Sinonasal inflammatory disease: pathophysiology, imaging, and surgery.

Area of Science:

• Radiology
• Otolaryngology
• Medical Imaging

Background:

• Extensive literature exists on sinonasal inflammatory diseases.
• Standard imaging protocols and anatomy are not the focus.
• This review addresses complex clinical and radiographic topics.

Purpose of the Study:

• To clarify confusing aspects of rhinosinusitis imaging for radiologists.
• To discuss pathophysiology, bone response to inflammation, and surgical issues.
• To emphasize the role of MRI in problem-solving.

Main Methods:

• Review of clinical and radiographic topics in rhinosinusitis.
• Discussion of pathophysiology and bone response.
• Analysis of surgical procedures, complications, and recurrent disease.

Main Results:

• Identifies key areas of confusion in sinonasal inflammatory disease imaging.
• Explains the pathophysiology and bone response relevant to imaging.
• Details surgical complications and postoperative recurrence patterns.

Conclusions:

• Radiologists require in-depth understanding of rhinosinusitis pathophysiology and bone response.
• MRI is a crucial problem-solving tool for complex sinonasal inflammatory conditions.
• Understanding surgical outcomes is vital for interpreting postoperative imaging.