Use of standard radiography to diagnose paranasal sinus disease of asthmatic children in Taiwan: comparison with computed tomography.

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dc.contributor.authorChen, L Cen_US
dc.contributor.authorHuang, J Len_US
dc.contributor.authorWang, C Ren_US
dc.contributor.authorYeh, K Wen_US
dc.contributor.authorLin, S Jen_US
dc.date.accessioned2009-05-27T17:21:45Z
dc.date.available2009-05-27T17:21:45Z
dc.date.issued1999-06-31en_US
dc.descriptionPublished by the Allergy and Immunology Society of Thailand.en_US
dc.description.abstractParanasal sinus disease and bronchial asthma are frequently associated. Computed tomography imaging is currently the most reliable method for confirming the diagnosis of sinusitis. Due to the cost and amount of radiation during computed tomography, our aim was to analyze whether standard radiography, under computed tomography-control, had a reasonable degree of confidence in the diagnosis of sinusitis. Fifty-three asthmatic patients (42 males and 11 females) with a mean age of 9 years (range 4-14) were enrolled. We evaluated the maxillary sinuses, ethmoidal sinuses, frontal sinuses, and sphenoidal sinuses using standard radiography (Waters' view, Caldwell view, and lateral view) and compared with computed tomography (coronal views), the latter served as a standard. Computed tomography (CT) showed paranasal sinusitis in 58% (31/53) of the asthmatic children. Compared with the results of computed tomography, standard radiography revealed a sensitivity of 81.1% and a specificity of 72.7% for maxillary sinusitis. The sensitivity and specificity for ethmoidal, frontal, and sphenoidal sinusitis were 51.8%, 84.8%; 47.3%, 87.2%; and 40.8%, 93.3%, respectively. In 21 (40%) of the 53 patients, discrepancies were seen between the interpretations of standard radiography c and those of CT scans. In patients with maxillary sinusitis, the correlation between standard radiography and CT was good. However, ethmoidal, frontal, and sphenoidal sinusitis were poorly demonstrated using radiography. Standard radiography can be recommended as a screening method for maxillary sinusitis, but it is not recommended for the diagnosis of other paranasal sinusitis.en_US
dc.description.affiliationDepartment of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.en_US
dc.identifier.citationChen LC, Huang JL, Wang CR, Yeh KW, Lin SJ. Use of standard radiography to diagnose paranasal sinus disease of asthmatic children in Taiwan: comparison with computed tomography. Asian Pacific Journal of Allergy and Immunology. 1999 Jun; 17(2): 69-76en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/37026
dc.language.isoengen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAsthma --complicationsen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshEthmoid Sinusitis --radiographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFrontal Sinusitis --radiographyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMaxillary Sinusitis --radiographyen_US
dc.subject.meshParanasal Sinus Diseases --complicationsen_US
dc.subject.meshSensitivity and Specificityen_US
dc.subject.meshSingle-Blind Methoden_US
dc.subject.meshSphenoid Sinusitis --radiographyen_US
dc.subject.meshTaiwanen_US
dc.subject.meshTomography, X-Ray Computeden_US
dc.titleUse of standard radiography to diagnose paranasal sinus disease of asthmatic children in Taiwan: comparison with computed tomography.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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