The study was carried out on 39 patients (18 male, 21 female, mean ages: 36.3 years old). Total of uncinate processes samples were 49. Of 39 patients, 29 patients were removed uncinate processes in one side and 10 patients were removed uncinate processes in two sides. The mean time of sinusitis was over 3 months in 32 cases (82%), 1 to 3 months in 3 cases (7.7%), and under 1 month in 4 cases (10.3%). 10 samples from uncinate processes in two side had the same histopathological lesions
Sinusitis ; Diagnosis

Study on 39 patients (18 males, 21 females, mean age: 36.3 years old) with chronic or recurrent anterior sinusitis, with or without nasal polyps, who were undergone naso-sinus endoscopies at Gia Dinh Hospital and HCMC University Medical Center from January to July 2004. Results: there was a change in microscopic imagines of uncinate processes like imagines of typical polyps although uncinate processes degeneration couldn’t be found. Polyps were common in chronic sinusitis, the rate of polyps increased along with the years of sinusitis
Sinusitis ; Diagnosis ; Endoscopy

Chronic Disease ; Humans ; Sinusitis ; diagnosis

The incidence of invasive fungal sinusitis is low, on the rising in recent years. But the misdiagnosis rate of the disease is high. In order to improve the level of early diagnosis and reduce the misdiagnosis, in this pa per, the invasive fungal sinusitis's clinical characteristics, diagnosis, treatment and prognosis are reviewed.
Humans ; Mycoses ; diagnosis ; therapy ; Sinusitis ; diagnosis ; therapy

The purpose of this study was to evaluate the Waters' views, panoramic and periapical radiograms as well as clinic al symptoms in the diagnosis of maxillary sinusitis. The author analyzed the types of mucosal thickenings, the types of bony wall changes, the pathologic changes of antra l floors and total amount of agreement on radiograms in 495 patients with 505 maxillary sinuses which demonstrated radio graphic changes. The results were obtained as follows : 1. 125 cases (24.8%) showed the mucosal thickening of antral floor and lateral wall(Type II), 106 cases (20.9%) showed the mucosal thickening around the whole antral wall(Type IV) and 75 cases (14.8%) showed increased radiopacity of whole antrum. 2. Among 505 cases of mucosal thickening, 319 cases(63.2%) showed the bony wall changes: 114 cases (35.9%) showed the thining of lateral walls, 105 cases(32.8%) showed the thickening of lateral walls and 47 cases(14.7%) showed indistinct antral walls. 3. Among 6 types of mucosal thickenings, the incidence of bony wall changes was high in type VI(73.3%) and in type IV(7 1.6%). 4. 139 cases(25.1%) showed no pathologic change of antral floor, 127 cases(22.9%) showed the indistinct antral floor an d 022 cases (22.1%) showed the halo appearance of antral floor on panoramic and periapical radiograms. 5. 449 cases(88.9%) showed apparent increased radiopacity and 47 cases(9.3%) showed suspicious increased radiopacity on Waters' views. 280 cases(71.6%) showed apparent increased radiopacity and 88 cased (22.5%) showed suspicious increased radiopacity on panoramic radiograms. And 141 cases(31.6%) showed apparent increased radiopacity and 133 cases(33.4%) showed suspicious increased radiopacity on periapical radiograms.
Diagnosis ; Humans ; Incidence ; Maxillary Sinus* ; Maxillary Sinusitis*

The purpose of this study was to evaluate the Waters' views, panoramic and periapical radiograms as well as clinic al symptoms in the diagnosis of maxillary sinusitis. The author analyzed the types of mucosal thickenings, the types of bony wall changes, the pathologic changes of antra l floors and total amount of agreement on radiograms in 495 patients with 505 maxillary sinuses which demonstrated radio graphic changes. The results were obtained as follows : 1. 125 cases (24.8%) showed the mucosal thickening of antral floor and lateral wall(Type II), 106 cases (20.9%) showed the mucosal thickening around the whole antral wall(Type IV) and 75 cases (14.8%) showed increased radiopacity of whole antrum. 2. Among 505 cases of mucosal thickening, 319 cases(63.2%) showed the bony wall changes: 114 cases (35.9%) showed the thining of lateral walls, 105 cases(32.8%) showed the thickening of lateral walls and 47 cases(14.7%) showed indistinct antral walls. 3. Among 6 types of mucosal thickenings, the incidence of bony wall changes was high in type VI(73.3%) and in type IV(7 1.6%). 4. 139 cases(25.1%) showed no pathologic change of antral floor, 127 cases(22.9%) showed the indistinct antral floor an d 022 cases (22.1%) showed the halo appearance of antral floor on panoramic and periapical radiograms. 5. 449 cases(88.9%) showed apparent increased radiopacity and 47 cases(9.3%) showed suspicious increased radiopacity on Waters' views. 280 cases(71.6%) showed apparent increased radiopacity and 88 cased (22.5%) showed suspicious increased radiopacity on panoramic radiograms. And 141 cases(31.6%) showed apparent increased radiopacity and 133 cases(33.4%) showed suspicious increased radiopacity on periapical radiograms.
Diagnosis ; Humans ; Incidence ; Maxillary Sinus* ; Maxillary Sinusitis*

BACKGROUND: Maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis (OMS), is a common disease in dental, otorhinolaryngologic, allergic, general, and maxillofacial contexts. Despite being a well-known disease entity, many cases are referred to otorhinolaryngologists by both doctors and dentists. Thus, early detection and initial diagnosis often fail to detect its odontogenic origin. MAIN BODY: We searched recent databases including MEDLINE (PubMed), Embase, and the Cochrane Library using keyword combinations of “odontogenic,” “odontogenic infection,” “dental origin,” “tooth origin,” “sinusitis,” “maxillary sinus,” “maxillary sinusitis,” “odontogenic maxillary sinusitis,” “Caldwell Luc Procedure (CLP),” “rhinosinusitis,” “functional endoscopic sinus surgery (FESS),” “modified endoscopy-assisted maxillary sinus surgery (MESS),” and “paranasal sinus.” Aside from the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) trial, there have been very few randomized controlled trials examining OMS. We summarized the resulting data based on our diverse clinical experiences. CONCLUSION: To promote the most efficient and accurate management of OMS, this article summarizes the clinical features of rhinosinusitis compared with OMS and the pathogenesis, microbiology, diagnosis, and results of prompt consolidated management of OMS that prevent anticipated complications. The true origin of odontogenic infections is also reviewed.
Dentists ; Diagnosis ; Humans ; Maxillary Sinus ; Maxillary Sinusitis

Chronic Disease ; Humans ; Sinusitis ; diagnosis ; therapy

Chronic Disease ; Humans ; Sinusitis ; diagnosis ; therapy

PURPOSE: In general, sinusitis in children is diagnosed by clinical symptom and paranasal sinus x-ray. Sinus plain x-rays in children is simple, inexpensive, and speedy. However, it requires proper interpretative techniques, because different development of each sinus, soft tissues overlying sinuses and bony structure require precise diagnosis. This study was conducted to compare plain x-rays with OMU CT scans. METHODS: From September 1996 through August 1997, thirty nine patients who were diagnosed as sinusitis based on clinical symptoms and plain x-rays at the pediatric department of Seoul Adventist Hospital were studied. Water's view, Caldwell's view and lateral view were taken for the plain x-rays with concurrent OMU CT scans prior to treatments. RESULTS: Ten cases (25.6%) out of 39 patients showed posterior nasal drip and fourteen cases (35.9%) showed nasal obstruction. Twelve cases (30.8%) were related to allergic diseases and seven cases (58.3%) among these 12 cases were bronchial asthma. Sensitivity of plain x-ray were 88.5+/-12.9% for maxillary sinuses, and 59.9+/-13.65% for ethmoidal sinuses. CONCLUSION: When maxillary sinusitis is suspected, plain X-ray for maxillary sinuses is enough to diagnose sinusitis, but for ethmoidal sinuses it may be underestimated or overestimated in comparison with OMU CT scan. Ethmoidal sinusitis requires careful diagnosis and follow-up because it plays important roll for chronic sinusitis due to its structure. Therefore, we recommends OMU CT scan to diagnose paranasal sinusitis of children with plain X-ray.
Asthma ; Child* ; Diagnosis ; Ethmoid Sinusitis ; Humans ; Maxillary Sinus ; Maxillary Sinusitis ; Nasal Obstruction ; Seoul ; Sinusitis* ; Tomography, X-Ray Computed*