The impact of screening sinus CT on the planning of functional endoscopic sinus surgery.

摘要: The clinical and radiologic records of 500 sequential patients who underwent screening sinus CT as a prelude to possible functional endoscopic surgery (FESS) were reviewed in order answer three clinical-radiologic questions: (1) Can distinct patterns inflammatory disease be identified on (SSCT)? (2) If so, what are these patterns? (3) How do the findings seen SSCT influence surgical plan? Five basic sinonasal among 500-member patient population. These based known mucociliary drainage correlated with obstructive observed scans. included: infundibular (129 or 26%), ostiomeatal unit (126 25%), sphenoethmoidal recess (32 6%), (4) polyposis (49 10%), (5) sporadia (unclassifiable) (121 24%) patterns. Normal was 133 (27%). Although is central feature disease, obstruction infundibulum alone can cause unique that require tailored FESS. identification raises different set FESS considerations. sporadic pattern when identified, creates challenges, depending specific sinuses involved. Assignment individual case also assists management by grouping into nonsurgical (normal CT), routine (infundibular, unit, most patterns) complex (sinonasal recess) groups.