Radiological score of computed tomography scans predicts revision surgery for chronic rhinosinusitis

Markus Lilja, Anni Koskinen, Anna Julkunen-Iivari, Antti Mäkitie, Jura Numminen, Markus Rautiainen, Jyri P. Myller, Antti Markkola, Mikko Suvinen, Mika Mäkelä, Risto Renkonen, Juha Pekkanen, Sanna K. Toppila-Salmi

Tutkimustuotos: ArtikkeliScientificvertaisarvioitu

3 Lataukset (Pure)

Abstrakti

Objective. Evaluate computed tomography (CT) signs that predict need for revision endoscopic sinus surgery (ESS) of chronic rhinosinusitis (CRS). Methods. CRS patients (n = 48) underwent routine sinus CT scans and baseline ESS in 2006-2011. Lund-Mackay (LM) scores and 43 other CT signs were analysed blinded from both sides. Patients filled in a questionnaire during the day of CT scanning. Follow-up data were collected from hospital records until January 2018. Associations were analysed by Fisher’s exact, Mann Whitney U, Kaplan-Meier method with logrank test and Cox’s pro-portional hazard model. Results. Total LM score was not significantly associated with the need for revision ESS. The best predictive model was a sum of CT signs of non-detectable anatomy of inferior/ middle turbinates, obstructed frontal recess, and previous sinus surgery. Using these CT findings, we formed a Radiological Score (RS) (min-max, 0-3 points). Having at least one RS point was significantly associated with the need for revision ESS during the average follow-up of 10.7 years (p = 0.008, Logrank test). Conclusion. We identified a radiologic score that was able to predict the need for revision ESS, which is probably useful in predicting CRS outcomes.

AlkuperäiskieliEnglanti
Sivut63-74
Sivumäärä12
JulkaisuACTA OTORHINOLARYNGOLOGICA ITALICA
Vuosikerta42
Numero1
DOI - pysyväislinkit
TilaJulkaistu - helmik. 2022
OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä

Julkaisufoorumi-taso

  • Jufo-taso 1

!!ASJC Scopus subject areas

  • Otorhinolaryngology

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