Routine radiological examination of the sinuses before septoplasty

1986 ◽  
Vol 100 (8) ◽  
pp. 893-896 ◽  
Author(s):  
Jørgen Hedegaard Jensen ◽  
Hans Dommerby

AbstractRecords of septoplasties performed during the last five years were reviewed with the aim of evaluating the results of routine pre-operative radiological examination of the sinuses. A positive correlation was found between the information of sinusitis within the last two years and the radiological finding of complete density or fluid. The roentgenograms showed normal conditions in 73 per cent of the cases and various degrees of pathology in 27 per cent; no case showed signs of malignancy. Puncture and irrigation or sinoscopy had been performed in 52 per cent of the cases with pathological X-rays. Following this treatment, surgery was postponed in 12 patients, and in nine patients a drainage tube was placed in the maxillary sinus per-operatively. Complications developed post-operatively in five of these nine patients and it is concluded that septoplasty should have been postponed. We find that it is important to identify the four per cent (12+9) of patients in whom the radiological findings are so pronounced that operation ought to be postponed.

Cancers ◽  
2021 ◽  
Vol 13 (14) ◽  
pp. 3558
Author(s):  
Shinji Miwa ◽  
Norio Yamamoto ◽  
Katsuhiro Hayashi ◽  
Akihiko Takeuchi ◽  
Kentaro Igarashi ◽  
...  

Background: It is challenging to differentiate between enchondromas and atypical cartilaginous tumors (ACTs)/chondrosarcomas. In this study, correlations between radiological findings and final diagnosis were investigated in patients with central cartilaginous tumors. Methods: To evaluate the diagnostic usefulness of radiological findings, correlations between various radiological findings and final diagnoses were investigated in a cohort of 81 patients. Furthermore, a new radiological scoring system was developed by combining radiological findings. Results: Periosteal reaction on X-ray (p = 0.025), endosteal scalloping (p = 0.010) and cortical defect (p = 0.002) on CT, extraskeletal mass (p < 0.001), multilobular lesion (p < 0.001), abnormal signal in adjacent tissue (p = 0.004) on MRI, and increased uptake in bone scan (p = 0.002) and thallium scan (p = 0.027) was significantly correlated with final diagnoses. Based on the correlations between each radiological finding and postoperative histological diagnosis, a radiological scoring system combining these findings was developed. In another cohort of 17 patients, the sensitivity, specificity, and accuracy of the radiological score rates for differentiation between enchondromas and ACTs/chondrosarcomas were 88%, 89%, and 88%, respectively (p = 0.003). Conclusion: Radiological assessment with combined radiological findings is recommended to differentiate between enchondromas and ACT/chondrosarcomas.


2021 ◽  
Vol 9 (10) ◽  
pp. 2339-2346
Author(s):  
Shivakumari Shivakumari ◽  
Vasudev A Chate ◽  
Shreevastha Shreevastha

The concept of Srotas and Srotodushti Lakshana has been very scientifically explained in the various context of Ayurveda literature. Detailed Srotas and Srotodushti Lakshana are according to Charaka Samhita Vimansthana assessment of Srotodushti Lakshana can be done by Pratyksha Pramana and in detail explanation. The Srotas play an important role in physiology and the pathogenesis of diseases in normal state; they regulate the physiolo- gy of the body and maintain the anatomical structures of dhatus. The influences of aetiology factors on Srotas can affect pathological manifestations. Considering this fact present study explores various aspects related to the Sro- tas, Srotodushti and Srotodushti Lakshana. Objectives-To assessment of Srotodushti Lakshana in Artavavaha Srotas through Clinical, biochemical, and radiological examination in Artavavaha Srotas. Methodology -The study was conducted under two headings, conceptual and survey study. Conceptual study all the concerned litera- ture were referred and analysed and for survey study, the Artvavaha Sroto Vikara observed and survey through face-face interview. -Hence it is concluded that the knowledge of Srotas is not only used in learning about the anatomy of the transport system of the body but also to understand their physiology and pathology. It can be as- sessed through clinical, biochemical, and radiological findings. Keywords: Srotas, Srotodushti Lakshana, Artavavaha Srotas,


2018 ◽  
Vol 57 (14) ◽  
pp. 1686-1692 ◽  
Author(s):  
Denver Niles ◽  
Brett Larsen ◽  
Arvind Balaji ◽  
Dana Delaney ◽  
Elizabeth Campos ◽  
...  

Introduction. We performed a retrospective study to evaluate demographics, clinical course, outcome, and radiological findings of children with respiratory syncytial virus (RSV) infection. Methods. Four hundred patients admitted between October 2013 and May 2016 were enrolled. Clinical and radiographic trends were evaluated for association with severity of RSV presentation. Severity was defined as hospitalization >2 days, pediatric intensive care unit admission, or need for mechanical ventilation. Results. Common clinical findings included fever (78.5%), coughing (97%), rhinorrhea/congestion (93%), and hypoxia (44.8%). Hypoxia was seen in 64.7% of the severe group compared with 32.0% in the nonsevere group ( P < .001). Airspace opacification was seen in 49.2% of chest X-rays of the severe group compared with 26.4% in the nonsevere group ( P < .001). Conclusion. Higher incidence of hypoxia or airspace opacification on chest X-ray may be predictors of poorer outcomes for patients with RSV infection.


2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Patrick E. Eppenberger ◽  
Mislav Cavka ◽  
Michael E. Habicht ◽  
Francesco M. Galassi ◽  
Frank Rühli

2013 ◽  
Vol 01 (02) ◽  
pp. 100-105
Author(s):  
Sarabjeet Singh ◽  
Mukti Gautam ◽  
Rita Kashyap ◽  
Gurinderpal Sandhu ◽  
Divya Singla

Abstract Introduction: Cephalometeric landmark detection, is a knowledge intensive activity to identify on standardized lateral x-rays of the skull, to perform measurements needed for medical diagnosis, treatment planning and evaluation. For computation of analysis of steps and for determination of underlying structures, provided landmarks should be correctly localized. Due to the complexity of human anatomy sensed in a cephalometric x-ray, the landmarks are localized and constructed. Maxillary sinus has an important role to play in the formation of facial contours. Objective: Our aim is to check the validity of new geometric intersection point Ms, evaluating cephalometerically the spatial position of maxillary sinus and to find any correlation between the spatial position of maxillary sinus and sagittal dysplasias. Study design: A single-institution prospective analysis. Subjects and methods: A total of 20 lateral cephalograms were used, of both sexes, ranging in age from 18-25 years. These radiographs were from subjects, classified into class I and class II on the bases of ANB and Ao-Bo. Maxillary sinus was carefully analyzed and measured in linear dimensions of length and width and its spatial position was calculated by using a new geometric intersection point Ms, created by the intersection of the linear measurements, in relation to the anterior cranial base. The spatial position of maxillary sinus was calculated from the position of the intersection point Ms. The length and height of maxillary sinus was measured and compared in both the groups. Results: The mean of maxillary sinus length (MSL) and height (MSH) was 43.2 ± SD 3.2mm and 41.2 ± SD 3.8mm, respectively for classI (p value=0.595) and 44.2 ± SD 4.9mm and 43.0 ± SD 3.4mm, respectively for class II (p value=0.283). The intersection point Ms depicting centre of maxillary sinus from x-axis (Ms-Msx) was same for both the groups. Mean for Ms-Msy, was 37.3 ± SD 5.7 for class I and 37.8 ± SD 1.9 for class II (p value=0.796). No statistical significance was found among the results in both the groups. Conclusion: The length and height of maxillary sinus was calculated and the centre of maxillary sinus was calculated by the intersection of the two. This new point can contribute in calculating the spatial position of sinus and be an effective measure to study the convexity and concavity of the midface. In the present study, the length and height of the sinus did not alter with the increased or decreased ANB and Ao-Bo. There was no significant spatial position change of maxillary sinus with variation in ANB and Ao-Bo (sagittal). Regarding vertical parameters, Ms may have significant correlation with the various malocclusions.


1989 ◽  
Vol 103 (9) ◽  
pp. 861-863 ◽  
Author(s):  
J. G. Gilbert

AbstractAlthough the association of maxillary sinusitis with nasal polyps is widely recognized little has been written on its precise incidence and degree. Antroscopy of 70 antra with ipsilateral polyps showed a high incidence of mucosal abnormalities, retained secretions and ostial narrowing. Comparison of these findings with pre-operative X-rays showed the latter were unreliable in detecting retained antral fluid. It is concluded that in nasal polyposis the antra warrant careful assessment and that antroscopy is a highly satisfactory method for this purpose.


2000 ◽  
Vol 58 (3B) ◽  
pp. 897-900 ◽  
Author(s):  
ISAC BRUCK ◽  
SÉRGIO A. ANTONIUK ◽  
ARNOLFO DE CARVALHO NETO ◽  
ADRIANE SPESSATTO

We describe the clinical and radiological findings of a pair of siblings with cerebellar vermis hypoplasia and compare them with the literature. Both of them present pregnancies and deliveries uneventful and both presented some grade of hypotonia, ataxia, ocular motor abnormalities and mild motor delay and slurred speech. These siblings meet many of the criteria described in non-progressive congenital ataxia in which can occur familial cases with cerebellar atrophy, including vermis hypoplasia. As differential diagnosis we compare them with related syndromes and with Joubert's syndrome which main radiological finding on MRI is vermis hypoplasia associated with "molar tooth" appearance. The correct answer for these cases will only be possible by molecular genetics.


2019 ◽  
Author(s):  
Renasheva Alifia Nugaraha

Nowadays radiological devices are diagnostic tools that are very necessary in medical care. The type of image used for the purpose of diagnosing disease is produced from medical equipment such as X-rays, USG, CT scan, MRI, and PET. The benefits of radiology examinations are to diagnose disease, treatment, and means of communication between doctors and patients. However, radiation exposure can damage cells. Therefore, a doctor is required to socialize about radiological examination to public.


2005 ◽  
Vol 52 (2) ◽  
pp. 49-53
Author(s):  
Goran Cobeljic ◽  
Zoran Bajin ◽  
S. Milickovic ◽  
Aleksandar Lesic ◽  
O. Krajcinovic

Results of a combination of soft tissue procedures performed for the first time in treating paralytic dislocation of the hip in cerebral palsy are presented. All hip flexors and adductors release, along with possible transposition or elongation of knee flexors on the side of the dislocation (if knee contracture exceeded 20) were performed. 75 hips in 57 patients were operated on. 54 patients were analyzed. The average age of the patients was 6.6 years, the average follow-up was 7 years. Excellent result was achieved in 33patients (61%), good in 10 (18,6%), fair in 4 (7,4%) poor in 7 patients (13%). Poor results were registered in patients over 10 years of age and in patients with athetosis. Results were assessed according to clinical finding, radiological finding (migrational percentage) and the ability of patients to walk. When based on radiological findings only, excellent results were achieved in 63 hips (84%). This combination of soft-tissue procedures which includes all muscles that take part in the dislocation proved to be very successful in achieving reposition. It can be recommended to patients suffering from the spastic form of cerebral palsy up to 10 years of age.


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