Differentiation of Acute Rhinosinusitis From Chronic Rhinosinusitis Using Multidetector Computed Tomography

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dc.contributor.authorErkoç, Mustafa Fatih
dc.contributor.authorÖztoprak, Bilge
dc.contributor.authorDoğan, Mansur
dc.contributor.authorGöksungur, Gürol
dc.date.accessioned2025-01-27T19:20:23Z
dc.date.available2025-01-27T19:20:23Z
dc.date.issued2019
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIt is difficult to differentiate acute from chronic rhinosinusitis clinically, and to date they are assessedradiologically via air-fluid level or opacification, which can appear similar in both cases. Our purpose was toexamine whether air density analysis combined with classical radiological approaches can be used as a newtool to differentiate between acute and chronic sinusitis.This retrospective study included a total of 2419 sinuses in 550 patients who underwent paranasal sinusmultidetector computed tomography (MDCT). Patients were divided into three groups according to clinicaldiagnosis of sinus status: acutely inflamed as group 1 (n=176), the chronic sinusitis as group 2 (n=191) andhealthy sinuses (n=183) as group 3, the control group. The mean air density and standard deviations (SD)within the paranasal sinuses in each group were calculated by the measurements of air density with a regionof interest (ROI) of 0.5 cm2, located in the center of the air-filled sinus avoiding the sinus wall, and repeatedthe measurement in 4-6 consequent CT slices, where available.The mean air density was significantly higher in group 1 compared with group 2 and 3 (- 810 HU,-973 HUand -1010 HU respectively; p < 0.05), as well as SD (89.3 HU, 21.1 HU and 20.9 HU respectively; p < 0.05).In conclusion; increased air density in paranasal sinuses may aid in distinguishing acute from chronicrhinosinusitis.
dc.identifier.doi10.16919/bozoktip.603226
dc.identifier.endpage140
dc.identifier.issn2146-4006
dc.identifier.issn2148-2438
dc.identifier.issue4
dc.identifier.startpage136
dc.identifier.trdizinid375145
dc.identifier.urihttps://doi.org/10.16919/bozoktip.603226
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/375145
dc.identifier.urihttps://hdl.handle.net/20.500.12428/14834
dc.identifier.volume9
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofBozok Tıp Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TRD_20250125
dc.subjectKulak
dc.subjectBurun
dc.subjectBoğaz
dc.titleDifferentiation of Acute Rhinosinusitis From Chronic Rhinosinusitis Using Multidetector Computed Tomography
dc.typeArticle

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