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Sinonasal polyposis: investigation by direct coronal CT
J Drutman1, H R Harnsberger, R W Babbel
1Department of Radiology, University of Utah Medical Center, Salt Lake City 84132.
Neuroradiology
|August 1, 1994
Summary
This study details sinonasal polyposis, a challenging inflammatory condition. CT scans reveal characteristic features like nasal masses and sinus opacification, aiding diagnosis for endoscopic surgeons.
Area of Science:
- Otolaryngology
- Radiology
- Pathology
Background:
- Sinonasal polyposis is a common inflammatory condition affecting the nasal cavity and sinuses.
- It presents with diverse symptoms and can be challenging to manage due to its aggressive nature and recurrence potential.
Purpose of the Study:
- To outline the typical clinical and computed tomography (CT) findings in sinonasal polyposis.
- To highlight the importance of recognizing these features for effective surgical management.
Main Methods:
- Retrospective review of clinical records and preoperative direct coronal CT scans.
- Analysis of data from 35 patients with surgically confirmed sinonasal polyposis.
Main Results:
- Common symptoms include nasal stuffiness (100%), rhinorrhea (69%), and facial pain (60%).
- CT findings frequently show nasal polypoid masses (91%), pansinus opacification (90%), and enlarged infundibula (89%).
- Bony changes and air-fluid levels were also observed, with air-fluid levels correlating poorly with acute sinusitis signs.
Conclusions:
- Sinonasal polyposis exhibits distinct clinical and CT features that are crucial for diagnosis.
- Understanding these characteristics is vital for endoscopic surgeons managing this recurrent inflammatory disease.