Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-16T13:26:20.049Z Has data issue: false hasContentIssue false

Abnormalities of the paranasal sinuses in patients with nasopharyngeal carcinoma: a computed tomographic study

Published online by Cambridge University Press:  29 June 2007

M. J. Porter
Affiliation:
Division of Otorhinolaryngology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong
H. S. Cheung
Affiliation:
Department of Surgery, the Department of Diagnostic Radiology and Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong
R. Ambrose
Affiliation:
Department of Surgery, the Department of Diagnostic Radiology and Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong
S. F. Leung
Affiliation:
The Department of Clinical Oncology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong
C. A. van Hasselt*
Affiliation:
Division of Otorhinolaryngology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong
*
Address for correspondence: C. A. van Hasselt, Professor of Surgery, Chief of Otorhinolaryngology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong. Fax: (852) 26466312

Abstract

A retrospective study of computed tomography scans of the paranasal sinuses of 131 control subjects in Hong Kong revealed minor mucosal abnormalities in more than half of the ethmoid sinuses. Major abnormalities were present in seven per cent of maxillary, five per cent of anterior ethmoid and four per cent of posterior ethmoid sinus. In 85 patients with nasopharyngeal carcinoma the prevalence of minor mucosal abnormalities in the sinuses was similar to that of the control group but major mucosal abnormalities were significantly more common in the anterior and posterior ethmoids at 15 per cent and 21 per cent of the respective sinuses (p<0.001).

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Avrahami, E., Frishman, F., Weiss-Peretz, J. (1991) CT evidence of mucosal thickening in the maxillary antra in patients with nasopharyngeal carcinoma. American Journal of Neuroradiology 12: 275278.Google Scholar
Axeisson, A., Grebelius, N., Chidekel, N., Jensen, C. (1970) The correlation between the radiological examination and the irrigation findings in maxillary sinusitis. Acta Otolaryngologica (Stockholm) 69: 302306.CrossRefGoogle Scholar
Cooke, L. D., Hadley, D. M. (1991) MRI of the paranasal sinuses: Incidental abnormalities and their relationship to symptoms. Journal of Laryngology ad Otology 105: 278281.Google Scholar
Croft, C. B., Whittet, H. B., Fisher, E. W., Lloyd, G. A. S., Wright, A. (1991) Polytomographic radiotherapy in the diagnosis and management of maxillary antral disease as determined by antroscopy. Clinical Otolaryngology 16: 6269.Google Scholar
Davidson, T. M., Brahme, F. J., Gallagher, M. E. (1989). Radiographic evaluation for nasal dysfunction: Computed tomography verses plain films. Head and Neck 11: 405409.Google Scholar
Hong Kong Cancer Registry (1993) Nasopharynx cancer. 1990 Annual Statistical Report, Hong Kong, p 6.Google Scholar
Havas, T. E., Motbey, J. A., Gullane, P. J. (1988) Prevalence of incidental abnormalities on computerised tomographic scans of the paranasal sinus. Archives of Otolaryngology – Head and Neck Surgery 114: 856859.Google Scholar
Ho, J. H. C. (1978) Stage classification of nasopharyngeal carcinoma: In Nasopharyngeal Carcinoma, Etiology and Control. (de Thé, G., Ito, Y., eds.) IARC Scientific Publications, Lyon, France, No.20: 99113.Google Scholar
Lloyd, G. A. S. (1990). CT of the paranasal sinuses: Study of a control series in relation to endoscopic sinus surgery. Journal of Laryngology and Otology 104: 477481.Google Scholar
Lloyd, G. A. S., Lund, V. J., Scadding, G. K. (1991) CT of the paranasal sinuses and functional endoscopic surgery: A critical analysis of 100 symptomatic patients. Journal of Laryngology and Otology 105: 181185.Google Scholar
McGuire, L. J., Lee, J. C. K. (1990) The histopathologic diagnosis of nasopharyngeal carcinoma. Ear, Nose and Throat Journal 69(4): 229236.Google ScholarPubMed
Pfleiderer, A. G., Drake-Lee, A. B., Lowe, D. (1984) Ultrasound of the sinuses: A worthwhile procedure? A comparison of ultrasound and radiology in predicting the findings of proof puncture on the maxillary sinuses. Clinical Otolaryngology 9: 335339.Google Scholar
Skinner, D. W., Van Hasselt, C. A. (1991) Symptomatology. In Nasopharyngeal Carcinoma (van Hasselt, C. A. and Gibb, A. O., eds.), Chinese University Press, Hong Kong, pp 8591.Google ScholarPubMed
Stammberger, H. (1991) Functional Endoscopic Sinus Surgery, B. C. Decker, Philadelphia, p 6.Google Scholar