Clinical implication of global osteitis score system and its role in evaluation of osteitis of chronic rhinosinusitis.
- Author:
Lei CHENG
1
;
Zhen-xiao HUANG
;
Bing ZHOU
;
Qian HUANG
;
Cheng-shuo WANG
;
Shun-jiu CUI
;
Ting YE
;
Yan SUN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Chronic Disease; Female; Humans; Male; Middle Aged; Osteitis; diagnostic imaging; Prognosis; Prospective Studies; Severity of Illness Index; Sinusitis; diagnostic imaging; Tomography, X-Ray Computed; methods; Young Adult
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2013;48(2):119-122
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the clinical application of Global Osteitis Score System (GOSS). To determine the association between GOSS, Lund-Mackay scores and Lund-Kennedy scores and to investigate the incidence of osteitis in patients with chronic rhinosinusitis (CRS).
METHODSThree 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 examined.
RESULTSThe incidence of osteitis in patients with chronic rhinosinusitis was from 33.83% to 53.89%. 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%. Global osteitis score were significantly correlated with Lund-Mackay and Lund-Kennedy scores (r value were 0.497 and 0.409 respectively, all P < 0.001).
CONCLUSIONSGOSS 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.