Comparison of B-mode Ultrasonography and CT-Scan in Diagnosis of Children’s Maxillary Sinusitis

How to Cite:Nemati M, Sina M, Shakeri Bavil A. Comparison of B-mode Ultrasonography and CT-Scan in Diagnosis of Children’s Maxillary Sinusitis. I J Radiol. 2014;11(30th Iranian Congress of Radiology):e93647. doi: https://doi.org/10.5812/iranjradiol.21394

Abstract

Background: Sinusitis is a common medical problem, especially in children. Diagnosis of sinusitis in children is usually based on clinical symptoms and clinicians usually tend to avoid X- ray study especially less than 6 years of age. Nowadays, the gold- standard for the diagnosis of sinusitis is CT scan but other modalities including plain X-ray and MRI are also useful. In the literature, there are few studies about the use of ultrasound for diagnosis of sinusitis as a safe, inexpensive and radiation-free method but most of these studies are limited to adults.

Objectives: Therefore this study has been designed to show the accuracy of ultrasound in diagnosis and follow up of sinusitis in the pediatric age group.

Patients and Methods: All children in the age range of 2-14 years who were clinically suspected for sinusitis and referred to Tabriz children’s hospital for CT scan were enrolled in this study and maxillary sinus sonography was performed for all of them before CT. Revonta method was used and sonography was done with Sonix-OP machine (by using linear- L14-5MHz and microconvex-C9-5/10MHz probes). Totally, 58 patients (116 maxillary sinuses) were evaluated over a 6 months period.

Results: Based on CT findings, patients were divided into four groups: 1) normal, 2) slight mucosal thickening, 3) considerable mucosal thickening (more than 50% of the surface), 4) fluid retention in association with mucosal thickening. According to the statistical analysis undertaken in this study, and extracted cut off point, accuracy of ultrasound in group 1 is about 90% with ultrasound quantitative criteria and about 82% with qualitative criteria. In group 3 and 4 the accuracy of ultrasound is above 90% by using qualitative criteria and 75% with quantitative criteria.

Conclusions: Ultrasound study of maxillary sinuses in children is easily achievable if operator has enough skills and experience. Since qualitative criteria are more operator dependent, quantitative study is more accurate and more practical. Using these results, the accuracy of ultrasonography in the diagnosis of maxillary sinusitis in children is considerably high and acceptable, therefore ultrasound can be used not only as a precise diagnostic tool for primary diagnosis of sinusitis but also it can be used as a safe, accurate, practical and repeatable tool for follow up and post treatment monitoring of these patients.

Keywords

Iranian Journal of Radiology

A Comparison Between Ultra-Sonography and Water’s View Radiography as Confirmatory Tools for Diagnosis of Maxillary Sinusitis in Children Complaining of Cough

Alireza Asadi,

Seyed Ahmad Tabatabaee,

Roxana Azma,

Ghamartaj Khanbabaee,

Saeed Sadr,

Mitra Khalili

,et al.

Asadi A, Tabatabaee SA, Azma R, Khanbabaee G, Sadr S, et al. A Comparison Between Ultra-Sonography and Water’s View Radiography as Confirmatory Tools for Diagnosis of Maxillary Sinusitis in Children Complaining of Cough. J Compr Ped. 2019;10(1):e66433. doi: https://doi.org/10.5812/compreped.66433

7

Jan

2013

Re-Appraising the Role of Sonography in Pediatric Acute Abdominal Pain

Wei-Ching Lin,

Chien-Heng Lin

Lin W, Lin C. Re-Appraising the Role of Sonography in Pediatric Acute Abdominal Pain. Inn J Pediatr. 2013;23(2):. doi:

7

Sep

2022

Diagnostic Value of Ultrasound Findings in Eosinophilic Esophagitis Versus Gastroesophageal Reflux Disease in Children

Majid Khademian,

Hossein Saneian,

Maryam Riahinezhad,

Victoria Chegini,

Farzaneh Tavakoli,

Fatemeh Famouri

,et al.

Khademian M, Saneian H, Riahinezhad M, Chegini V, Tavakoli F, et al. Diagnostic Value of Ultrasound Findings in Eosinophilic Esophagitis Versus Gastroesophageal Reflux Disease in Children. Inn J Pediatr. 2022;32(6):e126981. doi: https://doi.org/10.5812/ijp-126981

19

Sep

2011

Diagnostic value of ultrasound for identification of nasal fracture

Nazanin Farshchian,

Nikzad Farshchian,

Firoozeh Farshchian,

Farid Najafi

Farshchian N, Farshchian N, Farshchian F, Najafi F. Diagnostic value of ultrasound for identification of nasal fracture. J Kermanshah Univ Med Sci. 2011;15(3):e79355. doi:

14

Apr

2024

Intra-abdominal Cysts Not Originating from Liver, Spleen, or Kidney in Children: Assessment of the Diagnostic Value of Ultrasound Features

Seyed Ali Alamdaran,

Niloufar Nazeri,

Seyed Mannan Naghavi,

Fatemeh Dadelahi,

Maryam Tavakoli

Alamdaran SA, Nazeri N, Naghavi SM, Dadelahi F, Tavakoli M. Intra-abdominal Cysts Not Originating from Liver, Spleen, or Kidney in Children: Assessment of the Diagnostic Value of Ultrasound Features. Inn J Pediatr. 2024;34(2):e138876. doi: https://doi.org/10.5812/ijp-138876

Import into EndNote Import into BibTex

Crossmark

Checking

Share on

Comments

Number of Comments:0

Cited by

Scopus by DOI: 0
Last Update: 4 days ago
Scopus by Title: 0
Last Update: 4 days ago
Scopus by Title (Ref): 0
Last Update: 4 days ago
CrossRef: 0
Last Update: 1 day ago

Metrics

Licensing and reuse information

Ordering Reprints

Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC

Search Relations

Author(s):

Masoud Nemati:[PubMed][Scholar]
Morad Sina:[PubMed][Scholar]
Abolhassan Shakeri Bavil:[PubMed][Scholar]

An Innovative Journal in the Field of Radiology

Outlines

Comparison of B-mode Ultrasonography and CT-Scan in Diagnosis of Children’s Maxillary Sinusitis

Abstract

Similar Articles

A Comparison Between Ultra-Sonography and Water’s View Radiography as Confirmatory Tools for Diagnosis of Maxillary Sinusitis in Children Complaining of Cough

Re-Appraising the Role of Sonography in Pediatric Acute Abdominal Pain

Diagnostic Value of Ultrasound Findings in Eosinophilic Esophagitis Versus Gastroesophageal Reflux Disease in Children

Diagnostic value of ultrasound for identification of nasal fracture

Intra-abdominal Cysts Not Originating from Liver, Spleen, or Kidney in Children: Assessment of the Diagnostic Value of Ultrasound Features

Crossmark

Checking

Last Update: 4 days ago

Last Update: 4 days ago

Last Update: 4 days ago

Last Update: 1 day ago