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The association between paranasal computerized tomography scans and symptoms and signs in a general practice population with acute maxillary sinusitis
Article first published online: 25 OCT 2010
DOI: 10.1111/j.1600-0463.2010.02690.x
© 2010 The Authors. APMIS © 2010 APMIS
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How to Cite
HANSEN, J. G. and LUND, E. (2011), The association between paranasal computerized tomography scans and symptoms and signs in a general practice population with acute maxillary sinusitis. APMIS, 119: 44–48. doi: 10.1111/j.1600-0463.2010.02690.x
Publication History
- Issue published online: 9 DEC 2010
- Article first published online: 25 OCT 2010
- Received 22 June 2010. Accepted 10 September 2010
- Abstract
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Keywords:
- Acute maxillary sinusitis;
- symptoms;
- signs;
- computerized tomography;
- general practice
Hansen JG, Lund E. The association between paranasal computerized tomography scans and symptoms and signs in a general practice population with acute maxillary sinusitis. APMIS 2010.
The objective of this study was to evaluate the association between changes revealed by computerized tomography scan (CT) and symptoms, signs, and bacteriological diagnoses in a general practice population who had been diagnosed with acute maxillary sinusitis (AMS). This study was designed as a prospective cohort study in Danish general practice in cooperation with the otorhinolaryngology and neuroradiology departments at Aalborg County Hospital. One hundred and seventy-four patients, aged 18–65 years, suspected of having AMS were included. The strongest associations were with purulent nasal discharge, preceding upper respiratory tract infection, maxillary toothache and oedema over the maxillary sinuses. Self-reported previous sinusitis was negatively associated with sinus infection. There was a strong association between increasing values of C-reactive protein (CRP) and erythrocyte sedimentation rate and changes on the CT scan. CT scans contributed only little to the final diagnosis, whereas increased CRP values and elevated erythrocyte sedimentation rates were more reliable indicators of inflammation in the sinuses.