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Published in: Insights into Imaging 3/2010

Open Access 01-07-2010 | Review

Flying through congested airspaces: imaging of chronic rhinosinusitis

Authors: Davide Farina, Marco Ravanelli, Andrea Borghesi, Roberto Maroldi

Published in: Insights into Imaging | Issue 3/2010

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Abstract

The complex regional anatomy of the nose and paranasal sinuses makes the interpretation of imaging studies of these structures intimidating to many radiologists. This paper aims to provide a key to interpretation by presenting a simplified approach to the functional anatomy of the paranasal sinuses and their most common (and most relevant) variants. This knowledge is basic for the full understanding of chronic rhinosinusitis and its computed tomography (CT) patterns. As fungal infections may be observed in the setting of chronic rhinosinusitis, these are also discussed. Chronic sinus inflammation produces bone changes, clearly depicted on CT images. Finally, clues to suspecting neoplastic lesions underlying inflammatory sinus conditions are provided.
Literature
1.
go back to reference Anand VK (2004) Epidemiology and economic impact of rhinosinusitis. Ann Otol Rhinol Laryngol Suppl 193:3–5PubMed Anand VK (2004) Epidemiology and economic impact of rhinosinusitis. Ann Otol Rhinol Laryngol Suppl 193:3–5PubMed
2.
go back to reference Osguthorpe JD (2001) Adult rhinosinusitis: diagnosis and management. Am Fam Physician 63(1):69–76PubMed Osguthorpe JD (2001) Adult rhinosinusitis: diagnosis and management. Am Fam Physician 63(1):69–76PubMed
3.
go back to reference Momeni AK, Roberts CC, Chew FS (2007) Imaging of chronic and exotic sinonasal disease: review. AJR Am J Roentgenol 189:S35–S45PubMedCrossRef Momeni AK, Roberts CC, Chew FS (2007) Imaging of chronic and exotic sinonasal disease: review. AJR Am J Roentgenol 189:S35–S45PubMedCrossRef
4.
go back to reference Landsberg R, Friedman M (2001) A computer-assisted anatomical study of the nasofrontal region. Laryngoscope 111(12):2125–2130PubMedCrossRef Landsberg R, Friedman M (2001) A computer-assisted anatomical study of the nasofrontal region. Laryngoscope 111(12):2125–2130PubMedCrossRef
5.
go back to reference Lee WT, Kuhn FA, Citardi MJ (2004) 3D computed tomographic analysis of frontal recess anatomy in patients without frontal sinusitis. Otolaryngol Head Neck Surg 131(3):164–173PubMedCrossRef Lee WT, Kuhn FA, Citardi MJ (2004) 3D computed tomographic analysis of frontal recess anatomy in patients without frontal sinusitis. Otolaryngol Head Neck Surg 131(3):164–173PubMedCrossRef
6.
go back to reference Lehmann P, Bouaziz R, Page C, Warim M, Saliou G, Deschepper B, Strunski V, Deramond H (2009) Sinonasal cavities: CT imaging features of anatomical variants and surgical risk. J Radiol 90(1 pt 1):21–30PubMedCrossRef Lehmann P, Bouaziz R, Page C, Warim M, Saliou G, Deschepper B, Strunski V, Deramond H (2009) Sinonasal cavities: CT imaging features of anatomical variants and surgical risk. J Radiol 90(1 pt 1):21–30PubMedCrossRef
7.
go back to reference Stallman JS, Lobo JN, Som PM (2004) The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 25:1613–1618PubMed Stallman JS, Lobo JN, Som PM (2004) The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 25:1613–1618PubMed
8.
go back to reference Lawson W, Patel ZM, Lin FY (2008) The development and pathologic processes that influence maxillary sinus pneumatization. Anat Rec 291:1554–1563CrossRef Lawson W, Patel ZM, Lin FY (2008) The development and pathologic processes that influence maxillary sinus pneumatization. Anat Rec 291:1554–1563CrossRef
9.
go back to reference Champsaur P, Pascal T, Vidal V, Gaubert JY, Bartoli JM, Moulin G (2003) Radioanatomie des sinus de la face. J Radiol 84:885–900PubMed Champsaur P, Pascal T, Vidal V, Gaubert JY, Bartoli JM, Moulin G (2003) Radioanatomie des sinus de la face. J Radiol 84:885–900PubMed
10.
go back to reference Marsot-Dupuch K, Gentry E (2003) Les variants anatomiques des sinus de la face. J Radiol 84:357–367PubMed Marsot-Dupuch K, Gentry E (2003) Les variants anatomiques des sinus de la face. J Radiol 84:357–367PubMed
11.
go back to reference Sonkens JW, Harnsberger HR, Blanch GM, Babbel RW, Hunt S (1991) The impact of screening sinus CT on the planning of functional endoscopic sinus surgery. Otolaryngol Head Neck Surg 105(6):802–813PubMedCrossRef Sonkens JW, Harnsberger HR, Blanch GM, Babbel RW, Hunt S (1991) The impact of screening sinus CT on the planning of functional endoscopic sinus surgery. Otolaryngol Head Neck Surg 105(6):802–813PubMedCrossRef
12.
go back to reference Babbel RW, Harnsberger HR, Sonkens J, Hunt S (1992) Recurring patterns of inflammatory sinonasal disease demonstrated on screening sinus CT. AJNR Am J Neuroradiol 13(3):903–912PubMed Babbel RW, Harnsberger HR, Sonkens J, Hunt S (1992) Recurring patterns of inflammatory sinonasal disease demonstrated on screening sinus CT. AJNR Am J Neuroradiol 13(3):903–912PubMed
13.
go back to reference Eggesbø HB (2006) Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses. Eur Radiol 16(4):872–888PubMedCrossRef Eggesbø HB (2006) Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses. Eur Radiol 16(4):872–888PubMedCrossRef
14.
go back to reference Bist SS, Bisht M, Kumar R, Varshney S (2007) Sphenochoanal polyp: an endoscopic view. Ear Nose Throat J 86(1):19–20PubMed Bist SS, Bisht M, Kumar R, Varshney S (2007) Sphenochoanal polyp: an endoscopic view. Ear Nose Throat J 86(1):19–20PubMed
15.
go back to reference Virós Porcuna D, Montserrat Gili JR, Gras Cabrerizo JR, López Vilas M, Pujol Olmo A (2008) Unilateral benign choanal polyp: review of 51 patients. Acta Otorrinolaringol Esp 59(2):52–56PubMedCrossRef Virós Porcuna D, Montserrat Gili JR, Gras Cabrerizo JR, López Vilas M, Pujol Olmo A (2008) Unilateral benign choanal polyp: review of 51 patients. Acta Otorrinolaringol Esp 59(2):52–56PubMedCrossRef
16.
go back to reference Frosini P, Picarella G, De Campora E (2009) Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 29:21–26PubMedPubMedCentral Frosini P, Picarella G, De Campora E (2009) Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 29:21–26PubMedPubMedCentral
17.
go back to reference Giacchi RJ, Lebowitz RA, Yee HT, Light JP, Jacobs JB (2001) Histopathologic evaluation of the ethmoid bone in chronic sinusitis. Am J Rhinol 15(3):193–197PubMedCrossRef Giacchi RJ, Lebowitz RA, Yee HT, Light JP, Jacobs JB (2001) Histopathologic evaluation of the ethmoid bone in chronic sinusitis. Am J Rhinol 15(3):193–197PubMedCrossRef
18.
go back to reference Dammann F, Pereira P, Laniado M, Plinkert P, Löwenheim H, Claussen CD (1999) Inverted papilloma of the nasal cavity and the paranasal sinuses: using CT for primary diagnosis and follow-up. AJR Am J Roentgenol 172(2):543–548PubMedCrossRef Dammann F, Pereira P, Laniado M, Plinkert P, Löwenheim H, Claussen CD (1999) Inverted papilloma of the nasal cavity and the paranasal sinuses: using CT for primary diagnosis and follow-up. AJR Am J Roentgenol 172(2):543–548PubMedCrossRef
19.
go back to reference Aribandi M, McCoy VA, Bazan C 3rd (2007) Imaging features of invasive and noninvasive fungal sinusitis: a review. Radiographics 27(5):1283–1296PubMedCrossRef Aribandi M, McCoy VA, Bazan C 3rd (2007) Imaging features of invasive and noninvasive fungal sinusitis: a review. Radiographics 27(5):1283–1296PubMedCrossRef
20.
21.
go back to reference Mukherji SK, Figueroa RE, Ginsberg LE, Zeifer BA, Marple BF, Alley JG, Cooper LL, Nemzek WR, Yousem DM, Jones KR, Kupferberg SB, Castillo M (1998) Allergic fungal sinusitis: CT findings. Radiology 207:417–422, 35(4):500-508PubMedCrossRef Mukherji SK, Figueroa RE, Ginsberg LE, Zeifer BA, Marple BF, Alley JG, Cooper LL, Nemzek WR, Yousem DM, Jones KR, Kupferberg SB, Castillo M (1998) Allergic fungal sinusitis: CT findings. Radiology 207:417–422, 35(4):500-508PubMedCrossRef
22.
go back to reference Farina D, Tomenzoli D, Borghesi A, Lombardi D (2005) Inflammatory lesions. In: Maroldi R, Nicolai P (eds) Imaging in treatment planning for sinonasal diseases. Springer, Berlin Heidelberg New York, pp 59–92CrossRef Farina D, Tomenzoli D, Borghesi A, Lombardi D (2005) Inflammatory lesions. In: Maroldi R, Nicolai P (eds) Imaging in treatment planning for sinonasal diseases. Springer, Berlin Heidelberg New York, pp 59–92CrossRef
Metadata
Title
Flying through congested airspaces: imaging of chronic rhinosinusitis
Authors
Davide Farina
Marco Ravanelli
Andrea Borghesi
Roberto Maroldi
Publication date
01-07-2010
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 3/2010
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1007/s13244-010-0030-y

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