Academic Journal
Assessment of chronic rhinosinusitis severity indicators: radiological and clinical perspective
| العنوان: | Assessment of chronic rhinosinusitis severity indicators: radiological and clinical perspective |
|---|---|
| المؤلفون: | Marković-Vasiljković, Biljana, Janović, Aleksa, Antić, Svetlana, Barać, Aleksandra, Bracanović, Miloš, Perić, Aleksandar, Bracanović, Đurđa |
| المصدر: | The Journal of Infection in Developing Countries |
| بيانات النشر: | Journal of Infection in Developing Countries |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | infection, chronic rhinosinusitis, CT, osteitis, maxillary sinus |
| الوصف: | Introduction: Chronic rhinosinusitis (CRS) is inflammation of the nasal cavity and paranasal sinus mucosa. The aim of this study was to examine which of the available radiological and clinical parameters is the best indicator of the CRS severity. Methodology: In order to classify CRS, we used both a subjective assessment tool such as SNOT-22 questionnaire, as well as an objective tool such as clinical examination. We introduced three forms of CRS (mild, moderate and severe). Within these groups, we evaluated the computerized tomography (CT) parameters used as an indicator of bone remodeling, the Lund-Mackay score (LMS), CT properties of the soft tissue content in the maxillary sinuses, presence of nasal polypus (NP), presence of fungal infection and parameters indicating allergic status. Results: Frequencies of NP, positive eosinophil count, presence of fungi, areas of high attenuation, and duration of CRS and LMS significantly increased with the increased severity of CRS. Anterior wall thickness and density increased in the severe forms of CRS in the group assessed by SNOT-22. Positive correlation was detected between LMS and maximal density of sinus content and between duration of CRS and anterior wall thickness. Conclusions: Morphological changes of sinus wall detected in CT could be a useful indicator of CRS severity. Changes in bone morphology are more likely to occur in patients with longer-lasting CRS. The presence of fungi, allergic inflammation of any origin and nasal polypus potentiates more severe forms of CRS both clinically and subjectively. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| ردمك: | 978-0-01-042986-2 0-01-042986-7 |
| تدمد: | 1972-2680 |
| Relation: | https://smile.stomf.bg.ac.rs/handle/123456789/3287; 001042986700014; 2-s2.0-85163958217; http://smile.stomf.bg.ac.rs/bitstream/id/8728/jidc-017-0854.pdf |
| DOI: | 10.3855/jidc.17959 |
| الاتاحة: | https://smile.stomf.bg.ac.rs/handle/123456789/3287 https://doi.org/10.3855/jidc.17959 http://smile.stomf.bg.ac.rs/bitstream/id/8728/jidc-017-0854.pdf |
| Rights: | openAccess ; https://creativecommons.org/licenses/by/4.0/ ; BY |
| رقم الانضمام: | edsbas.890A3A4D |
| قاعدة البيانات: | BASE |
Full Text Finder | ردمك: | 9780010429862 0010429867 |
|---|---|
| تدمد: | 19722680 |
| DOI: | 10.3855/jidc.17959 |