Clinical implication of global osteitis score system and it's role in evaluation of osteitis of chronic rhinosinusitis
10.3760/cma.j.issn.1673-0860.2013.02.015
- VernacularTitle:整体骨炎评分系统在慢性鼻-鼻窦炎中的临床应用及骨炎评估的意义
- Author:
Lei CHENG
1
;
Zhen-Xiao HUANG
;
Bing ZHOU
;
Qian HUANG
;
Cheng-Shuo WANG
;
Shun-Jiu CUI
;
Ting YE
;
Yan SUN
Author Information
1. 首都医科大学大兴医院耳鼻咽喉头颈外科
- Keywords:
Sinusitis;
Osteitis;
Tomography,X-ray computed;
Severity of illness index
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2013;48(2):119-122
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application of global osteitis score system(GOSS)in patients with chronic rhinosinusitis(CRS).Methods Three hundreds and thirty-four patients with CRS were enrolled prospectively in a large tertiary referral center.The paranasal sinus bone Hounsfield unit (Hu),thickness,scope were measured by PHILIPS MxLiteView software.Nasal endoscopy Lund-Kennedy score was analyzed in all patients.Sinus CT scans of all patients were analyzed for Lund-Mackay score and for osteitis using the GOSS.Association between GOSS and Lund-Mackay,Lund-Kennedy was analyzed by SPSS 16.0 software.Results The incidence of osteitis in patients with CRS was 53.9％(180/334).The incidence of osteitis(more than grade 2)in patients with CRS was 33.8％(113/334).Average GOSS score of osteitis was 7.51 ± 7.27.The highest incidences of osteitis were in the maxillary and anterior ethmoid sinuses.The left anterior ethmoid sinuses was 37.2％.The right anterior ethmoid sinuses was 32.8％.The left maxillary sinuses was 46.1％.The right maxillary sinuses was 42.2％.GOSS score were significantly correlated with Lund-Mackay and Lund-Kennedy scores(r value were 0.497 and 0.409 respectively,all P ＜ 0.001).Conclusion GOSS can define and evaluate the extent and the severity of osteitis in patients with CRS by using CT,and can also reflect the extent and the severity of CRS.
