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A systematic approach to the interpretation of computed tomography scans prior to endoscopic sinus surgery

Part of: Chronic rhinosinusitis

Published online by Cambridge University Press:  29 June 2007

J. D. T. Mason ,
N. S. Jones ,
R. J. Hughes  and
I. M. Holland
J. D. T. Mason
Affiliation:
Departments of Otorhinolaryngology, Royal Bolton Hospital, Nottingham, UK.
N. S. Jones*
Affiliation:
Departments of Otorhinolaryngology, University Hospital, Nottingham, UK.
R. J. Hughes
Affiliation:
Departments of Otorhinolaryngology, Queen Elizabeth Hospital, Birmingham, University Hospital, Nottingham, UK.
I. M. Holland
Affiliation:
Department of Radiology, University Hospital, Nottingham, UK.
*
Address for correspondence: Mr N. S. Jones, Department of Otorhinolaryngology – Head and Neck Surgery, University Hospital, Nottingham NG7 2UH.
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Abstract

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Computed tomography (CT) provides an excellent map for the sinus surgeon aswell as providing information about the extent of disease and the presence of bony destruction. Surgeons need to be aware of the anatomical configuration of the sinuses and the presence of any structural changes such as a dehiscent lamina papyracea, asymmetric skull base, low level of posterior skull base or an Onodi cell, which place the patient at increased risk. Described here is a six-step guide to help the sinus surgeon avoid missing any of the radiologically important features.

Keywords

RadiologyEndoscopyNasal CavitySinusitis
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 10 , October 1998 , pp. 986 - 990
Copyright
Copyright © JLO (1984) Limited 1998

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