COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804


Print ISSN:-2581-382X

Online ISSN:-2581-3838

CODEN : IIJMCP

Current Issue

Year 2020

Volume: 6 , Issue: 1

Article Access statistics

Viewed: 284

Emailed: 0

PDF Downloaded: 141

IP International Journal of Maxillofacial Imaging


Diagnostic accuracy of digital paranasal sinus view and computed tomography in the evaluation of maxillary sinusitis – A comparative study


Full Text PDF Share on Facebook Share on Twitter


Research Article

Author Details : Fahd Al Qahtani*

Volume : 5, Issue : 1, Year : 2019

Article Page : 3-9


Suggest article by email

Abstract

Aim: The purpose of this study was to assess the diagnostic efficacy of digital Water’s radiographic view as compared to the CT scan for evaluation of the patients with maxillary sinusitis.
Materials and Methods: A total of 334 patients (110 women and 224 men with a mean age of 34.47 years) who were clinically suspected for acute or chronic rhinosinusitis were included in the study conducted in King Fahad Hospital, Al Baha, Kingdom of Saudi Arabia. Digital Water’s radiographic view and CT scan from the sinonasal area was taken for all patients. These radiographs and CT scans were independently viewed by three equally experienced maxillofacial radiologists who were blinded to the study and the relationship between the radiographs. Sensitivity, Specificity, Positive predictor values and negative predictor values were calculated and compared for each.
Results: 110 females and 224 males with a mean age of 34.47 ± 9.43 years (Mean ± Standard Deviation). From 668 maxillary sinuses evaluated, 12 were totally opacified (1 bilateral and 11 unilateral). CT scan showed sensitivity of 91.23%, specificity of 86.02%, positive predictive value of 94.62% and negative predictive value of 78.43%. The digital radiograph showed sensitivity of 86.89%, specificity of 77.41%, positive predictive value of 89.23% and negative predictive value of 72.92%. Water’s’ view showed high sensitivity and specificity in detecting the opacified maxillary sinuses. Among 334 patients, 245 had nasal septum deviation detected on CT scans.
Conclusion: Water’s’ views show a reasonably acceptable diagnostic value in sinonasal area. Digital Caldwell’s view performs well in assessing maxillary sinus opacification, as well as nasal septum deviation. It has average efficacy in cases of maxillary mucosal thickening.

Keywords: Radiography, Computed tomography, Maxillary, Sinusitis.

Doi : 10.18231/j.ijmi.2019.002

How to cite : Qahtani F A, Diagnostic accuracy of digital paranasal sinus view and computed tomography in the evaluation of maxillary sinusitis – A comparative study. IP Int J Maxillofac Imaging 2019;5(1):3-9

Copyright © 2019 by author(s) and IP Int J Maxillofac Imaging. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)