Feasibility of the maxillary sinus ultrasonic study in patients with iatrogenic sinusitis
DOI:
https://doi.org/10.14739/2310-1210.2016.2.69238Keywords:
Maxillary Sinusitis, UltrasonographyAbstract
Objective: to study the effectiveness of ultrasonic diagnostic imaging in the diagnostics of the iatrogenic maxillary sinusitis.
Materials and Methods. 68 (100.0%) patients of iatrogenic maxillary sinusitis undergone Sonographic Study in B-mode (ultrasonic diagnostic apparatus FCUSON X 500, ATSmod.539 (SIEMENS, USA)). For this purpose, we used linear sensors with a working surface of 37 mm long with 7.10 MHz frequency regime. The findings were compared with the results of clinical (rhinoscopy, sinus lavage through perforation, diagnostic puncture) and radiological (cone-beam computed tomography) examination.
The results were recorded according
The accuracy of the two-dimensional sonography in the detection of pathological formations (polyps, cysts, foreign bodies), iatrogenic and inflammatory origin in the sinus was detected as lower than in clinical methods. Sensitivity of the two-dimensional sonography was 8.3%, specificity – 95.4% overall accuracy – 64.7%. Informativity of the cone beam tomography in the detection of exudation, effusion and thickening of the sinus mucosa during sinus iatrogenic sinusitis was detected as lower than in sonography. The sensitivity of the two-dimensional sonography in the detection of exudation in the sinus with iatrogenic maxillary sinus was 96.8%, specificity – 91.7% overall accuracy – 94.1%. The sensitivity of the cone beam tomography to thicken (sclerotic changes) mucosa was 37.5%, specificity – 92.8%, accuracy – 52.9%.
Conclusions. Feasibility of the ultrasound sonography in patients with iatrogenic sinusitis is less than in computer tomography. Maxillary sinuses sonography in addition to CT will improve the quality of the examination in patients with iatrogenic maxillary sinusitis.
References
Arutyunyan, K. E. (2006). Lechenie bol′nyih s oslozhneniyami, svyazannymi s vyvedeniem plombirovochnogo materiala v verkhnechelyustnoj sinus (Avtoref. dis…kand. med. nauk). [Treatment of patients with complications related to the breeding of the filling material in the maxillary sinus] (Extended abstract of candidate’s thesis). Moscow. [in Russian].
Byrikhina, V. V. (2007) Dvukhmernaya ul′trazvukovaya diagnostika zabolevanij okolonosovykh (Avtoref. dis…kand. med. nauk). [Two-dimensional ultrasound diagnosis of diseases of the paranasal sinuses] (Extended abstract of candidate’s thesis). Moscow. [in Russian].
Varzhapetyan, S. D., Gulyuk, A. G., & Farenyuk, O. A. (2013) Ispol′zovanie razlichnykh rentgenologicheskikh metodov issledovaniya v diagnostike verhnechelyustnovo sinusita [The use of different radiological methods in the diagnosis of maxillary sinusitis]. Visnyk stomatolohii, 3, 38–41 [in Ukrainian]
Varzhapetyan, S. D. (2015) Obosnovanie vybora metodov pervichnovo obsledovaniya patsientov s yatrogennym verkhnechelyustnym sinusitom [Justification of the choice of methods for initial evaluation of patients with iatrogenic maxillary sinusitis]. Voprosy teoreticheskoj i klinicheskoj mediciny, 2(98), 43–48. [in Russian].
Zasteba, T. A. (2004) Ul′trasonografiya pri vospalitel′nykh zabolevaniyakh verkhnechelyustnykh pazukh (Avtoref. dis…kand. med. nauk). [Ultrasonography in inflammatory diseases of the maxillary sinuses] (Extended abstract of candidate’s thesis). Tashkent [in Uzbekistan]
Vasil′chenko, S. A., Sergeeva, T. A., Valitova, L. N., et al. (2011) Klinicheskij opyt primeneniya dvukhmernogo ul′trazvukovovo isledovaniya pridatochnykh pazukh nosa pri sinusitakh v ambulatornoj praktike [Clinical experience of three-dimensional ultrasound of the sinuses in sinusitis in the ambulatory practice]. Sono Ace Ultrasound, 22, Retrieved from http: // www. medison. ru / si / art 335. htm. [in Russian].
Pukhlik, S. M., & Buchackij, M. S. (2013) Sovremennye metody vizualizacii sostoyaniya okolonosovykh pazukh. Opyt ul′trazvukovoj diagnostiki [Modern imaging techniques condition of the paranasal sinuses. The experience of ultrasound diagnosis]. Rynolohiya, 2, 58–64. [in Ukrainian]
Tymofieiev, O., Fesenko, I., & Cherniak, O. (2016) Istoriya i osnovy ultrazvukovovo metoda obsledovaniya [History and foundations of ultrasound]. Sovremenaya stomatologiya, 1, 96–100. [in Ukrainian]
Tojbakhtina, A. A., & Zausova, O. V. (2011) Ispol′zovanie dental′nogo komp′uternogo tomografa pri diagnostike zabolevanij pridatochnykh pazukh nosa [Using dental computer tomography in the diagnosis of diseases of the paranasal sinuses]. Stomatologiya, 2, 14–22. [in Russian].
Shilenkova, V. V., Kozlov, V. S., & Byrikhina, V. V. (2006) Dvukhmernaya ul′trazvukovaya diagnostika okolonosovykh pazukh [Two-dimensional ultrasound diagnosis of paranasal sinuses]. Yaroslavl′ [in Russian].
Shilenkova, V. V. (2008) Ostrye i recidiviruyuschie sinusity u detej (diagnostika i lechenie) (Avtoref. dis… dokt. med. nauk) [Acute and recurrent sinusitis in children (diagnosis and treatment) Dr. med. sci. diss.]. Moscow. [in Russian].
Balk, I. M., Zucker, D. R., Engels, E. A., Wong, J. B., Williams, J. W. Jr., & Lau, J. (2001) Strategies for diagnosing and treating suspected acute bacterial sinusitis. J. Gen. Intern. Med., 16, 701–11.
Keidel, W. D. (1947). Über die Verwendung des Ultraschall in der klinischen Diagnostik. Äztl Forsch, Z Forschungsergbn ges Med, 1, 349.
Richard, M., Rosenfeld, M.D., & Brooklyn, N. Y. (2007) Clinical practice guideline on adult sinusitis. Otolaryngology–Head and Neck Surgery, 137, 365–377.
Fufesan, O., Asavoaie, C., Cherecheş Panta, P., Mihuţ, G., Bursaşiu, E., Anca, I., et al. (2010) The role of ultrasonography in the evaluation of maxillary sinusitis in pediatrics. Medical Ultrasonography, 12(1), 4–11.
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