Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-15T11:36:15.671Z Has data issue: false hasContentIssue false
  • English
  • Français

Diagnosis of frontal sinusitis: One-dimensional ultrasonography versus radiography

Published online by Cambridge University Press:  29 June 2007

J. Suonpää  and
Matti Revonta
J. Suonpää*
Affiliation:
Department of Otorhinolaryngology, Turku University Hospital, Finland
Matti Revonta
Affiliation:
Department of Otorhinolaryngology, Kanta-Häme Central Hospital, Finland
*
Jouko Suonpää, M.D., Department of Otolaryngology, University Central Hospital, SF-20520 Turku, Finland.
Get access Rights & Permissions [Opens in a new window]

Abstract

In a series of 407 patients suffering from acute frontal sinusitis, 159 sinues of 134 patients were trephined. Initial radiography of the operated sinues pointed out a slight tendency to overdiagnosis; 19 (12 per cent) of the 157 sinuses with positive radiographic signs did not yield secretion. Radiography missed only two true cases of fluid retention. Accuracy of diagnosis by radiography was 87 per cent.

Initial ultrasonography gave a sign of retained secretion in 127 cases, of which 122 (96 per cent) were true positive However, 18(13 per cent) tracings of the 140 sinuses with secretion gave wrong negative findings. Accuracy of diagnosis by ultrasonography was 86 per cent. It seems evident, that ultasonography measures better retained secretion (excluding very small amounts) and radiography shows better mucosal swellings.

Type
Short communication
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 8 , August 1989 , pp. 765 - 767
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Edell, E. and Isaacson, S. (1978) A-mode ultrasound evaluation of maxillary sinus. Otolaryngologic clinics of North America, 11: 531–540.CrossRefGoogle ScholarPubMed
Heidelbach, J. and Gilbricht, E. (1969) Über diagnostische Möglichkeiten mit dem US-echolotverfahren bei Erkrankungen der Kieferhöhlen. Zeitschrift für Laryngologie, Rhinologie Otologie, 48: 365–372.Google Scholar
Landman, M. D. (1986) Ultrasound screening for sinus disease. Otolaryngology—Head and Neck Surgery, 94(2): 157–164.CrossRefGoogle ScholarPubMed
Mann, W. (1976) Die Ultraschalldiagnostik der NNH-Erkrankungen mit A- und B-scan. Laryngologie Rhinologie Otologie, 55: 48–53.Google ScholarPubMed
Mann, W., Beck, C. and Apostolidis, T. (1977) Liability of ultrasound in maxillary sinus disease. Archives of Otorhinolaryngology, 215: 67–74.CrossRefGoogle ScholarPubMed
Revonta, M. (1980) Ultrasound in the diagnosis of maxillary and frontal sinusitis. Acta Otolaryngologica, Suppl 370: p. 54.Google ScholarPubMed
Revonta, M., Suonpää, J., Luukkala, M. and Meriläinen, P. (1982) Diagnostic ultrasound of maxillary and frontal sinusitis—A new simple echoscope and method. Acta Otolaryngologica, Suppl 386: 265–267.CrossRefGoogle Scholar