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Chronic sinusitis: symptoms versus CT scan findings.

Michael G Stewart1, Romaine F Johnson

  • 1The Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Texas 77030, USA. mgstew@bcm.tmc.edu

Current Opinion in Otolaryngology & Head and Neck Surgery
|January 9, 2004
PubMed
Summary

Chronic rhinosinusitis symptom severity shows little correlation with sinus CT scan findings. Both symptoms and CT scans are crucial for a comprehensive sinusitis evaluation.

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Area of Science:

  • Otolaryngology
  • Radiology

Background:

  • The definition of chronic rhinosinusitis (CRS) relies on symptoms and signs, but CT scans are frequently used for diagnosis and severity assessment.
  • The relationship between CRS symptoms and objective findings on sinus CT scans is a subject of ongoing debate.

Purpose of the Study:

  • To review the current evidence on the association between chronic rhinosinusitis symptoms and sinus CT scan findings.
  • To evaluate the diagnostic and prognostic value of CT scans in relation to patient-reported symptoms.

Main Methods:

  • Review of two prospective studies investigating the correlation between symptoms and CT scan results.
  • Analysis of studies using validated and non-validated symptom assessments alongside CT staging systems and measurements.

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Main Results:

  • One study found CT scan findings poorly predicted the presence or absence of chronic sinusitis.
  • Another study identified limited significant associations between non-validated symptom assessments and various CT measurements.

Conclusions:

  • Recent research explicitly linking symptom severity to CT findings in chronic rhinosinusitis is scarce.
  • Current evidence suggests a weak correlation between CT findings and symptoms, yet both remain vital components in sinusitis assessment.