Evaluation of Various Forms of Sinusitis Using Bone Single-photon Emission Computed Tomography
Otorhinolaryngology Clinics, cilt.17, sa.3, ss.125-128, 2025 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 17 Sayı: 3
- Basım Tarihi: 2025
- Doi Numarası: 10.5005/jp-journals-10003-1680
- Dergi Adı: Otorhinolaryngology Clinics
- Derginin Tarandığı İndeksler: Scopus, EMBASE
- Sayfa Sayıları: ss.125-128
- Anahtar Kelimeler: Osteitis, Paranasal sinuses, Single-photon emission computed tomography, Sinusitis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: In this study, it was aimed to investigate the incidence of osteitis in various forms of rhinosinusitis. Materials and methods: A total of 106 nasal sides of 53 adult patients with different forms of rhinosinusitis were included in the study. They were first grouped as having acute rhinosinusitis (ARS) or chronic rhinosinusitis (CRS) and then subdivided into subgroups with complicated or noncomplicated ARS, CRS with or without polyps, CRS lasting more or less than three years, and CRS with or without a history of previous sinus surgery. Pairs of groups were compared by single-photon emission computed tomography (SPECT) scanning. Results: The incidence of osteitis was significantly higher in patients with CRS (30 of 70 nasal sides, 42.8%) than with ARS (5 of 36 nasal sides, 13.8%) (p = 0.003). Osteitis was detected in five of eight nasal sides (62.5%) in the group with complicated ARS, while no involvement was observed in 28 nasal sides in the group of noncomplicated ARS (p = 0.001). The incidence of osteitis was significantly higher in patients who had CRS for longer than three years (19 of 38 nasal sides, 50%) than for less than 3 years (4 of 32 nasal sides, 12.5%) (p = 0.001). No significant difference was noted between the incidence of osteitis in the CRS groups with or without nasal polyps (p = 0.924) and previous sinus surgery (p = 0.653). Conclusion: Patients with complicated ARS and with longstanding CRS have a higher incidence of osteitis. A close follow-up is needed in these cases because of the risk of complications and residual disease.