Diagnostic Accuracy of Plain X-ray by Sinus Puncture &amp; Irrigation in Maxillary Sinusitis

Kim, Pyung Joo; Chae, Sung Won; Lee, Heung Man; Hwang, Soon Jae

doi:10.35420/jcohns.1992.3.1.91

J Clin Otolaryngol Head Neck Surg 1992; 3(1):91-97

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1992.3.1.91

원저

상악동염에서 천자세척법에 의한 단순방사선의 진단율 비교 연구

김평주¹, 채성원¹, 이흉만¹, 황순재¹

Diagnostic Accuracy of Plain X-ray by Sinus Puncture & Irrigation in Maxillary Sinusitis

Pyung Joo Kim¹, Sung Won Chae¹, Heung Man Lee¹, Soon Jae Hwang¹

Author Information & Copyright ▼

¹고려대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, College of Medicine, Korea University

© Copyright 1992 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

There are many methods for diagnosis and evaluation of maxillary sinus disease. The PNS radiography is the general method to diagnose the lesion of sinuses. A series of 62 patients (100 sinuses) with acute and chronic maxillary sinusitis evaluated at the department of otolaryngology, Korea University Hospital from November 1, 1989 to February 28, 1991 was reviewed for the diagnostic accuracy of the plain X-ray compared to that of the puncture and irrigation (P & I).

The results were as follows;

The positive rate was 60% in 100 cases of maxillary sinus, especially in 84 cases exception of 12 minimal mucosal thickening and 4 polypoid apearance, the positive rate was 71.4%.
The false-positive rate in plain X-ray was as follows; 16.7% in molderate to severe mucosal thickening, 32.5% in diffuse homogenous opacity, 35% in air-fluid level.
The capacity of maxillary sinus was as follows ; Average 6cc in positive cases of moderate to severe mucosal thickening and 15cc in false-positive cases. Average 8cc in positive cases of air-fluid level and 9cc in false-positive cases.
The accuracy in cases of abnormal nasal cavity findings such as septal deviation, conchal hypertrophy, nasal polyp was 68.2% and in normal nasal cavity, the accuracy was 44.4%

In conclusion, though the plain X-ray is useful diagnostic tool, it is necessary to use endoscopy, ultrasonography and CT scan for evaluation of the maxillary sinus diseases.

Keywords: Paranasal sinusitis; Pucture & Irrigation; PNS view