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Charing Cross CT protocol for endoscopic sinus surgery

J Rowe-Jones1, I Mackay, I Colquhoun

  • 1Department of Otorhinolaryngology, Charing Cross Hospital, London.

The Journal of Laryngology and Otology
|November 1, 1995
PubMed
Summary
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The Charing Cross computerized tomography protocol offers a faster, cheaper method for paranasal sinus imaging. This technique aids in diagnosing chronic rhinosinusitis and planning endoscopic sinus surgery while reducing eye radiation exposure.

Area of Science:

  • Radiology
  • Medical Imaging

Background:

  • Chronic rhinosinusitis diagnosis and endoscopic sinus surgery require detailed paranasal sinus imaging.
  • Previous imaging protocols may be time-consuming, costly, or involve higher radiation doses.

Purpose of the Study:

  • To introduce and evaluate the Charing Cross computerized tomography (CT) protocol for paranasal sinus imaging.
  • To assess the protocol's efficacy in diagnosing chronic rhinosinusitis and facilitating endoscopic sinus surgery.
  • To compare the protocol's speed, cost, and radiation exposure with existing methods.

Main Methods:

  • Utilized a specific CT protocol with 2 mm thick slices and 8 mm table increments.
  • Acquired 10-12 coronal and 2 axial images per patient.
  • Focused on imaging the paranasal sinuses.

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Main Results:

  • The protocol generates sufficient images for diagnosing chronic rhinosinusitis.
  • It provides necessary information for safe endoscopic sinus surgery planning.
  • The technique is demonstrated to be quicker and more cost-effective than prior protocols.
  • Lower radiation exposure to the eye lens was observed compared to older methods.

Conclusions:

  • The Charing Cross CT protocol is an efficient and safe imaging technique for paranasal sinuses.
  • It supports accurate diagnosis of chronic rhinosinusitis and planning of endoscopic sinus surgery.
  • This protocol offers advantages in terms of speed, cost, and radiation safety.