YIELD OF ULTRASOUND IN CLINICALLY SUSPECTED MAXILLARY SINUSITIS AMONG PEDIATRIC PATIENTS CONSIDERING CT FINDINGS AS GOLD STANDARD

Muhammad Omer Aamir; Iftikhar Ahmad; Imran Masood Qasmi; Syed Farrukh Nadeem; Shehla Iftikhar

YIELD OF ULTRASOUND IN CLINICALLY SUSPECTED MAXILLARY SINUSITIS AMONG PEDIATRIC PATIENTS CONSIDERING CT FINDINGS AS GOLD STANDARD

Muhammad Omer Aamir, Iftikhar Ahmad, Imran Masood Qasmi, Syed Farrukh Nadeem, Shehla Iftikhar

Abstract

Background: Ultrasonography is a safe, rapid, cost effective and readily available imaging tool in pediatric clinics. The aim of this study was to determine the diagnostic value of ultrasonography in clinically suspicious maxillary sinusitis in pediatric patients, taking computed tomography (CT) as gold standard. Material and Methods: This prospective study was conducted from January to July, 2015, enrolling patients of age 3-12 years old and presenting with clinical symptoms of maxillary sinusitis. Both ultrasonography and CT were carried out in all patients. Results: The data were analysed and quantitative metric like sensitivity ( = 45%), specificity ( = 93%), positive predictive values ( = 94%), negative predictive values ( = 41%) and accuracy ( = 94%) of ultrasonography for detection of maxillary sinusitis were calculated. Conclusions: Ultrasonography offer low sensitivity and high specificity in diagnosis of maxillary sinusitis in pediatric population.

Keywords

Maxillary sinusitis, Ultrasonography, Computed Tomography

Full Text:

PDF

References

Joshi VM, Sansi R. Imaging in sinonasal inflammatory disease. Neuroimaging Clin N Am. Elsevier Inc; 2015;25(4):549–68.

Varonen H, Mäkelä M, Savolainen S, Läärä E, Hilden J. Comparison of ultrasound, radiography, and clinical examination in the diagnosis of acute maxillary sinusitis: a systematic review. J Clin Epidemiol. 2000;53:940–8.

Pant H. Comparison of sonography with plain radiography in clinically suspected maxillary sinusitis. Pakistan J Radiol. 2017;27(2):71–8.

Rao K. Computed tomography of paranasal sinus pathologies with functional endoscopic sinus surgery/ nasal endoscopy correlation. Clin Rhinol An Int J. 2015;8(1):15–9.

Nass RL, Holliday RA, Reede DL. Diagnosis of surgical sinusitis using nasal endoscopy and computerized tomography. Laryngoscope. 1989;99:1158–60.

Fufezan O, Asăvoaie C, Panta PC, Mihuţ G, Bursaşiu E, Anca I, et al. The role of ultrasonography in the evaluation of maxillary sinusitis in pediatrics. Med Ultrason. 2010;12(1):4–11.

Puhakka T, Heikkinen T, Makela MJ, Alanen A, Kallio T, Korsoff L, et al. Validity of ultrasonography in diagnosis of acute maxillary sinusitis. Arch Otolaryngol Head Neck Surg. 2000;126:1482–6.

Karantanas AH, Sandris V. Maxillary sinus inflammatory diesease: ultrasuund compared to computed tomography. Comput MedicaI Imaging Graph. 1997;21(4):233–41.

Refbacks

There are currently no refbacks.