COMPUTED TOMOGRAPHY IMAGING OF RECURRENT NASAL POLYPS AND RHINOSINUSITIS

Thị Khánh Vân Nguyễn

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Abstract

Objectives: To analyse images of middle turbinate, uncinate, ostiomeatal complex, ethmoid bullar, bone lesions on computerized tomography film. Objects and methods: Descriptive study in 92 patients with aged > 15 years, diagnosed as rhinosinusitis with recurrent nasal polyps and treated at the National Hospital of Otolaryngology from 12/2008 to 4/2011. Results: Complete opaque images of maxillary sinus account for 40,9%, complete opaque images of front ethmoid sinus account for 52,7%, complete opaque images of posterior ethmoid sinus account for 37,5%, complete opaque images of sphenoid sinus account for 36,4%. The born lesions: thinning of the bone wall accounts for 13.0%. sclerosis of the bone wall accounts for 9,8%, remodeling of the nasal septum accounts for 9,8%. Images of middle turbinate hypertrophy are most common with 69,5%. Images of uncinate hypertrophy are most common with 69,9%. Images of lost ethmoid bullar are most common with 22,8%. Images of nasal polyps in ostiomeatal complex are most common with 91,3%. Conclusions: Complete opaque images of sinuses and ostiomeatal complex on CT films are most common. There are bone lesions combined on CT films: thinning bone, sclerosis, remodeling of nasal septum. Images of middle turbinate hypertrophy, unicinate hypertrophy, nasal polyps in ostiomeatal complex and lost ethmoid bullar are most common

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