USEFULNESS OF X–RAY OF PARANASAL SINUSES IN EVALUATION OF SINO–NASAL PATHOLOGIES TAKING COMPUTED TOMOGRAPHY AS GOLD STANDARD

Debasis Deoghuria; Dr Rikta Mallik; Kaushik Majumder; Arijit Mishra

Volume : IX, Issue : VI, June - 2019

USEFULNESS OF X–RAY OF PARANASAL SINUSES IN EVALUATION OF SINO–NASAL PATHOLOGIES TAKING COMPUTED TOMOGRAPHY AS GOLD STANDARD

Debasis Deoghuria, Dr Rikta Mallik, Kaushik Majumder, Arijit Mishra

Abstract :

Background: Sinonasal pathologies are quite common in all parts of the world. It affects rural population more commonly than urban population due to disparities in climatic conditions and hygienic standards. X–Ray is an initial investigation offered to the patients by almost all otolaryngorhinologists and Computed tomography(CT) is asked for to make a confirmatory diagnosis as well as to know the anatomical details before undertaking any surgery. In this article, we have endeavored to evaluate the role of X–Ray in assessing sino–nasal pathologies and its contribution in helping the radiologists/otolaryngorhinologists to arrive at a definitive diagnosis. Aims:To assess the usefulness of X–Ray in evaluation of sino–nasal pathologies and to see whether it can help the radiologists/otolaryngorhinologists to reach a conclusive diagnosis. Materials and methods: a total of 80 cases of suspected sinonasal pathologies were included in our study. All the cases were underwent X–ray and CT. data were compared and analysed by ANOVA method. Results: 68 cases had different sinonasal pathologies. 21 cases had sinusitis, 30 cases had mucosal thickening, 4 cases had polyps, 5 cases had deviated nasal septum, 2 cases had isolated inferior turbinate hypertrophy and11 cases had inferior turbinate hypertrophy along with sinusitis or mucosal thickening. 2 cases had mass lesions–one involving the left maxillary sinus and the other involving the nasal cavity. 2 cases had mucoceles– one in frontal sinus and the other in ethmoid sinus. Frontal osteoma was seen in 2 cases.X–Ray could pick up 8 cases of sinusitis with air–fluid level, 8 cases of mucosal thickening, 2 cases of polyps, all 5 cases of DNS, 10 cases of inferior turbinate hypertrophy, 1 case of mass lesion, 1 case of mucocele and 1 case of frontal osteoma. Conclusions: sensitivity and specificity for detection of sinonasal pathologies is far superior with CT scan compare to X–ray. As such , CT scan is the gold standard for diagnosis of sinonasal pathologies and should be advocated for accurate diagnosis of all cases with suspected sinonasal diseases.