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Improving paranasal sinus computed tomography reporting prior to functional endoscopic sinus surgery – an ENT-UK panel perspective

Published online by Cambridge University Press:  24 October 2016

S G Mistry ,
D R Strachan  and
E L Loney
S G Mistry*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Bradford Teaching Hospitals NHS Foundation Trust, UK
D R Strachan
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Bradford Teaching Hospitals NHS Foundation Trust, UK
E L Loney
Affiliation:
Department of Radiology, County Durham and Darlington NHS Foundation Trust, Durham, UK
*
Address for correspondence: Mr Sandeep G Mistry, Department of Otolaryngology – Head and Neck Surgery, Bradford Royal Infirmary, Bradford BD9 6RJ, UK Fax: 01274 545 233 E-mail: smis83@doctors.org.uk
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Abstract

Background:

Functional endoscopic sinus surgery is recognised to have a significant complication profile (e.g. blindness, cerebrospinal fluid leak and intracranial sepsis). Pre-operative computed tomography imaging is considered mandatory for surgical planning to reduce intra-operative risk. A radiological report is the ‘gold standard’ in image interpretation; however, because of a lack of otolaryngological or radiological guidance, its contents may be variable. By surveying practising otolaryngologists, this study aimed to provide some guidance which may be used by radiologists to produce more surgically relevant radiological reports.

Method:

A prospective questionnaire was distributed to the ENT-UK panel.

Results:

A total of 117 consultant members of the panel completed the survey. Twenty-nine per cent indicated that they were uncomfortable interpreting all areas of the computed tomography scan. Greatest importance was given to areas including the ethmoid roof (dehiscence, asymmetry and angle), lamina papyracea (dehiscence) and sphenoid sinus (carotid canal dehiscence and optic nerve relationships).

Conclusion:

Functional endoscopic sinus surgery is commonly performed by non-subspecialist rhinologists. The information obtained from this study can be used by radiologists to improve report relevance, particularly for the generalist ENT surgeon. This contributes to improving patient safety and helps avoid medicolegal litigation when complications arise.

Keywords

TomographyX-Ray ComputedMedicolegal AspectsNatural Orifice Endoscopic SurgerySinusitisPerioperative Care
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 10 , October 2016 , pp. 962 - 966
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Fokkens, W, Lund, V, Mullol, J, Bachert, C, Alobid, I, Baroody, F et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol Suppl 2012;23:1–298 Google Scholar
2 Lund, VJ, Savvy, L, Lloyd, G. Imaging for endoscopic sinus surgery in adults. J Laryngol Otol 2000;114:395–7Google Scholar
3 Royal College of Radiologists. Standards and Recommendations for the Reporting and Interpretation of Imaging Investigations by Non-Radiologist Medically Qualified Practitioners and Teleradiologists. London: Royal College of Radiologists, 2011 Google Scholar
4 Deutschmann, MW, Yeung, J, Bosch, M, Lysack, JT, Kingstone, M, Kilty, SJ et al. Radiologic reporting for paranasal sinus computed tomography: a multi-institutional review of content and consistency. Laryngoscope 2013;123:1100–5Google Scholar
5 Hoang, JK, Eastwood, JD, Tebbit, CL, Glastonbury, CM. Multiplanar sinus CT: a systemic approach to imaging before functional endoscopic sinus surgery. AJR Am J Roentgenol 2010;194:W527–36 Google Scholar
6 Bolger, WE, Butzin, CA, Parsons, CS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56–64 Google Scholar
7 Zinreich, SJ, Kennedy, DW, Rosenbaum, AE, Gayler, BW, Kumar, AJ, Stammberger, H. Paranasal sinuses: requirements for functional endoscopic sinus surgery. Radiology 1987;163:769–75Google Scholar
8 Lloyd, GA, Lund, VJ, Scadding, GK. CT of the paranasal sinuses and functional endoscopic sinus surgery: a critical analysis of 100 symptomatic patients. J Laryngol Otol 1991;105:181–5Google Scholar
9 Arslan, H, Aydinhoglu, A, Bozkurt, M, Egeli, E. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999;26:39–48 Google Scholar
10 Lynn-Macrae, AG, Lynn-Macrae, RA, Emani, J, Kern, RC, Conley, DB. Medicolegal analysis of injury during endoscopic sinus surgery. Laryngoscope 2004;114:1492–5Google Scholar
11 Re, M, Maquiulo, G, Romero, R, Gioacchini, FM, Pasquini, E. Risks and medico-legal aspects of endoscopic sinus surgery: a review. Eur Arch Otorhinolaryngol 2014;271:2103–17Google Scholar
12 NHS England Analytical Services. NHS Imaging and Radiodiagnostic activity: 2013/2014 release. In: https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2013/04/KH12-release-2013-14.pdfAQ8 [22 August 2016]Google Scholar
13 Royal College of Radiologists. Clinical Radiology: a Workforce in Crisis. London: Royal College of Radiologists, 2002 Google Scholar
14 Royal College of Radiologists. Clinical Radiology Workload: Guidance on Radiologists’ Reporting Figures. London: Royal College of Radiologists, 2012 Google Scholar
15 ENT-UK. Guidelines for Authors of ENT UK Questionnaires. In: http://www.entuk.org/surveysAQ9 [22 August 2016]Google Scholar