Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-08T11:26:33.675Z Has data issue: false hasContentIssue false
  • English
  • Français

The use of cone beam computed tomography of paranasal sinuses in the investigation and management of rhinosinusitis: a national survey and our ‘one-stop’ rhinology clinic experience

Published online by Cambridge University Press:  12 January 2022

A Munnings Open the ORCID record for A Munnings [Opens in a new window] ,
S Sood  and
D Gupta
A Munnings*
Affiliation:
ENT Department, Great Western Hospital, Swindon, UK
S Sood
Affiliation:
ENT Department, Great Western Hospital, Swindon, UK
D Gupta
Affiliation:
ENT Department, Great Western Hospital, Swindon, UK
*
Author for correspondence: Dr A Munnings, ENT Department, Great Western Hospital, Marlborough Road, SwindonSN3 6BB, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Cone beam computed tomography is an imaging technique that can be used for the paranasal sinuses. This study assessed how widely it is used and the impact it has on chronic rhinosinusitis management in the ENT department of one hospital.

Method

A nationwide survey was conducted to assess the use of cone beam computed tomography throughout ENT UK members. A retrospective analysis of four-year rhinology clinic data for patients presenting with chronic rhinosinusitis symptoms was subsequently performed to assess how many scans were achieved the same day and the subsequent patient management.

Results

The survey results indicated that a majority of staff do not use cone beam computed tomography to image sinuses (86.5 per cent), and this was largely because of lack of access (92 per cent). This study assessed 355 cone beam computed tomography requests. Overall, 306 cases had a cone beam computed tomography scan on the same day as their clinic appointment with the majority seen back in clinic during the same hospital attendance for the results. Overall, 97 patients were discharged on the same day.

Conclusion

This study suggested a lack of awareness and understanding of cone beam computed tomography in managing rhinosinusitis. The ‘one-stop’ rhinology clinic model offers benefits including reduced patient hospital attendance.

Keywords

Cone BeamParanasal SinusesNasal SinusesRhinosinusitisSinusitis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1226 - 1230
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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.)

Footnotes

Dr A Munnings takes responsibility for the integrity of the content of the paper

References

Fokkens, WJ, Lund, VJ, Hopkins, C, Hellings, PW, Kern, R, Reitsma, S et al. European Position Paper on Rhinosinusitis and Nasal Polyps. Rhinology 2020;58:1–464CrossRefGoogle ScholarPubMed
Dalziel, K, Stein, K, Round, A, Garside, R, Royle, P. Endoscopic sinus surgery for the excision of nasal polyps: a systematic review of safety and effectiveness. Am J Rhinol 2006;20:506–19CrossRefGoogle ScholarPubMed
Ramakrishnan, VR, Orlandi, RR, Citardi, MJ, Smith, TL, Fried, MP, Kingdom, TT. The use of image-guided surgery in endoscopic sinus surgery: an evidence-based review with recommendations. Int Forum Allergy Rhinol 2013;3:236–41CrossRefGoogle ScholarPubMed
Zojaji, R, Naghibzadeh, M, Mazloum Farsi Baf, M, Nekooei, S, Bataghva, B, Noorbakhsh, S. Diagnostic accuracy of cone-beam computed tomography in the evaluation of chronic rhinosinusitis. ORL 2015;77:55–6010.1159/000373927CrossRefGoogle ScholarPubMed
Güldner, C, Ningo, A, Voigt, J, Diogo, I, Heinrichs, J, Weber, R et al. Potential of dosage reduction in cone-beam-computed tomography (CBCT) for radiological diagnostics of the paranasal sinuses. Eur Arch Otorhinolaryngol 2013;270:1307–1510.1007/s00405-012-2177-2CrossRefGoogle ScholarPubMed
Jahandideh, H, Yarahmadi, A, Rajaieh, S, Ostvar Shirazi, A, Milanifard, M, Yarahmadi, A. Cone-beam computed tomography guidance in functional endoscopic sinus surgery: a retrospective cohort study. J Pharm Res Int 2020;14:1–7CrossRefGoogle Scholar
Al Abduwani, J, Zilinskiene, L, Colley, S, Ahmed, S. Cone beam CT paranasal sinuses versus standard multidetector and low dose multidetector CT studies. Am J Otolaryngol Head Neck Med Surg 2016;37:59–64Google ScholarPubMed
Deutschmann, MW, Yeung, J, Bosch, M, Lysack, JT, Kingstone, M, Kilty, SJ et al. Radiologic reporting for paranasal sinus computed tomography: a multi-institutional review of content and consistency. Laryngoscope 2013;123:1100–510.1002/lary.23906CrossRefGoogle ScholarPubMed
Daramola, OO, Lidder, AK, Ramli, R, Chandra, RK, Shintani-Smith, S, Conley, DB et al. Patient knowledge and perception of computed tomography scan in the management of chronic rhinosinusitis symptoms. Laryngoscope 2015;125:791–5CrossRefGoogle ScholarPubMed