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Retrospective analysis of the risk of neoplasia associated with unilateral maxillary sinus opacification on computed tomography

Published online by Cambridge University Press:  07 April 2022

Z Mughal Open the ORCID record for Z Mughal [Opens in a new window] ,
K Daffu ,
R Adeoti ,
R Swaminathan  and
S Henney
Z Mughal*
Affiliation:
Department of Otolaryngology, Warwick Hospital, Warwick, UK
K Daffu
Affiliation:
Department of Otolaryngology, Warwick Hospital, Warwick, UK
R Adeoti
Affiliation:
Department of Otolaryngology, Warwick Hospital, Warwick, UK
R Swaminathan
Affiliation:
Department of Otolaryngology, Warwick Hospital, Warwick, UK
S Henney
Affiliation:
Department of Otolaryngology, Warwick Hospital, Warwick, UK
*
Author for correspondence: Mr Zahir Mughal, Department of Otolaryngology, Warwick Hospital, Lakin Rd, WarwickCV34 5BW, UK E-mail: [email protected]
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Abstract

Background

Unilateral maxillary sinus opacification on computed tomography may reflect an inflammatory or neoplastic process. The neoplasia risk is not clear in the literature.

Methods

In this retrospective study, computed tomography sinus scans performed over 12 months were screened for unilateral maxillary sinus opacification, and the rates of inflammatory and neoplastic diagnoses were calculated.

Results

Of 641 computed tomography sinus scans, the rate of unilateral maxillary sinus opacification was 9 per cent. Fifty-two cases were analysed. The risk of neoplasia was 2 per cent (inverted papilloma, n = 1). No cases of unilateral maxillary sinus opacification represented malignancy, but one case of lymphoma had an incidental finding of unilateral maxillary sinus opacification on the contralateral side. Patients with an antrochoanal polyp (n = 3), fungal disease (n = 1), inverted papilloma and lymphoma all had a unilateral nasal mass.

Conclusion

Our neoplasia rate of 2 per cent was lower than previously reported. A unilateral mass was predictive of pathology that required operative management. Clinical findings, rather than simple findings of opacification on computed tomography, should drive the decision to perform biopsy.

Keywords

Computed TomographyX-RayMaxillary SinusMaxillary SinusitisMaxillary Sinus NeoplasmsUnilateral Nasal Obstruction
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1259 - 1264
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr Z Mughal takes responsibility for the integrity of the content of the paper

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