Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지

Prevalence of incidental paranasal sinus opacification in an adult dental population

성인에서 우연히 발견되는 부비동혼탁화의 유병률

  • Cho, Bong-Hae (Department of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University) ;
  • Jung, Yun-Hoa (Department of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University)
  • Published : 2009.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : The purpose of this study was to determine the prevalence of sinus opacification among adult dental patients. Materials and Methods : Five hundred and sixty-four Cone Beam Computed Tomography (CBCT) scans of dental patients over the age of 18 were reviewed for sinus opacification. Opacification was graded as clear, mild, moderate or severe. Patients with any sinus-related signs or symptoms were excluded. Results : Sinus opacification in one or more sinuses was found in 59.2% of the patients. The sinus opacification was mild in 49.8%, moderate in 8.3%, and severe in 1.1%. The maxillary (37.7%) and ethmoid (37.4%) sinuses were most frequently affected. The prevalence was higher in the older age group and showed a male predomination (p<0.05). Conclusion : Sinus opacification in asymptomatic adults is very common and emphasizes the importance of clinical correlation before deciding on the final diagnosis and treatment.

Keywords

References

  1. Anzai Y, Yueh B. Imaging evaluation of sinusitis: diagnostic performance and impact on health outcome. Neuroimaging Clin N Am 2003; 13 : 251-63. https://doi.org/10.1016/S1052-5149(03)00017-0
  2. Mafee MF, Tran BH, Chapa AR. Imaging of rhinosinusitis and its complications: plain film, CT, and MRI. Clin Rev Allergy Immunol 2006; 30 : 165-86. https://doi.org/10.1385/CRIAI:30:3:165
  3. Konen E, Faibel M, Kleinbaum Y, Wolf M, Lusky A, Hoffman C, et al. The value of the occipitomental (Waters') view in diagnosis of sinusitis: a comparative study with computed tomography. Clin Radiol 2000; 55 : 856-60. https://doi.org/10.1053/crad.2000.0550
  4. White PS, Robinson JM, Stewart IA, Doyle T. Computerized tomography mini-series: an alternative to standard paranasal sinus radiographs. Aust N Z J Surg 1990; 60 : 25-9. https://doi.org/10.1111/j.1445-2197.1990.tb07348.x
  5. Stankiewicz JA, Chow JM. A diagnostic dilemma for chronic rhinosinusitis: definition accuracy and validity. Am J Rhinol 2002; 16 : 199-202.
  6. Stewart MG, Johnson RF. Chronic sinusitis: symptoms versus CT scan findings. Curr Opin Otolaryngol Head Neck Surg 2004; 12 : 27-9. https://doi.org/10.1097/00020840-200402000-00008
  7. Hwang PH, Irwin SB, Griest SE, Caro JE, Nesbit GM. Radiologic correlates of symptom-based diagnostic criteria for chronic rhinosinusitis. Otolaryngol Head Neck Surg 2003; 128 : 489-96. https://doi.org/10.1016/S0194-5998(02)23295-7
  8. McNeill E, O'Hara J, Carrie S. The significance of MRI findings for non-rhinological disease. Clin Otolaryngol 2006; 31 : 292-6. https://doi.org/10.1111/j.1749-4486.2006.01210.x
  9. Havas TE, Motbey JA, Gullane PJ. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Archives Otolaryngol Head Neck Surg 1988; 114 : 856-9. https://doi.org/10.1001/archotol.1988.01860200040012
  10. Conner BL, Roach ES, Laster W, Georgitis JW. Magnetic resonance imaging of the paranasal sinuses: frequency and type of abnormalities. Ann Allergy 1989; 62 : 457-60.
  11. Duvoisin B, Agrifoglio A. Prevalence of ethmoid sinus abnormalities on brain CT of asymptomatic adults. AJNR Am J Neuroradiol 1989; 10 : 599-601.
  12. Rak KM, Newell JD 2nd, Yakes WF, Damiano MA, Luethke JM. Paranasal sinuses on MR images of the brain: significance of mucosal thickening. AJR Am J Roentgeno 1991; 156 : 381-4. https://doi.org/10.2214/ajr.156.2.1898819
  13. Moser FG, Panush D, Rubin JS, Honigsberg RM, Sprayregen S, Eisig SB. Incidental paranasal sinus abnormalities on MRI of the brain. Clin Radiol 1991; 43 : 252-4. https://doi.org/10.1016/S0009-9260(05)80249-1
  14. Cooke LD, Hadley DM. MRI of the paranasal sinuses: incidental abnormalities and their relationship to symptoms. J Laryngol Otol 1991; 105 : 278-81. https://doi.org/10.1017/S0022215100115609
  15. Patel K, Chavda SV, Violaris N, Pahor AL. Incidental paranasal sinus inflammatory changes in a British population. J Laryngol Otol 1996; 110 : 649-51.
  16. Savolainen S, Eskelin M, Jousimies-Somer H, Ylikoski J. Radiological findings in the maxillary sinuses of symptomless young men. Acta Otolaryngol Suppl 1997; 529 : 153-7.
  17. Tarp B, Fiirgaard B, Christensen T, Jensen JJ, Black FT. The prevalence and significance of incidental paranasal sinus abnormalities on MRI. Rhinology 2000; 38 : 33-8.
  18. Iwabuchi Y, Hanamure Y, Ueno K, Fukuda K, Furuta S. Clinical significance of asymptomatic sinus abnormalities on magnetic resonance imaging. Arch Otolaryngol Head Neck Surg 1997; 123 : 602-4. https://doi.org/10.1001/archotol.1997.01900060044007
  19. Nam EC, Lee BJ. Prevalence of sinus abnormality observed in the cranial computed tomograms taken to evaluate head injury patients. Korean J Otolaryngol 1998; 41 : 488-92.
  20. Min YG, Choo MJ, Rhee CS, Jin HR, Shin JS, Cho YS. CT analysis of the paranasal sinuses in symptomatic and sysmptomatic groups. Korean J Otolaryngol 1993; 35 : 916-25.
  21. Gordts F, Clement PA, Buisseret T. Prevalence of paranasal sinus abnormalities on MRI in a non-ENT population. Acta Otorhinolaryngol Belg 1996; 50 : 167-70.
  22. Gordts F, Clement PA, Destryker A, Desprechins B, Kaufman L. Prevalence of sinusitis signs on MRI in a non-ENT paediatric population. Rhinology 1997; 35 : 154-7.
  23. Cho BH, Jung YH. Prevalence of incidental paranasal sinus opacification in dental paediatric patients. J Oral Maxillofac Radiol 2008; 38 : 219-23.
  24. Fokkens W, Lund V, Bachert C, Clement P, Helllings P, Holmstrom M, et al. EAACI position paper on rhinosinusitis and nasal polyps executive summary. Allergy 2005; 60 : 583-601. https://doi.org/10.1111/j.1398-9995.2005.00830.x