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Sonography of the Paranasal Sinuses, Soft Tissues of the Face, Orbit, and Bony Structures of the Face

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Ultrasonography of the Head and Neck

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Abstract

Ultrasonography of the soft tissues in the face, of the paranasal sinuses, and of the orbit is not as common as examinations of the neck, thyroid glands, or salivary glands. One reason for this lies in the anatomy that makes ultrasonographic imaging sometimes impossible. The first part of this chapter focusses on anatomical and technical remarks for ultrasonography of the face and paranasal sinuses. Both common techniques, A-mode and B-mode sonography, are described with their diagnostic accuracy and their advantages and limitations. The second part of the chapter describes typical sonographic characteristics of particular diseases, e.g., acute and chronic sinusitis, inflammatory diseases of facial soft tissues, and masses of the soft tissues. The third part of the chapter details sonography of the orbit and its adnexa.

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References

  1. Jecker P. Ultrasonography of the face, paranasal sinuses, and ear. In: Orloff L, editor. Head and neck ultrasonography. 2nd ed. San Diego: Plural Publishing; 2016. p. 323–41.

    Google Scholar 

  2. Peng J, Cai X, Gong J, Zou H, Chen Q, Chen J. Use of diagnostic ultrasound of sinus in the paranasal sinus disease. [Article in Chinese]. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 1999;13:81–2.

    CAS  PubMed  Google Scholar 

  3. Gianoli GJ, Mann WJ, Miller RH. B-mode ultrasonography of the paranasal sinuses compared with CT findings. Otolaryngol Head Neck Surg. 1992;107:713–20.

    Article  CAS  Google Scholar 

  4. Riechelmann H, Mann W. Ultrasonography of paranasal sinus lesions. Rhinol Suppl. 1992;14:136–40.

    CAS  PubMed  Google Scholar 

  5. Jannert M, Andreasson L, Benthin M, Dahl P. Ultrasonography of the paranasal sinuses. A new computerized equipment using LCD-display and capture mode. Rhinology. 1987;25:133–7.

    CAS  PubMed  Google Scholar 

  6. Mann W, Burny A, Schlenter W. Ultrasonography in paranasal sinus disease. Ann Otolaryngol Chir Cervicofac. 1981;98:299–303.

    CAS  PubMed  Google Scholar 

  7. Belic B, Erdevicki L, Stojanovic J, Stojanovic S, Arsenijevic S, Stankovic P. A-mode ultrasonography and roentgenography in diagnosing chronic nonpolypoid maxillary rhinosinusitis. Acta Chir Jugosl. 2009;56:139–44.

    Article  CAS  Google Scholar 

  8. Zagolski O, Strek P. Ultrasonography of the nose and paranasal sinuses. Pol Merkur Lekarski. 2007;22:32–5.

    PubMed  Google Scholar 

  9. Pfister R, Lütolf M, Schapowal A, Glatte B, Schmitz M, Menz G. Screening for sinus disease in patients with asthma: a computed tomography-controlled comparison of A- mode ultrasonography and standard radiography. J Allergy Clin Immunol. 1994;94:804–9.

    Article  CAS  Google Scholar 

  10. Lichtenstein D, Bidermann P, Meziere G, Gepner A. The sinusogram, a real time ultrasound sign of maxillary sinusitis. Intensive Care Med. 1998;24:1057–61.

    Article  CAS  Google Scholar 

  11. Bektas F, Soyuncu S, Yigit O. Acute maxillary sinusitis detected by bedside emergency department ultrasonography. Int J Emerg Med. 2010;3:497–8.

    Article  Google Scholar 

  12. Vento SI, Ertama LO, Hytönen ML, Malmberg CH. A-mode ultrasound in the diagnosis of chronic polypous sinusitis. Acta Otolaryngol. 1999;119:916–20.

    Article  CAS  Google Scholar 

  13. Druce HM. The use of ultrasound as an imaging technique in the diagnosis of sinusitis. N Engl Reg Allergy Proc. 1988;9:109–12.

    Article  CAS  Google Scholar 

  14. Teppo H, Revonta M. Ultrasound device helps in ruling out maxillary sinus fluid in acute rhinosinusitis: how we do it. Clin Otolaryngol. 2011;36:491–4.

    Article  CAS  Google Scholar 

  15. Mori A, Nakayama T, Tsukidate T, Hirabayashi H, Haruna S. Comparison of B- mode ultrasonography and computed tomography in the evaluation of maxillary sinusitis in pediatric patients. [Article in Japanese]. Nihon Jibiinkoka Gakkai Kaiho. 2014;117:26–33.

    Article  Google Scholar 

  16. McQuilla L, Crane LA, Kempe A. Diagnosis and management of acute sinusitis by pediatricians. Pediatrics. 2009;123:e193–8.

    Article  Google Scholar 

  17. Revonta M, Kuuliala I. The diagnosis and follow-up of pediatric sinusitis: Water’s view radiography versus ultrasonography. Laryngoscope. 1989;99:321–4.

    Article  CAS  Google Scholar 

  18. Benninger MS, McFarlin K, Hamilton DR, Rubinfeld I, Sargsyan AE, Melton SL, et al. Ultrasonographic evaluation of sinusitis during microgravity in a novel animal model. Arch Otolaryngol Head Neck Surg. 2010;136:1094–8.

    Article  Google Scholar 

  19. Aras MH, Miloglu O, Barutcugil C, Kantarci M, Ozcan E, Harorli A. Comparison of the sensitivity for detecting foreign bodies among conventional plain radiography, computed tomography and ultrasonography. Dentomaxillofac Radiol. 2010;39:72–8.

    Article  CAS  Google Scholar 

  20. Ghatasheh M, Smadi A. Ultrasonography versus radiography in the diagnosis of maxillary sinus. East Mediterr Health J. 2000;6:1083–6.

    CAS  PubMed  Google Scholar 

  21. Puhakka T, Heikkinen T, Mäkelä MJ, Alanen A, Kallio T, Korsoff L, et al. Validity of ultrasonography in diagnosis of acute maxillary sinusitis. Arch Otolaryngol Head Neck Surg. 2000;126:1482–6.

    Article  CAS  Google Scholar 

  22. Jecker P. Ultraschalluntersuchung der Nasennebenhöhlen und der Orbita. In: Welkoborsky HJ, Jecker P, Maurer J, Mann WJ, editors. Ultraschall im Kopf-Hals- Bereich. Stuttgart: Thieme Verlag; 2013. p. 121–31.

    Google Scholar 

  23. Jecker P. Diagnostic use of ultrasound for examination of the nose and the paranasal sinuses. [Article in German]. Ultraschall Med. 2005;26:501–16.

    Article  CAS  Google Scholar 

  24. Thompson LD. Paranasal sinus mucocele. Ear Nose Throat J. 2012;91:276–8.

    Article  Google Scholar 

  25. Liu JJ, Gao Y, Wu YF, Zhu SY. Sonography for diagnosis of benign and malignant tumors of the nose and paranasal sinuses. J Ultrasound Med. 2014;33:1627–34.

    Article  Google Scholar 

  26. Gao Y, Yan X, Lai M, Guo P, Wu Y, Zhu S. T-Staging of maxillary sinus carcinoma: comparison of ultrasonography and computed tomography. Discov Med. 2016;21:469–77.

    PubMed  Google Scholar 

  27. Lee IS, Lee JH, Woo CK, Kim HJ, Sol YL, Song JW, Cho KS. Ultrasonography in the diagnosis of nasal bone fractures: a comparison with conventional radiography and computed tomography. Eur Arch Otorhinolaryngol. 2016;273:413–8.

    Article  Google Scholar 

  28. Nemati S, Jandaghi AB, Banan R, Aghajanpour M, Kazemnezhad E. Ultrasonography findings in nasal bone fracture; 6-month follow-up: can we estimate time of trauma? Eur Arch Otorhinolaryngol. 2015;272:873–6.

    Article  Google Scholar 

  29. Mohammadi A, Ghasemi-Rad M. Nasal bone fracture – ultrasonography or computed tomography? Med Ultrason. 2011;13:292–5.

    PubMed  Google Scholar 

  30. Atighechi S, Baradaranfar MH, Karimi G, Dadgarnia MH, Mansoorian HR, Barkhordari N, et al. Diagnostic value of ultrasonography in the diagnosis of nasal fractures. J Craniofac Surg. 2014;25:e51–3.

    Article  Google Scholar 

  31. Javadrashid R, Khatoonabad M, Shams N, Esmaeili F, Jabbari KH. Comparison of ultrasonography with computed tomography in the diagnosis of nasal bone fractures. Dentomaxillofac Radiol. 2011;40:486–91.

    Article  CAS  Google Scholar 

  32. Friedrich RE, Heiland M, Bartel-Friedrich S. Potentials of ultrasound in the diagnosis of midfacial fractures. Clin Oral Investig. 2003;7:226–9.

    Article  CAS  Google Scholar 

  33. Adeyemo WL, Akadiri OA. A systematic review of the diagnostic role of ultrasonography in maxillofacial fractures. Int J Oral Maxillofac Surg. 2011;40:655–61.

    Article  CAS  Google Scholar 

  34. Menon RP, Chowdhury SK, Semi RS, Gupta V, Rahman S, Balasundaram T. Comparison of ultrasonography with conventional radiography in the diagnosis of zygomatic complex fractures. J Craniomaxillofac Surg. 2016;44:353–6.

    Article  Google Scholar 

  35. Ogunmuyiwa SA, Fatusi OA, Ugboko VI, Ayoola OO, Maaji SM. The validity of ultrasonography in the diagnosis of zygomaticomaxillary complex fractures. Int J Oral Maxillofac Surg. 2012;41:500–5.

    Article  CAS  Google Scholar 

  36. Graß SK, Deichmüller CM, Brandis A, Welkoborsky HJ. Pilomatrixoma – an important differential diagnosis of facial masses. [Article in German]. Laryngorhinootologie. 2015;94:29–33.

    PubMed  Google Scholar 

  37. Hande PC, Talwar I. Multimodality imaging of the orbit. Indian J Radiol Imaging. 2012;22:227–39.

    Article  Google Scholar 

  38. Rose GE, Verity DH. Neuro-ophthalmology of orbital disease. Handb Clin Neurol. 2011;102:467–91.

    Article  Google Scholar 

  39. Dudea SM. Ultrasonography of the eye and orbit. Med Ultrason. 2011;13:171–4.

    PubMed  Google Scholar 

  40. Gaßner I, Mair M. Sonographie von Bulbus oculi und Orbita. Kind Radiologie. 2006;3:34–9.

    Google Scholar 

  41. Gaßner I, Mair M. Bulbus oculi und Orbita. In: Hofmann V, Deeg KH, Hoyer PF, editors. Ultraschalldiagnostik in Pädiatrie und Kinderchirurgie. Stuttgart: Thieme Verlag; 2005. p. 191ff.

    Google Scholar 

  42. Ciocalteu AM, Ardeleanu S, Checherita IA. The role of ultrasonography exam in orbital-ocular tumors. Rev Med Chir Soc Med Nat Iasi. 2011;115:1113–8.

    PubMed  Google Scholar 

  43. Fernandez-Dominguez J, Garcia-Rodriguez R, Mateos V. Transorbital echography for assessment of optical nerve atrophy in demyelinating diseases: a pilot study. Rev Neurol. 2012;54:587–92.

    PubMed  Google Scholar 

  44. Karami M, Janghorbani M, Dehghani A, Riahinejad M. Orbital Doppler evaluation of blood flow velocities in optic neuritis. Korean J Ophthalmol. 2012;26:116–22.

    Article  Google Scholar 

  45. Shokoohi H, Taheri MR, Boniface KS, Abdulmohsen A, Janet L. Orbital ultrasound in the selective screening of a dural-cavernous sinus fistula. Eur J Emerg Med. 2013;20:137–9.

    Article  Google Scholar 

  46. Foster T, Tayal VS, Saunders T, Norton J. Emergency ultrasound optic nerve sheath measurement to detect increased intracranial pressure in head injury patients: preliminary study of interobserver variability in normal human subjects. Acad Emerg Med. 2003;10:487–8.

    Article  Google Scholar 

  47. Welkoborsky HJ. Ultrasonography of the orbit. In: Welkoborsky HJ, Wiechens B, Hinni ML, editors. Orbit surgery. Stuttgart: Thieme Publishers; 2017. p. 59–66.

    Google Scholar 

  48. Graß S, Welkoborsky HJ. Orbital complications. In: Welkoborsky HJ, Wiechens B, Hinni ML, editors. Orbit surgery. Stuttgart: Thieme Publishers; 2017. p. 89–97.

    Google Scholar 

  49. Chang SH, Papageorgiu K, Ang M, King AJ, Goldberg RA. High-resolution ultrasound as an effective and practical tool to analyze eyebrow profile expansion in thyroid-associated periorbitopathy. Ophthalmic Plast Reconstr Surg. 2013;29:382–5.

    Article  Google Scholar 

  50. Orlandi D, Sconfineza LM, Lacelli F, Bertolotto M, Sola S, Mauri G, et al. Ultrasound-guided core-needle biopsy of extra-ocular orbital lesions. Eur Radiol. 2013;23:1919–24.

    Article  Google Scholar 

  51. Wagner LH, Reich SS, Johnson BB. Frontal sinus mucocele diagnosed by fundus examination and B-mode ultrasonography. JAMA Ophthalmol. 2015;133:e151159.

    Article  Google Scholar 

  52. Aslan A, Büyükkaya R, Tan S, Erdogan C, Hakyemez B. Efficacy of ultrasonography in lymphatic malformations: diagnosis, treatment and follow-up: a case report. Med Ultrason. 2013;15:244–6.

    Article  Google Scholar 

  53. Chawla B, Hada M, Kashyap S, Bakhshi S. Orbital retinoblastoma in an adult. Orbit. 2013;32:146–8.

    Article  Google Scholar 

  54. Alkatan HM, Alaraj A, El-Khani A, Al-Sheikh O. Ocular adnexal lymphoproliferative disorders in an ophthalmic referral center in Saudi Arabia. Saudi J Ophthalmol. 2013;27:227–30.

    Article  Google Scholar 

  55. Rasmussen PK, Coupland SE, Finger PT, Graue GF, Grossniklaus HE, Honavar SG, et al. Ocular adnexal follicular lymphoma: a multicenter international study. JAMA Ophthalmol. 2014;132:851–8.

    Article  Google Scholar 

  56. Jenkins CN, Thuau H. Ultrasound imaging in assessment of fractures of the orbital floor. Clin Radiol. 1997;52:708–11.

    Article  CAS  Google Scholar 

  57. Johari M, Ghavimi MA, Mahmoudian H, Javadrashid R, Mirakhor Samani S, Fouladi DF. A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures. Dentomaxillofac Radiol. 2016. https://doi.org/10.1259/dmfr20150311.

  58. Jank S, Emshoff R, Etzelsdorfer M, Strobl H, Nicasi A, Norer B. The diagnostic value of ultrasonography in the detection of orbital floor fractures with a curved array transducer. Int J Oral Maxillofac Surg. 2004;33:13–8.

    Article  CAS  Google Scholar 

  59. Srirangam R, Gokhale SK, Kulkarni AU, Gadre KS. Unusual intraorbital foreign body. BMJ Case Rep. 2012;2012. pii: bcr1220115377. https://doi.org/10.1136/bcr-12-2011-5377.

    Google Scholar 

  60. Patel SN, Langer PD, Zarbin MA, Bhagat N. Diagnostic value of clinical examination and radiographic imaging in identification of intraocular foreign bodies in open globe injury. Eur J Ophthalmol. 2012;22:259–68.

    Article  CAS  Google Scholar 

  61. Solheim O, Selbekk T, Løvstakken L, Tangen GA, Solberg OV, Johansen TF, et al. Intrasellar ultrasound in transsphenoidal surgery: a novel technique. Neurosurgery. 2010;66:173–85; discussion 185–6.

    Article  Google Scholar 

  62. Ishikawa M, Ota Y, Yoshida N, Iino Y, Tanaka Y, Watanabe E. Endonasal ultrasonography-assisted neuroendoscopic transsphenoidal surgery. Acta Neurochir (Wien). 2015;157:863–8; discussion 868.

    Article  Google Scholar 

  63. Ota Y, Mami I. Ultrasonography imaging during nasal endoscopic transsphenoidal surgery. ORL J Otorhinolaryngol Relat Spec. 2013;75:27–31.

    Article  CAS  Google Scholar 

  64. Marcus HJ, Vercauteren T, Ourselin S, Dorward NL. Intraoperative ultrasound in patients undergoing transsphenoidal surgery for pituitary adenoma: systematic review [corrected]. World Neurosurg. 2017;106:680–5.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, KRH Nordstadt Clinic–Academic Hospital, Hanover, Germany

    Hans J. Welkoborsky

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  1. Hans J. Welkoborsky
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Correspondence to Hans J. Welkoborsky .

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Editors and Affiliations

  1. Department of Otorhinolaryngology Head and Neck Surgery, KRH Nordstadt Clinic-Academic Hospital, Hannover, Germany

    Hans J. Welkoborsky

  2. Department of Otorhinolaryngology and Plastic Head and Neck Surgery, Klinikum Bad Salzungen GmbH, Bad Salzungen, Germany

    Peter Jecker

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Welkoborsky, H.J. (2019). Sonography of the Paranasal Sinuses, Soft Tissues of the Face, Orbit, and Bony Structures of the Face. In: Welkoborsky, H., Jecker, P. (eds) Ultrasonography of the Head and Neck. Springer, Cham. https://doi.org/10.1007/978-3-030-12641-4_14

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  • DOI: https://doi.org/10.1007/978-3-030-12641-4_14

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