EVALUATION OF MORPHOLOGICAL CHANGES OF THE PARANASAL SINUS IN COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING MODALITIES

  • SANTOSH OJHA Department of Medical Imaging Technology, Charotar Institute of Paramedical Sciences, Charotar University of Science and Technology, Anand, Gujarat, India. https://orcid.org/0000-0003-4892-2154
  • MANNA DEBNATH Department of Medical Imaging Technology, Charotar Institute of Paramedical Sciences, Charotar University of Science and Technology, Anand, Gujarat, India. https://orcid.org/0000-0002-2874-5464
  • ANUPAM NIRAULA Department of Medical Imaging Technology, Charotar Institute of Paramedical Sciences, Charotar University of Science and Technology, Anand, Gujarat, India. https://orcid.org/0000-0002-3546-349X
  • SHAHNAWAZ ALI KHAN TAHIRI Application Specialist, AltiusTech Health, Mumbai, Maharashtra, India.

Abstract

Objectives: The objective of the study was to evaluate the prevalence of pathological conditions and anatomical variations occurring within paranasal sinus among the patients undergoing computed tomography (CT) scan and magnetic resonance imaging (MRI) scan in Gurugram district.


Methods: A prospective study was conducted among 20 patients in each modality, the patient undergoing the CT of paranasal sinus and patients undergoing routine MRI brain study. The clinical findings from CT and MRI were taken as primary data and later on compiled together under different variables to assess the occurrence of paranasal sinus disease and anatomical variations within.


Results: The present study revealed that the most common pathology was mucosal thickening followed by polyp and the occurrence of air-fluid level; maxillary sinus being commonly affected. In patients undergoing CT, the most common anatomical variation was deviated nasal septum, that is, 16 out of 20 patients followed by the bone spur formation. In the patients undergoing routine MRI brain, most of the patient had mucosal thickening <5 mm. In the lining of maxillary sinus, moderate hyperintensity was reported.


Conclusion: Based on the study, it is concluded that mucosal thickening is most commonly evident pathology with maximum occurrence seen in the maxillary sinus. The co-occurrence of more than 1 anatomical variation and involvement of multiple paranasal sinuses were seen positive. MRI was found more sensitive in assessing the early changes in sinus mucosal abnormalities.

Keywords: Paranasal sinus, Mucosal Thickening, Deviated Nasal Septum, Sinusitis

References

1. Verma J, Rathaur SK, Mishra S, Mishra AK. The role of diagnostic imaging in evaluation of nasal and paranasal sinus pathologies. Int J Otorhinolaryngol Head Neck Surg 2016;2:140-6.
2. Rai GS, Rai T, Jain L, Vyas MM, Roshan R. Evaluation of CT and MRI findings among patients presented with chief complaint of headache in central India. J Clin Diagn Res 2016;10:TC21-5.
3. Smith KD, Edwards PC, Saini TS, Norton NS. The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent 2010;2010:404982.
4. Mays S, Mavrogordato M, Lambert J, Sofaer J. The prevalence and health implications of concha bullosa in a population from mediaeval England. Int J Osteoarchaeol 2014;24:614-22.
5. Hussein AO, Ahmed BH, Omer MA, Manafal MF, Elhaj AB. Assessment of clinical, X-ray and CT in diagnosis of paranasal sinus diseases. Int J Sci Res 2014;3:7-11.
6. Pillai S, Bhandarkar AM, Nair SS, Jha AT, Ramaswamy B, Al-Abri R. A radiological profile of fungal sinusitis. Asian J Pharm Clin Res 2017;10:331-4.
7. Lloyd GA, Lund VJ, Phelps PD, Howard DJ. Magnetic resonance imaging in the evaluation of nose and paranasal sinus disease. Br J Radiol 1987;60:957-68.
8. Rizwan SA, Nongkynrih B, Gupta SK. Air pollution in Delhi: Its magnitude and effects on health. Indian J Community Med 2013;38:4-8.
9. Sharma BN, Panta OB, Lohani B, Khanal U. Computed tomography in the evaluation of pathological lesions of paranasal sinuses. J Nepal Health Res Counc 2015;13:116-20.
10. Maharjan S. Assessment of paranasal sinuses in magnetic resonance imaging of brain. Bangabandhu Sheikh Mujib Med Univ J 2016;9:104-6.
11. Sahu N, Mohapatra SS, Rath SN, Padhy RN. Computed tomographic evaluation of inferior turbinate hypertrophy in adult Indo-Dravidian patients with deviated nasal septum. Asian J Pharm Clin Res 2017;10:342-4.
Statistics
129 Views | 59 Downloads
Citatons
How to Cite
OJHA, S., M. DEBNATH, A. NIRAULA, and S. A. KHAN TAHIRI. “EVALUATION OF MORPHOLOGICAL CHANGES OF THE PARANASAL SINUS IN COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING MODALITIES”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 13, no. 9, July 2020, pp. 153-6, doi:10.22159/ajpcr.2020.v13i9.38723.
Section
Original Article(s)