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

doi:10.14639/0392-100X-N1561

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

^*Tämän työn vastaava kirjoittaja

Tutkimustuotos: Artikkeli › Tieteellinen › vertaisarvioitu

8 Sitaatiot (Scopus)

29 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.

Alkuperäiskieli	Englanti
Sivut	63-74
Sivumäärä	12
Julkaisu	Acta Otorhinolaryngologica Italica
Vuosikerta	42
Numero	1
DOI - pysyväislinkit	https://doi.org/10.14639/0392-100X-N1561
Tila	Julkaistu - helmik. 2022
OKM-julkaisutyyppi	A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä

Rahoitus

The study was supported in part by research grant of Aatos Erkko Foundation, Tampere Tuberculosis association, the Finnish Medical Society Duodecim, the Finnish Society of Allergology and Immunology, State funding for university-level health research (TYH2018103, TYH2019322), the V?in? and Laina Kivi Foundation, the Yrj? Jahnsson Foun-dation. The study was supported in part by research grant of Aatos Erkko Foundation, Tampere Tuberculosis association, the Finnish Medical Society Duodecim, the Finnish Society of Allergology and Immunology, State funding for university-level health research (TYH2018103, TYH2019322), the Väinö and Laina Kivi Foundation, the Yrjö Jahnsson Foundation.

Julkaisufoorumi-taso

Jufo-taso 1

!!ASJC Scopus subject areas

Otorhinolaryngology

Pääsy asiakirjaan

10.14639/0392-100X-N1561Lisenssi: CC BY-NC-ND

1561-Article Text-17482-1-10-20220307Final published version, 1,05 MBLisenssi: CC BY-NC-ND

https://urn.fi/URN:NBN:fi:tuni-202204263679Lisenssi: CC BY-NC-ND

Siteeraa tätä

Lilja, M., Koskinen, A., Julkunen-Iivari, A., Mäkitie, A., Numminen, J., Rautiainen, M., Myller, J. P., Markkola, A., Suvinen, M., Mäkelä, M., Renkonen, R., Pekkanen, J., & Toppila-Salmi, S. K. (2022). Radiological score of computed tomography scans predicts revision surgery for chronic rhinosinusitis. Acta Otorhinolaryngologica Italica, 42(1), 63-74. https://doi.org/10.14639/0392-100X-N1561

@article{c40e05bab6ee4b46bdd336e8cbd1ac1d,

title = "Radiological score of computed tomography scans predicts revision surgery for chronic rhinosinusitis",

abstract = "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{\textquoteright}s exact, Mann Whitney U, Kaplan-Meier method with logrank test and Cox{\textquoteright}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.",

keywords = "Computed tomography, CRSsNP, CRSwNP, Prediction, rhinosinusitis",

author = "Markus Lilja and Anni Koskinen and Anna Julkunen-Iivari and Antti M{\"a}kitie and Jura Numminen and Markus Rautiainen and Myller, \{Jyri P.\} and Antti Markkola and Mikko Suvinen and Mika M{\"a}kel{\"a} and Risto Renkonen and Juha Pekkanen and Toppila-Salmi, \{Sanna K.\}",

note = "Funding Information: The study was supported in part by research grant of Aatos Erkko Foundation, Tampere Tuberculosis association, the Finnish Medical Society Duodecim, the Finnish Society of Allergology and Immunology, State funding for university-level health research (TYH2018103, TYH2019322), the V?in? and Laina Kivi Foundation, the Yrj? Jahnsson Foun-dation. Funding Information: The study was supported in part by research grant of Aatos Erkko Foundation, Tampere Tuberculosis association, the Finnish Medical Society Duodecim, the Finnish Society of Allergology and Immunology, State funding for university-level health research (TYH2018103, TYH2019322), the V{\"a}in{\"o} and Laina Kivi Foundation, the Yrj{\"o} Jahnsson Foundation. Publisher Copyright: {\textcopyright} Societ{\`a} Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale.",

year = "2022",

month = feb,

doi = "10.14639/0392-100X-N1561",

language = "English",

volume = "42",

pages = "63--74",

journal = "Acta Otorhinolaryngologica Italica",

issn = "0392-100X",

publisher = "Pacini Editore Srl",

number = "1",

}

Lilja, M, Koskinen, A, Julkunen-Iivari, A, Mäkitie, A, Numminen, J , Rautiainen, M, Myller, JP, Markkola, A, Suvinen, M, Mäkelä, M, Renkonen, R, Pekkanen, J & Toppila-Salmi, SK 2022, 'Radiological score of computed tomography scans predicts revision surgery for chronic rhinosinusitis', Acta Otorhinolaryngologica Italica, Vuosikerta 42, Nro 1, Sivut 63-74. https://doi.org/10.14639/0392-100X-N1561

TY - JOUR

T1 - Radiological score of computed tomography scans predicts revision surgery for chronic rhinosinusitis

AU - Lilja, Markus

AU - Koskinen, Anni

AU - Julkunen-Iivari, Anna

AU - Mäkitie, Antti

AU - Numminen, Jura

AU - Rautiainen, Markus

AU - Myller, Jyri P.

AU - Markkola, Antti

AU - Suvinen, Mikko

AU - Mäkelä, Mika

AU - Renkonen, Risto

AU - Pekkanen, Juha

AU - Toppila-Salmi, Sanna K.

N1 - Funding Information: The study was supported in part by research grant of Aatos Erkko Foundation, Tampere Tuberculosis association, the Finnish Medical Society Duodecim, the Finnish Society of Allergology and Immunology, State funding for university-level health research (TYH2018103, TYH2019322), the V?in? and Laina Kivi Foundation, the Yrj? Jahnsson Foun-dation. Funding Information: The study was supported in part by research grant of Aatos Erkko Foundation, Tampere Tuberculosis association, the Finnish Medical Society Duodecim, the Finnish Society of Allergology and Immunology, State funding for university-level health research (TYH2018103, TYH2019322), the Väinö and Laina Kivi Foundation, the Yrjö Jahnsson Foundation. Publisher Copyright: © Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale.

PY - 2022/2

Y1 - 2022/2

N2 - 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.

AB - 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.

KW - Computed tomography

KW - CRSsNP

KW - CRSwNP

KW - Prediction

KW - rhinosinusitis

U2 - 10.14639/0392-100X-N1561

DO - 10.14639/0392-100X-N1561

M3 - Article

C2 - 35292788

AN - SCOPUS:85126295514

SN - 0392-100X

VL - 42

SP - 63

EP - 74

JO - Acta Otorhinolaryngologica Italica

JF - Acta Otorhinolaryngologica Italica

IS - 1

ER -

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

Abstrakti

Rahoitus

Julkaisufoorumi-taso

!!ASJC Scopus subject areas

Pääsy asiakirjaan

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