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Journal of Maxillofacial and Oral Surgery

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01-12-2021 | Computed Tomography | Original Article

The Evaluation of the Sensitivity and Specificity of a New Endoscopic Diagnostic Sign of Allergic Fungal Rhinosinusitis: Intrapolypoidal White Particles

Authors: Khalid Al-Qahtani, Fahad Nasser Altamimi, Mohammed Humaidan Al-Harbi, Tahera Islam, Nouf Abdulkalq Al-Zendi, Nader Fajhan Aldajani

Published in: Journal of Maxillofacial and Oral Surgery | Issue 4/2021

Abstract

Purpose

The diagnostic criteria of allergic fungal rhinosinusitis focus on characteristic clinical, radiographic, histopathologic findings and immunologic characteristics of the disease. None of these are useful for a prompt outpatient diagnosis of the condition. No clear endoscopic signs (pathognomonic) of polyps in allergic fungal rhinosinusitis are mentioned in the literature.

Objective

The objective of this study is to describe and evaluate the sensitivity and specificity of an endoscopic sign the intrapolypoidal white particles for the diagnosis of allergic fungal rhinosinusitis in outpatient setting.

Methodology

In a descriptive, cross-sectional study, 46 chronic rhinosinusitis patients were examined by endoscope in the outpatient clinic. The endoscopic images of the nasal polypi were captured preoperatively. During endoscopic surgery, a sample of nasal polypi was taken for fungal staining and culture. Results of histopathology were compared to the impression of rhinologist on the images of nasal polypi captured preoperatively.

Results

The most common endoscopic features were the expansion of sinus (24, 52.2%) and intrapolypoidal white particles (50%). Intrapolypoidal white particles were calculated to have 85.71% sensitivity, 65.63% specificity, 52.17% positive predictive value, 91.3% negative predictive value and 71.74% diagnostic accuracy.

Conclusion

This study offers a new endoscopic sign, intrapolypoidal white particles for diagnosing allergic fungal rhinosinusitis.

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Title: The Evaluation of the Sensitivity and Specificity of a New Endoscopic Diagnostic Sign of Allergic Fungal Rhinosinusitis: Intrapolypoidal White Particles
Authors: Khalid Al-Qahtani
Fahad Nasser Altamimi
Mohammed Humaidan Al-Harbi
Tahera Islam
Nouf Abdulkalq Al-Zendi
Nader Fajhan Aldajani
Publication date: 01-12-2021
Publisher: Springer India
Keywords: Computed Tomography
Computed Tomography
Rhinosinusitis
Published in: Journal of Maxillofacial and Oral Surgery / Issue 4/2021
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-020-01357-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The Evaluation of the Sensitivity and Specificity of a New Endoscopic Diagnostic Sign of Allergic Fungal Rhinosinusitis: Intrapolypoidal White Particles

Abstract

Purpose

Objective

Methodology

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Objective

Methodology

Results

Conclusion

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