Department the Otolaryngology–Head and Neck Surgery, college of Virginia health System, Charlottesville, VA, U.S.A.

You are watching: What does opacification of sinuses mean

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Department that Otolaryngology–Head and Neck Surgery, medical College that Georgia, Augusta, GA, U.S.A.

Dr. Stilianos E. Kountakis, Director, Rhinology, department of Otolaryngology–Head and Neck Surgery, medical College that Georgia, 1120 Fifteenth Street, Augusta, GA 30912, U.S.A.Search for much more papers by this author

Department of Otolaryngology–Head and also Neck Surgery, college of Virginia health System, Charlottesville, VA, U.S.A.

Search for more papers through this author

Corresponding Author

Department the Otolaryngology–Head and Neck Surgery, clinical College of Georgia, Augusta, GA, U.S.A.

Dr. Stilianos E. Kountakis, Director, Rhinology, department of Otolaryngology–Head and Neck Surgery, medical College that Georgia, 1120 Fifteenth Street, Augusta, GA 30912, U.S.A.Search for more papers by this author
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Objective: recognize the diagnostic criteria and also etiology of finish unilateral maxillary sinus opacification.

Methods: A prospective analysis was carry out on patients presenting to a tertiary treatment rhinology practice with complaints the chronic rhinosinusitis or acute exacerbation. Sixty-four consecutive patients were established with unilateral maxillary sinus opacification ~ above computed tomography (CT) scan ~ at the very least a 3-week medical therapy for rhinosinusitis. The study populace comprised 30 men and 34 women through a mean period of 47.0 years. Every patients completed a symptom score questionnaire, got nasal endoscopy, and also CT imaging. Patient symptoms and also endoscopic and also radiographic findings to be analyzed to identify patterns associated to last diagnosis.

Results: every 64 patients underwent sensible endoscopic sinus surgery. Each surgical specimen was sent out for pathologic check of the diagnosis. Sixteen mucoceles, 12 cases of nasal polyposis, 27 situations of acute or chronic sinusitis, 7 situations of inverting papilloma, and 2 situations of mycetoma to be identified. Endoscopic and radiographic appearances were correlated with each an illness process.

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Conclusion: Unilateral maxillary sinus opacification is a relatively common finding. At an early stage identification that inverting papillomas and also mucoceles may avoid hold-up in operation intervention, conversely, acute/chronic rhinosinusitis and nasal polyposis have the right to initially be controlled medically. Mindful history, endoscopic examination, and radiographic researches can often determine the responsible condition process.