Hypoplasia of the sphenoid sinuses as a diagnostic tool in cystic fibrosis.

Purpose: To measure and compare the size of the sphenoid sinuses in patients with cystic fibrosis (CF) to patients with inflammatory sinonasal disease, and to correlate the size with number of CF mutations in each patient.Material and Methods: Ninety-six CF patients aged 5-47 years (median 19 years)...

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Publicado en:Acta Radiologica Vol. 40; no. 5; pp. 479 - 486
Autores principales: Eggesbø, H B, Eken, T, Eiklid, K, Kolmannskog, F
Formato: research Journal Article
Publicado: Sage Publications Inc. Sep1999
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep1999
      vid: 40
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Hypoplasia of the sphenoid sinuses as a diagnostic tool in cystic fibrosis.
      aug:
        au:
          Eggesbø, H B
          Eken, T
          Eiklid, K
          Kolmannskog, F
        affil: Department of Radiology, Aker Hospital, University of Oslo, Norway
      sug:
        subj:
          Paranasal Sinus Diseases
          Sphenoid Sinus Abnormalities
          Tomography, X-Ray Computed
          Cystic Fibrosis
          Blood Proteins
          Diagnosis, Differential
          Human
          Child, Preschool
          Child
          Middle Age
          Paranasal Sinus Diseases Complications
          Cystic Fibrosis Complications
          Mutation
          Adult
          Membrane Proteins
          Male
          Adolescence
          Sphenoid Sinus
          Female
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Purpose: To measure and compare the size of the sphenoid sinuses in patients with cystic fibrosis (CF) to patients with inflammatory sinonasal disease, and to correlate the size with number of CF mutations in each patient.Material and Methods: Ninety-six CF patients aged 5-47 years (median 19 years) and 130 control patients aged 7-51 years (median 32 years) were examined using coronal CT of the paranasal sinuses. In each patient, the CT image with the largest coronal area of the sphenoid sinuses was scanned into a Macintosh computer with image processing and analysis software. Largest coronal area and largest circumference of the right and left sphenoid sinuses were automatically measured. Additionally, antero-posterior extension of the sphenoid sinuses was calculated from the lateral scanograms. CF patients were grouped according to number of confirmed mutations (CF-0, CF-1, or CF-2).Results: CF patients generally had small sphenoid sinuses. The largest differences for all parameters were observed between the CF-2 and the control groups (p<0.0001). No CF-2 patient had pneumatization beyond the presphenoid. The CF-0 and CF-1 groups consisted of two populations, one overlapping the CF-2 group and another overlapping the control group.Conclusion: Hypoplasia of the sphenoid sinuses is a characteristic finding in CF patients. When pneumatization of the basisphenoid is present, the existing CF diagnosis should be questioned.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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