Dizziness and yield of emergency head CT scan: Is it cost effective?

Objective:To evaluate role of Diagnostic Nasal Endoscopy and CT scan in various Sinonasaldiseases with regards to diagnosis and surgical intervention. Patient and methods:This prospective study was carried out in Department of ENT, A.N.M.M.C.H., Gaya on 200 patients with clinical evidence of sinonasal disease who had presented between March 2016 to February 2019. All patients were evaluated with DNE using 0 degree 4mm endoscope and CT scan with 3 mm coronal cuts. Result: Female patients(56%) were more as compared to male(44%) with majority between 21 - 40 yrs. Most common finding on Diagnostic Nasal Endoscopy(DNE) was mucopurulent discharge in middle meatuswhile on CT Scan was maxillary sinusitis(60%). Sinonasal polyp detection was better with DNE.CT has better detection rate of anatomical variation of osteomeatal complex. Conclusion : DNE has become initial tool for diagnosis as it is cost effective and office based procedure. In patients where surgical intervention is required, CT scan has advantage as it provides detailed understanding of anatomical variations. So bothDNE and CT scan should be used in collaborative fashion. Source Of Support:Patients of A.N.M.C.H., Gaya. Conflict Of Interest:None.

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Sex determination through the evaluation of sella turcica measurements using head CT scan

HOMO ◽

10.1127/homo/2021/1341 ◽

2021 ◽

Author(s):

Antonio De Donno ◽

Roberto Maselli ◽

Federica Mele ◽

Carmelinda Angrisani ◽

Monica Cozzolino ◽

...

Keyword(s):

Sex Determination ◽

Ct Scan ◽

Sella Turcica ◽

Head Ct

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Clear Sinus Sign on Head CT Scan: Reliable Criterion to Exclude Paranasal Sinus Fracture

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2020.01.006 ◽

2020 ◽

Vol 78 (6) ◽

pp. 996.e1-996.e6

Author(s):

Suwalai Koedwut ◽

Rathachai Kaewlai ◽

Thanwa Sudsang ◽

Kidakorn Kiranantawat ◽

Sirote Wongwaisayawan

Keyword(s):

Ct Scan ◽

Paranasal Sinus ◽

Reliable Criterion ◽

Head Ct

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Anatomy of the pterygopalatine fossa: an innovative metrical assessment based on 3D segmentation on head CT-scan

Surgical and Radiologic Anatomy ◽

10.1007/s00276-018-2153-7 ◽

2018 ◽

Vol 41 (5) ◽

pp. 523-528 ◽

Cited By ~ 4

Author(s):

Daniele Gibelli ◽

Michaela Cellina ◽

Stefano Gibelli ◽

Annalisa Cappella ◽

Marta Maria Panzeri ◽

...

Keyword(s):

Ct Scan ◽

Pterygopalatine Fossa ◽

3D Segmentation ◽

Head Ct

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Using the Hybrid Operating Room in Thoracic Surgery

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000531 ◽

2018 ◽

Vol 13 (5) ◽

pp. 372-377 ◽

Cited By ~ 7

Author(s):

Carsten Schroeder ◽

Jane M. Chung ◽

Andrew B. Mitchell ◽

Thomas A. Dillard ◽

Alessandro G. Radaelli ◽

...

Keyword(s):

Thoracic Surgery ◽

Ct Scan ◽

Cone Beam Ct ◽

Percutaneous Biopsy ◽

Cost Effective ◽

Cone Beam ◽

Ct Guided ◽

Operation Room ◽

Hybrid Operation ◽

Site Evaluation

We describe the integration of the hybrid operation room cone-beam computed tomography (CT) scan technology into the practice of general thoracic surgery. The combination of the following three techniques: (1) cone-beam CT scan augmented navigational bronchoscopy, (2) cone-beam CT-guided percutaneous biopsy and/or fiducial placement, and (3) fiducial or image-guided video-assisted thoracic surgery resection, into a single-stage, single-provider procedure allows for diagnosis and treatment in one setting. Rapid on-site evaluation of cytological or pathology specimens is key to this “all-in-one” approach. The time from diagnosis to curative treatment can significantly be reduced using the hybrid operation room technology, leading to decreased upstaging, increased survival and facilitating the otherwise difficult intraoperative detection and resection of small and deeper lesions. Not only does this benefit the overall thoracic healthcare of the community but also provides a cost-effective paradigm for the institution.

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