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Imaging Techniques

Conventional Radiography, Computed Tomography, Magnetic Resonance, and Ultrasonography of the Paranasal Sinuses

  • Chapter
Diseases of the Sinuses

Abstract

It is estimated that up to 30 million people suffer from inflammatory sinus disease in the United States (1). Because the physical examination can be nonspecific in these patients, radiologic evaluation has been relied upon for many years in the diagnosis of paranasal sinus pathology. Traditionally, conventional radiography was the modality of choice in the evaluation of the paranasal sinuses. In recent years, however, owing to a change in the therapeutic approach, computed tomography has supplanted conventional radiography as the primary diagnostic modality.

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References

  1. Moss A, Parsons V. Current estimates from the National Health Interview Survey, United States—1985. Hyattsville, MD: National Center for Health Statistics, 1986.

    Google Scholar 

  2. Som P. Sinonasal cavity. In: Som P, Bergeron P, eds., Head and Neck Imaging. Mosby, St. Louis, MO, 1991; pp. 64–69.

    Google Scholar 

  3. Zinreich S. Paranasal sinus imaging. Otolaryngol Head Neck Surg 1990;103(5/2):863–868.

    PubMed  CAS  Google Scholar 

  4. Zinreich S. Imaging of chronic sinusitis in adults: X-ray, computed tomography, and magnetic resonance imaging. J Allergy Clin Immunol 1992;90(3/2):445–451.

    Article  PubMed  CAS  Google Scholar 

  5. Zinreich S. Imaging of inflammatory sinus disease. Otolaryngol Clin North Am 1993;26(4):535–547.

    PubMed  CAS  Google Scholar 

  6. Zinreich S, Abidin M, Kennedy D. Cross-sectional imaging of the nasal cavity and paranasal sinuses. Operative Techniques in Otolaryngol Head Neck Surg 1990; 1(2): 93–99.

    Google Scholar 

  7. Zinreich S, Kennedy D, Rosenbaum A, Gayler B, Kumar A, Stammberger H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 1987; 163(3):769–775.

    PubMed  CAS  Google Scholar 

  8. Harnsberger H, Babbel R, Davis W. The major obstructive inflammatory patterns of the sinonasal region seen on screening sinus computed tomography. Semin Ultrasound CT MR 1991;12(6):541–560.

    PubMed  CAS  Google Scholar 

  9. Zinreich S, Kennedy D, Kumar A, Rosenbaum A, Arrington J, Johns M. MR imaging of normal nasal cycle: comparison with sinus pathology. JCAT 1988; 12(6): 1014–1019.

    CAS  Google Scholar 

  10. Berger W. Use of A-Mode ultrasound for diagnosis of sinus disease in young children. Ann Allergy 1986; 56:39–43.

    PubMed  CAS  Google Scholar 

  11. Landman M. Ultrasound screening for sinus disease. Otolaryngol Head Neck Surg 1986;94(2): 157–164.

    PubMed  CAS  Google Scholar 

  12. Mabry R. Sinus ultrasound scanning. Otolaryngol Head Neck Surg 1985;93(1): 136,137.

    PubMed  CAS  Google Scholar 

  13. Pfleiderer A. Ultrasound investigation of the sinuses: a real advance in diagnosis? J Royal Soc Medicine 1985; 78:277,278.

    CAS  Google Scholar 

  14. Harnsberger H. Imaging for the sinus and nose. In Head and Neck Imaging Handbook. Mosby Yearbook, St. Louis, MO, 1990;387–419.

    Google Scholar 

  15. Mafee M. Nonepithelial tumors of the paranasal sinuses and nasal cavity. Role of CT and MR imaging. Radiol Clin North Am 1993;31(1):75–90.

    PubMed  CAS  Google Scholar 

  16. Hosemann W. Dissection of the lateral nasal wall in eight steps. In: Wigand ME, ed., Endoscopic Surgery of the Paranasal Sinuses and Anterior Skull Base. Thieme Medical Publishers, New York: 1990; pp. 36–41.

    Google Scholar 

  17. Yousem D. Imaging of sinonasal inflammatory disease. Radiology 1993;188(2):303–314.

    PubMed  CAS  Google Scholar 

  18. Buus D, Tse D, Farris B. Ophthalmic complications of sinus surgery. Ophthalmology 1990;97:612–619.

    PubMed  CAS  Google Scholar 

  19. Hudgins P. Complications of endoscopic sinus surgery—the role of the radiologist in prevention. Radiol Clin North Am 1993;31(1):21–31.

    PubMed  CAS  Google Scholar 

  20. Hudgins P, Browning D, Gallups J. Endoscopic paranasal sinus surgery: radiographic evaluation of severe complications. AJNR 1992; 13:1161–1167.

    PubMed  CAS  Google Scholar 

  21. Maniglia A. Fatal and major complications secondary to nasal and sinus surgery. Laryngoscope 1989;99:276–283.

    PubMed  CAS  Google Scholar 

  22. Maniglia A. Fatal and other major complications of endoscopic sinus surgery. Laryngoscope 1991; 101:349–354.

    PubMed  CAS  Google Scholar 

  23. Laine F, Smoker W. The ostiomeatal unit and endoscopic surgery: anatomy, variations, and imaging findings in inflammatory diseases. AJR 1992;159(4):849–857.

    PubMed  CAS  Google Scholar 

  24. Shankar L, Evans K, Hawke M, Stammberger H. An Atlas of Imaging of the Paranasal Sinuses. Imago, Singapore, 1994, pp. 41–72.

    Google Scholar 

  25. Bolger W, Butzin C, Parsons D. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101(1/1):56–64.

    PubMed  CAS  Google Scholar 

  26. Evans F, Sydnor J, Moore W, Moore G. Sinusitis of the maxillary antrum. N Engl J Med 1975;293(15):735–739.

    Article  PubMed  Google Scholar 

  27. Weber A. Inflammatory diseases of the paranasal sinuses and mucoceles. Otolaryngol Clin North Am 1988;21(3): 421–437.

    PubMed  CAS  Google Scholar 

  28. Kennedy D, Zinreich S, Kumar A, Rosenbaum A, Johns M. Physiologic mucosal changes within the nose and ethmoid sinus: imaging of the nasal cycle by MRI. Laryngoscope 1988;98(9):928–933.

    Article  PubMed  CAS  Google Scholar 

  29. Gullane P, Conley J. Carcinoma of the maxillary sinus. A correlation of the clinical course with orbital involvement, pterygoid erosion or pterygopalatine invasion and cervical metastases. J Otolaryngol 1983; 12:141–145.

    PubMed  CAS  Google Scholar 

  30. Harrison D. Midline destructive granuloma: fact or ficton. Laryngoscope 1987;97:1049–1053.

    PubMed  CAS  Google Scholar 

  31. Yousem D, Kennedy D, Rosenberg S. Ostiomeatal complex risk factors for sinusitis: CT evaluation. J Otolaryngol 1991;20(6):419–424.

    PubMed  CAS  Google Scholar 

  32. Babbel R, Harnsberger H. Sonkens J, Hunt S. Recurring patterns of inflammatory sinonasal disease demonstrated on screening sinus CT. AJNR 1992;13(3):903–912.

    PubMed  CAS  Google Scholar 

  33. Scuderi A, Babbel R, Harnsberger H, Sonkens J. The sporadic pattern of inflammatory sinonasal disease including postsurgical changes. Semin Ultrasound CT MR 1991;12(6):575–591.

    PubMed  CAS  Google Scholar 

  34. Som P, Curtin H. Chronic inflammatory sinonasal diseases including fungal infections. The role of imaging. Radiol Clin North Am 1993;31(1):33–44.

    PubMed  CAS  Google Scholar 

  35. Som P. Imaging of paranasal sinus fungal disease. Otolaryngol Clin North Am 1993;26(6):983–994.

    PubMed  CAS  Google Scholar 

  36. Som P, Bergeron R. Sinonasal cavity. In: Som P, Bergeron R, eds., Head & Neck Imaging. Mosby, St. Louis, MO, 1991; pp. 114–166.

    Google Scholar 

  37. Stammberger H, Wolf G. Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl 1988;134:3–23.

    PubMed  CAS  Google Scholar 

  38. Lidov M, Som P. Inflammatory disease involving a concha bullosa (enlarged pneumatized middle nasal turbinate): MR and CT appearance. AJNR 1990;11(5): 999–1001.

    PubMed  CAS  Google Scholar 

  39. Zinreich S, Kennedy D, Malat J, Curtin H. Epstein J, Huff L, Kumar A, Johns M, Rosenbaum A. Fungal sinusitis: diagnosis with CT and MR imaging. Radiology 1988; 169(2):439–444.

    PubMed  CAS  Google Scholar 

  40. Moloney J, Badham N, McRae A. The acute orbit, preseptal, periorbital cellulitis, subperiosteal abscess and orbital cellulitis due to sinusitis. J Laryngol Otol 1987; 12:1–18.

    CAS  Google Scholar 

  41. Rohr A, Spector S, Siegel S, Katz R, Rachelefsky G. Correlation between A-mode ultrasound and radiography in the diagnosis of maxillary sinusitis. J Allergy Clin Immunol 1986;78(1/1):58–61.

    Article  PubMed  CAS  Google Scholar 

  42. Walters E, Waller P, Hiles D, Michaels R. Acute orbital cellulitis. Arch Ophthalmol 1976;94:785–788.

    Article  Google Scholar 

  43. Woodruff W, Vrabec D. Inverted papilloma of the nasal vault and paranasal sinuses: spectrum of CT findings. AJR 1994; 162(2):419–423.

    PubMed  CAS  Google Scholar 

  44. Babbel R, Harnsberger HR, Nelson B, Sonkens J, Hunt S. Optimization of techniques in screening CT of the sinuses. AJR 1991; 157:1093–1098.

    Google Scholar 

  45. Stankiewicz J. Complications of endoscopic intranasal ethmoidectomy. Laryngoscope 1987;97:1270–1273.

    Article  PubMed  CAS  Google Scholar 

  46. Nelson A, Reed H, Haney P, Varma D, Adams K, Beckett W, Whitley J. Gray-scale (B-Mode) sonography of the maxillary sinus. J Ultrasound Med 1986;5:477–481.

    PubMed  CAS  Google Scholar 

  47. Laine FJ, Kuta AJ. Imaging the sphenoid bone and basiocciputi pathologic considerations. Semin Ultra CT MRI 1993;14(3):160–177.

    Article  CAS  Google Scholar 

  48. Som P, Bergeron R. Sinonasal cavity. In: Som P, Bergeron R, eds., Head and Neck Imaging. Mosby, St. Louis, MO, 1991; pp. 169–224.

    Google Scholar 

  49. Chow J, Leonetti J, Mafee M. Epithelial tumors of the paranasal sinuses and nasal cavity. Radiol Clin North Am 1993;31(1):61–73.

    PubMed  CAS  Google Scholar 

  50. Lawson W, LeBenger J, Som P, Bernard P, Biller H. Inverted papilloma: an analysis of 87 cases. Laryngoscope 1989;99(11):1117–1124.

    Article  PubMed  CAS  Google Scholar 

  51. Zinreich S, Tebo S, Long D, Brem H, Mattox D, Loury M, VanderKolk C, Koch W, Kennedy D, Bryan R. Frameless stereotaxic integration of CT imaging data: accuracy and initial applications. Radiology 1993;188(3):735–742.

    PubMed  CAS  Google Scholar 

  52. Fellows D, King D, Conturo T, Bryan R, Merz W, Zinreich S. In vitro evaluation of hypointensity in aspergillus colonies. AJNR 1994;15:1139–1144.

    PubMed  CAS  Google Scholar 

  53. Wilbur A, Dobben G, Linder B. Paraorbital tumors and tumor-like conditions: role of CT and MRI. Radiol Clin North Am 1987;25(3):631–646.

    PubMed  CAS  Google Scholar 

  54. Hill J, Soboroff B, Applebaum E. Nonsquamous tumors of the nose and paranasal sinuses. Otolaryngol Clin North Am 1986;19(4):723–739.

    PubMed  CAS  Google Scholar 

  55. Kimmelman C, Korovin G. Management of paranasal sinus neoplasms invading the orbit. Otolaryngol Clin North Am 1988;21(1):77–91.

    PubMed  CAS  Google Scholar 

  56. Som P, Shugar J, Cohen B, Biller H. The nonspecifïcity of the antral bowing sign in maxillary sinus pathology. J Comput Assist Tomogr 1981;5(3):350–352.

    Article  PubMed  CAS  Google Scholar 

  57. Weber A, Stanton A. Malignant tumors of the paranasal sinuses: radiologic, clinical and histopathologic evaluation of 200 cases. Head Neck Surg 1984;6:761–776.

    Article  PubMed  CAS  Google Scholar 

  58. Patt B, Manning S. Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg 1991;104(6):789–795.

    PubMed  CAS  Google Scholar 

  59. Som P. Sinonasal tumors and inflammatory tissues: differentiation with MR. Radiology 1988;167:803.

    PubMed  CAS  Google Scholar 

  60. Stankiewicz J. Complications in endoscopic intranasal ethmoidectomy: an update. Laryngoscope 1989; 99:668–670.

    Google Scholar 

  61. Neuhaus R. Orbital complications secondary to endoscopic sinus surgery. Ophthalmology 1990;97:1512–1518.

    PubMed  CAS  Google Scholar 

  62. Mettler FA, Guiberteau MJ. Cerebrovascular system. In: Mettler FA, Guiberteau MJ, eds., Essentials of Nuclear Medicine Imaging. 3rd ed. Philadelphia: W. B. Saunders, 1991; pp. 73,74.

    Google Scholar 

  63. Kennedy D, Shaman P, Hen W, Selman H, Deans D, Lanza D. Complications of ethmoidectomy: a survey of fellows of Otolaryngology-Head & Neck Surgery. Otolaryngol Head Neck Surg. in press.

    Google Scholar 

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© 1996 Springer Science+Business Media New York

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Benson, M.L., Oliverio, P.J., Zinreich, S.J. (1996). Imaging Techniques. In: Gershwin, M.E., Incaudo, G.A. (eds) Diseases of the Sinuses. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0225-7_4

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  • DOI: https://doi.org/10.1007/978-1-4612-0225-7_4

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4612-6670-9

  • Online ISBN: 978-1-4612-0225-7

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