ORIGINAL ARTICLE   

Otorinolaringologia 2019 September;69(3):147-53

DOI: 10.23736/S0392-6621.19.02220-3

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Correlation between symptomology, endoscopy, and computed tomography in diagnostic workup of chronic rhinosinusitis

Mohammed R. DAWOOD ✉

Department of Otolaryngology, College of Medicine, Mustansiriyah University, Baghdad, Iraq

BACKGROUND: Chronic rhinosinusitis (CRS) is a common disease that impacts a patient’s quality of life. However, there is no consensus about its definitive diagnostic methods, so this study was aimed to evaluate the correlation between the visual analogue scale (VAS) patient severity symptoms, the Lund-Kennedy scoring nasal endoscopic findings and the Lund-Mackay CT scan sinuses scoring system in CRS diagnostic set ups.
METHODS: Seventy-four patients who met the diagnostic criteria of CRS guidelines were recruited for this study, and their presenting clinical symptoms were collected in a proforma using the VAS questionnaire, followed with a nasal endoscopy, followed with CT scan sinuses within 24-72 hours. All the above-mentioned respective data were statistically analyzed using a Pearson correlation coefficient test to assess the correlation between them.
RESULTS: Nasal obstruction (91.89%), with the highest mean VAS severity score reaching 7439±2.456; mucosal edema (81.08%); maxillary sinus involvement (86.48%) and abnormal osteomeatal complex (72.97%). The overall VAS severity symptom score was mild (18.91%), moderate (37.83%) and severe (43.24%); the positive Lund-Kennedy nasal endoscopic findings was 94.59% with a sensitivity of 97% (95% CI: 91% to 99%), and a positive CT scan using a Lund-Mackay sinuses staging system was 91.89%.
CONCLUSIONS: Positive correlations were found between the overall patient severity symptoms of the disease and nasal endoscopic findings and between the nasal endoscopic and sinuses-based CT findings, while there was no correlation between the overall patient severity symptoms score with both CT scan sinuses findings and different anatomical variations.

KEY WORDS: Sinusitis; Tomography, X-ray computed; Endoscopy