CT of the paranasal sinuses is not a valid indicator for sinus surgery in CF patients

Jacob Rasmussen; Kasper Aanæs; Rikke Norling; Kim G Nielsen; Helle Krogh Johansen; Christian von Buchwald

doi:10.1016/j.jcf.2011.09.009

CT of the paranasal sinuses is not a valid indicator for sinus surgery in CF patients

Jacob Rasmussen, Kasper Aanæs, Rikke Norling, Kim G Nielsen, Helle Krogh Johansen, Christian von Buchwald

24 Citations (Scopus)

Abstract

BACKGROUND: No guidelines comprise when or to what extent sinus surgery should be done in patients with cystic fibrosis (CF) or how a CT scan of the paranasal sinuses should influence the decision. Symptoms of rhinosinusitis and/or eradication of pathogenic bacteria from the sinuses are reasons for sinus surgery. METHODS: In this observational cross sectional study, 55 CF cases had their preoperative CT scans scored according to the Lund Mackay- and the Nair-system. Correlations between the CT scans, symptoms, surgical findings and cultures obtained during sinus surgery were made. RESULTS: There was no significant correlation between the CT score and detection of pus, pathogenic bacteria or symptoms. Pus and pathogenic bacteria were found in several cases without sinus opacification on the CT scan. Non pathogenic and sterile cultures were also found in sinuses with opacification. CONCLUSIONS: A CT scan is not a valid criterion for sinus surgery in CF patients.

Original language	English
Journal	Journal of Cystic Fibrosis
Volume	11
Issue number	2
Pages (from-to)	93-99
ISSN	1569-1993
DOIs	https://doi.org/10.1016/j.jcf.2011.09.009
Publication status	Published - Mar 2012

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10.1016/j.jcf.2011.09.009

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title = "CT of the paranasal sinuses is not a valid indicator for sinus surgery in CF patients",

abstract = "BACKGROUND: No guidelines comprise when or to what extent sinus surgery should be done in patients with cystic fibrosis (CF) or how a CT scan of the paranasal sinuses should influence the decision. Symptoms of rhinosinusitis and/or eradication of pathogenic bacteria from the sinuses are reasons for sinus surgery. METHODS: In this observational cross sectional study, 55 CF cases had their preoperative CT scans scored according to the Lund Mackay- and the Nair-system. Correlations between the CT scans, symptoms, surgical findings and cultures obtained during sinus surgery were made. RESULTS: There was no significant correlation between the CT score and detection of pus, pathogenic bacteria or symptoms. Pus and pathogenic bacteria were found in several cases without sinus opacification on the CT scan. Non pathogenic and sterile cultures were also found in sinuses with opacification. CONCLUSIONS: A CT scan is not a valid criterion for sinus surgery in CF patients.",

author = "Jacob Rasmussen and Kasper Aan{\ae}s and Rikke Norling and Nielsen, {Kim G} and Johansen, {Helle Krogh} and {von Buchwald}, Christian",

year = "2012",

month = mar,

doi = "10.1016/j.jcf.2011.09.009",

language = "English",

volume = "11",

pages = "93--99",

journal = "Journal of Cystic Fibrosis",

issn = "1569-1993",

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TY - JOUR

T1 - CT of the paranasal sinuses is not a valid indicator for sinus surgery in CF patients

AU - Rasmussen, Jacob

AU - Aanæs, Kasper

AU - Norling, Rikke

AU - Nielsen, Kim G

AU - Johansen, Helle Krogh

AU - von Buchwald, Christian

PY - 2012/3

Y1 - 2012/3

N2 - BACKGROUND: No guidelines comprise when or to what extent sinus surgery should be done in patients with cystic fibrosis (CF) or how a CT scan of the paranasal sinuses should influence the decision. Symptoms of rhinosinusitis and/or eradication of pathogenic bacteria from the sinuses are reasons for sinus surgery. METHODS: In this observational cross sectional study, 55 CF cases had their preoperative CT scans scored according to the Lund Mackay- and the Nair-system. Correlations between the CT scans, symptoms, surgical findings and cultures obtained during sinus surgery were made. RESULTS: There was no significant correlation between the CT score and detection of pus, pathogenic bacteria or symptoms. Pus and pathogenic bacteria were found in several cases without sinus opacification on the CT scan. Non pathogenic and sterile cultures were also found in sinuses with opacification. CONCLUSIONS: A CT scan is not a valid criterion for sinus surgery in CF patients.

AB - BACKGROUND: No guidelines comprise when or to what extent sinus surgery should be done in patients with cystic fibrosis (CF) or how a CT scan of the paranasal sinuses should influence the decision. Symptoms of rhinosinusitis and/or eradication of pathogenic bacteria from the sinuses are reasons for sinus surgery. METHODS: In this observational cross sectional study, 55 CF cases had their preoperative CT scans scored according to the Lund Mackay- and the Nair-system. Correlations between the CT scans, symptoms, surgical findings and cultures obtained during sinus surgery were made. RESULTS: There was no significant correlation between the CT score and detection of pus, pathogenic bacteria or symptoms. Pus and pathogenic bacteria were found in several cases without sinus opacification on the CT scan. Non pathogenic and sterile cultures were also found in sinuses with opacification. CONCLUSIONS: A CT scan is not a valid criterion for sinus surgery in CF patients.

U2 - 10.1016/j.jcf.2011.09.009

DO - 10.1016/j.jcf.2011.09.009

M3 - Journal article

C2 - 22018629

SN - 1569-1993

VL - 11

SP - 93

EP - 99

JO - Journal of Cystic Fibrosis

JF - Journal of Cystic Fibrosis

IS - 2

ER -

CT of the paranasal sinuses is not a valid indicator for sinus surgery in CF patients

Abstract

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