computerized tomography CT is considered the gold standard for preoperative evaluation of PNS diseases for appropriate patient selection for functional endoscopic sinus surgery The present study was aimed to evaluate the spectrum of PNS diseases on CT and correlate their clinical and histopathological findingsMaterials amp Methods After fulfilling the necessary criteria for enrollment 100 patients with PNS diseases were included in the study Patients who have failed medical management ie prolonged course of broad spectrum antibiotics for 3 weeks and trial of corticosteroid nasal spray were included in the study Patients with revision surgery were excluded from the studyResults The most common CT diagnosis was found to be chronic sinusitius 57100 followed by fungal sinusitis 28100 and lastly 10 cases of nasal polyp The entire specimens were sent for histopathological examinationDiscussion amp Conclusion CT helps to delineate the anatomy of nose and sinuses and drainage pathways of sinuses preoperatively It is helpful in evaluating the site and extent of sinus pathology Preoperative CT enabled the surgeon to visualize the drainage pathways anatomical and critical variants in PNSs thus allowing effective management of the patient However a potential pitfall was its inability to accurately differentiate in cases of fungal sinusitis and highdensity secretionsKeywords CT Paranasal Sinus Pathologies Biopsy Histopathology
Authors and Affiliations
Krishnakant Vaghela, Bhaven Shah
Keywords
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- EP ID EP479765
- DOI 10.18231/2395-6194.2018.0002
- Views 110
- Downloads 0
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