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A Retrospective Study of Correlation between Radiological and Intra-Operative Findings in FESS: A Case Series.

Fathima Minnu P1, Priya K1, Balaji D1

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Summary
This summary is machine-generated.

Computed tomography (CT) scans often show sinus pathologies, but findings don't always align with endoscopic sinus surgery results. Endoscopy is crucial for accurate diagnosis and management of rhinosinusitis.

Keywords:
Computed TomographyFunctional Endoscopic Sinus SurgeryMucosal ThickeningPolypsRhinosinusitis

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Area of Science:

  • Otolaryngology
  • Radiology
  • Medical Imaging

Background:

  • Paranasal sinus imaging has evolved from X-rays to CT and MRI, improving diagnostic accuracy for rhinosinusitis.
  • CT scans provide detailed information but involve radiation exposure, necessitating cautious use.

Purpose of the Study:

  • To correlate pre-operative radiological findings with intraoperative findings from functional endoscopic sinus surgery (FESS).
  • To evaluate the diagnostic agreement between imaging and surgical outcomes in 100 cases.

Main Methods:

  • A retrospective case series of 100 patients with nasal and paranasal sinus complaints.
  • Data collected included symptoms, clinical examination, pre-operative radiological findings (CT), and intraoperative FESS findings.
  • Statistical analysis focused on correlation and agreement between radiological and surgical assessments.

Main Results:

  • CT scans frequently identified pathologies like polyps, mucosal thickening, and anatomical variations.
  • Intraoperative findings revealed mucosal thickening in 64.5% and polyps in 23.6% of cases.
  • Correlation between pre-operative radiological and intraoperative findings was poor to acceptable for OMC obstruction, polyps, and mucosal thickening, with no observed agreement.

Conclusions:

  • Endoscopic sinus surgery is the definitive diagnostic and management tool for sinus-related diseases.
  • Pre-operative radiological findings, particularly CT scans, show limited agreement with intraoperative FESS findings.