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Imaging in Pediatric Rhinosinusitis

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Pediatric Rhinosinusitis

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Abstract

Sinusitis is commonly seen by both otolaryngologists and primary care physicians who treat pediatric patients. Judicious use of radiation is especially important in this population. When sinusitis is acute and uncomplicated, there is no indication for imaging. There are several clinical situations which may prompt consideration of imaging including persistent or chronic sinusitis and before a planned sinus surgery. In these situations, a non-contrasted CT is appropriate. Complicated sinusitis or concern for malignancy may prompt consideration of other imaging modalities. Caution must be used in interpreting the incidental finding of sinusitis on CT or MRI obtained for other clinical indications, as sinus changes are exceedingly common in asymptomatic patients. Here we discuss the indications for imaging and considerations for choice of imaging modality. We then highlight imaging findings in chronic and complicated sinusitis and discuss specific imaging changes found in cystic fibrosis and allergic fungal sinusitis. This chapter reviews the use of imaging in pediatric patients with sinusitis and the most common imaging findings.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology–Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA

    Phillip R. Purnell & Johnathan E. Castaño

  2. Department of Radiology, Department of Interventional Neuroradiology, West Virginia University School of Medicine, Morgantown, WV, USA

    Abdul Rahman Tarabishy

Authors
  1. Phillip R. Purnell
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  2. Abdul Rahman Tarabishy
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  3. Johnathan E. Castaño
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Corresponding author

Correspondence to Johnathan E. Castaño .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology, West Virginia University, School of Medicine, Morgantown, WV, USA

    Hassan H. Ramadan

  2. Section of Otolaryngology–Head and Neck Surgery, The University of Chicago Medicine and The Comer Children’s Hospital, Chicago, IL, USA

    Fuad M. Baroody

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Purnell, P.R., Tarabishy, A.R., Castaño, J.E. (2020). Imaging in Pediatric Rhinosinusitis. In: Ramadan, H., Baroody, F. (eds) Pediatric Rhinosinusitis. Springer, Cham. https://doi.org/10.1007/978-3-030-22891-0_4

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  • DOI: https://doi.org/10.1007/978-3-030-22891-0_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-22890-3

  • Online ISBN: 978-3-030-22891-0

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