Abstract:
Introduction: The rhinosinusal pathology represents one of the most frequent diseases in
Otorhinolaryngology. The ultrasonography investigation methods applied to the anterior facial sinuses
are frequently used to diagnose, especially as a screening test for nasosinusal pathology. They rely on
the reflection of ultrasonic beams of the targeted organ, respectively on the analysis of the reflected
beams. The sinusal ultrasonography especially addresses to the anterior facial sinuses, the maxillary
sinuses, the anterior ethmoidal sinuses and the frontal sinuses. It does not apply to the posterior ethmoidal
cells, respectively the sphenoidal sinuses which are a part of the posterior facial sinuses. The objective
of the study is to demonstrate the usefulness of ultrasonography in current rhinology examination, for
ambulatory evaluation of patients with inflammatory rhinosinusal pathology.
Material and methods: In the study, the group of patients with inflammatory rhinosinusal
pathology were subjected to nasal endoscopy afterwards to rhinosinusal echography. B mode
ultrasonography was used utilizing the soft tissue convex probe. Patients suffering of chronic and acute
rhinosinusitis as well as other inflammatory sinusal pathologies underwent ultrasonography
investigations.
Results: The clinical and ultrasonographical examination represented the main method of
ambulatory investigation for patients suspected of acute and chronic sinusitis. The average age of
patients was 56 years, 40.75% of them were female and 59.25% male, 97.54% suffered of sinusitis and
2.46% of other sinusal pathologies. 28.39% of the patients that underwent ultrasonography were ulterior
investigated using sinusal computer tomography (CT) scan.
Conclusion: Sinusal ultrasonography represents a screening method in diagnosing rhinosinusal
pathologies. For a complete and complex diagnosis this method should be followed by a CT scan.
Description:
Otorhinolaryngology, University of Medicine and Pharmacy of Targu Mures, Romania, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016