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Related Experiment Videos

Waters' view in children with sinusitis.

A Moilanen

    Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
    |June 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Waters

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    Area of Science:

    • Pediatric Radiology
    • Otolaryngology
    • Infectious Diseases

    Background:

    • Prolonged upper respiratory infections (URIs) in children often warrant diagnostic imaging.
    • The occipito-mental view (Waters' view) is a common radiographic projection for evaluating sinuses.
    • Assessing the utility and findings of Waters' view in pediatric URIs is crucial for accurate diagnosis.

    Purpose of the Study:

    • To evaluate the findings of Waters' occipito-mental view in a cohort of children experiencing prolonged upper respiratory infections.
    • To determine the prevalence of sinusitis and other abnormalities in this pediatric population.
    • To assess the reliability of Waters' view in different age groups within the pediatric range.

    Main Methods:

    • Retrospective review of Waters' occipito-mental radiographs from 433 children with prolonged URIs.

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  • Analysis of radiographic findings, including sinusitis (opacity, air-fluid levels), polypoid lesions, and normal studies.
  • Comparison of findings across different age groups, particularly below and above school age.

    • Main Results:

    • Approximately 30% of children showed no abnormal findings on Waters' view.
    • Bilateral sinusitis was detected in 68% of cases, with total opacity or air-fluid levels being most common, especially in pre-school-aged children.
    • Polypoid lesions were identified in 1.7% of cases. Re-examination occurred in 15% of cases.
    • Waters' view technical quality and reliability were suboptimal in children under four years old, necessitating critical assessment of findings.

    Conclusions:

    • Waters' view reveals sinusitis in a significant majority of children with prolonged URIs, particularly younger children.
    • Radiographic interpretation requires critical evaluation in children under four due to technical limitations.
    • Sinus radiographic evaluation becomes reliable in children once they reach school age, comparable to adult assessments.