The usefulness of computed tomography scans in cystic fibrosis patients with chronic sinusitis

American Journal of Rhinology
Andrea Barber McMurphyEllen M Friedman

Abstract

This study was performed to evaluate the usefulness of computed tomography (CT) scans of the sinuses in children with cystic fibrosis (CF) as an outcomes measurement for medical and surgically treated chronic rhinosinusitis. Patients with CF who had sinus scans performed at the study institution from January 1999 to September 2003 were identified. The scans and any available prior scans were scored according to the Lund-MacKay system. A retrospective chart review determined if hospitalization with i.v. antibiotic therapy or operative intervention had occurred between scans and if the scans showed improvement secondary to the intervention. One hundred thirty-four patients were identified who met inclusion criteria. A total of 290 scans were reviewed, with the average number of CT scans per patient of 2.24 (range, 1-10). The average Lund-MacKay score for scans closest in time to the first sinus surgery was 14.5. (range, 7-24), and for the first postoperative scans, the score was 14.7 (8-24). There was no significant difference between the preoperative and postoperative Lund-MacKay score after initial surgery (p = 0.99) or in subsequent scans despite medical or surgical interventions (p = 0.90). CT scanning of the sinuses does not...Continue Reading

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Citations

Sep 27, 2013·Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society·Kasper Aanæs
Oct 15, 2013·American Journal of Rhinology & Allergy·Mohamad R ChaabanBradford A Woodworth
May 6, 2014·International Journal of Pediatric Otorhinolaryngology·Bao Anh Julie DoLily H P Nguyen
Jun 12, 2012·Acta otorrinolaringológica española·Catalina GutiérrezIsabel Largo
Jul 11, 2013·International Forum of Allergy & Rhinology·Jonathan LiangSandra Y Lin
Jan 15, 2014·International Forum of Allergy & Rhinology·Suzie Hyeona KangPaulo de Tarso Roth Dalcin
Aug 26, 2014·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Shahid I SheikhDon Hayes
Nov 28, 2013·International Forum of Allergy & Rhinology·Eugene H Chang
Nov 5, 2014·International Forum of Allergy & Rhinology·Eugene H ChangJoseph Zabner
Jun 28, 2015·International Journal of Pediatric Otorhinolaryngology·Bao Anh DoLily H P Nguyen
Jul 1, 2016·The Annals of Otology, Rhinology, and Laryngology·Shahid I SheikhMeredith Lind
Jun 6, 2009·American Journal of Rhinology & Allergy·Richard R Orlandi, Richard H Wiggins
Sep 4, 2018·International Journal of Pediatric Otorhinolaryngology·Michelle ManziniPaulo José CauduroMarostica

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