Korean J Otolaryngol-Head Neck Surg.
2005 Oct;48(10):1224-1227.
Characteristics of Computed Tomography in Chronic Rhinosinusitis with Asthma
- Affiliations
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- 1Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. hjdhong@smc.samsung.co.kr
Abstract
- BACKGROUND AND OBJECTIVES
The purpose of this study was to investigate differences of the extents of disease between chronic rhinosinusitis patients with and without asthma. MATERIALS AND METHOD: Medical records and CT scans of consecutive 48 asthmatic and 523 non-asthmatic chronic rhinosinusitis patients between 1995 and 2001 were reviewed retrospectively. Each sinus in the ostiomeatal complex (OMC) CT scans was assigned scores of 0 to 2 according to the extent of the disease using the Lund scoring system, and the ratio of the score of each sinus to the total score was analyzed for the difference between the asthmatic and non-asthamatic groups. RESULTS: The ratio of ethmoid sinus score to total score was higher in asthmatic patients than in non-asthmatic patients (p<0.05), and the ratio of the score of maxillary sinus to the total score was lower in asthmatic patients than in non-asthmatic patients (p<0.05). CONCLUSION: Our study shows that the ethmoid sinus is the preferred site of chronic rhinosinusitis in patients with coexisting asthma.