Online ISSN: 2515-8260

Keywords : paranasal sinuses

Role of multidetector CT in evaluation of paranasal sinus pathologies

Dr. Ayushman Virmani, Dr. Bindu Agrawal, Dr. Rajesh Arora, Dr. Kiran Nagpal, Dr. Abhijeet, Dr. Geetesh Garg

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1547-1557

Background: Paranasal sinuses fill in as a host to a wide range of illnesses and conditions from provocative to neoplasms, both benign and malignant. The use of СT with рrорer knоwledge аnd соgnizаnсe оf sinus аnаtоmy аnd rаdiоlоgiсаl lаndmаrks, аlоng with сliniсаl cоrrelаtiоn аids in diаgnоsing раrаnаsаl sinus раthоlоgies ассurаtely.
Aim and Objectives:
1) Evаluаtiоn оf раrаnаsаl sinus раthоlоgies аnd their аnаtоmiсаl extensiоn аnd bоny invоlvement using multideteсtоr соmрuted tоmоgrарhy.
2) Соrrelаtiоn оf the findings оf multideteсtоr соmрuted tоmоgrарhy with сliniсаl diаgnоsis.
Material and Methods: The hоsрitаl bаsed рrоsрeсtive оbservаtiоnаl study was conducted in the Department of Radiodiagnosis & Imaging, Muzaffarnagar Medical College, U.P, for eighteen months with twelve months for data collection and 6 months for data analysis. Total 40 patients of varied age groups presenting with symptoms and signs of paranasal sinus diseases underwent CT using Siemens Sоmаtоm Sсорe 16 sliсe СT mасhine as per standard protocol. Images were acquired in the axial and coronal plane with reformation in sagittal plane.
Results: Maximum numbers of patients were in age group of 21 to 30 (35%) with male to female ratio of 1.2:1. Most соmmоn sinus invоlved wаs right mаxillаry sinus (70%). Most common chief complaint was nasal obstruction (97.5%) and nasal discharge (90%) with maximum number cases of sinusitis (22%).
Conclusion: To conclude, Multidetector Computed Tomography of the paranasal sinuses has improved the visualization of paranasal sinus anatomy along with its variants and has allowed efficient diagnosis of paranasal sinus lesions. Precise description of the disease and related microanatomy detected by CT scan provides a reliable pre-operative road map.

The frequency of anatomical variations of paranasal sinuses on computed tomography

Dr. Pavan Kumar B,Dr. Mohan Kumar,Dr. M Ramya,Dr. Manohar Kumar KR

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2421-2427

Paranasal sinuses are the group of air-filled spaces developed as an expansion of the nasal
cavities. These air filled cavities mostly shows the complex design and also shares relations
with the adjacentstructures.Ventilation and drainage are the two most important factors in the
maintenance of normal physiology of paranasal sinuses and their mucous membranes. During
the study period, a total of 100 cases were evaluated who were referred from Department of
ENT to the Department of radio diagnosis to evaluate the paranasal sinuses by computed
tomography. The cases in acute phase of the disease were treated conservatively with a
course of antibiotics, topical and oral decongestants and the cases referred after persistent
symptoms and signs were counselled regarding imaging of nose and PNS by CT scan,
Written informed consent was taken and data regarding the patient was collected in a case
proforma. The intersphenoid septum was left sided in majority of cases i.e. 43 (43%). It was
right sided in 38(38%) and in 43(%) of cases it was in central