Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis.

Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis. Research Abstract Details 

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Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis. Abstract Text:

Hyo Yeol Kim,Min-Beom Kim,Hun-Jong Dhong,Yong Gi Jung,Jin-Young Min,Seung-Kyu Chung,Hyun Jong Lee,Soo Chan Chung,Nam Gyu Ryu,

OBJECTIVES: To evaluate the chronic bony changes in the paranasal sinuses of longstanding chronic rhinosinusitis (CRS) in pediatric patients and to compare them with normal controls. STUDY DESIGN: A single-institution retrospective analysis. METHOD: Thirty 15- and 16-year-old children with longstanding CRS, for more than 2 years, despite maximal medical treatment and had a Lund CT score over 20 were enrolled as the CRS group. They were compared with 45 age and gender matched randomly selected normal controls without CRS. No enrolled patient had a history of nasal or adenoid surgery. The volume of the maxillary sinus was measured using a three-dimensional CT reconstruction program (V-workstrade mark 4.0). The bony thickness of the maxillary (MS) and ethmoid sinuses (ES) and the middle turbinate (MT) was measured and compared. In addition, we evaluated the effect of disease duration on the sinus volume and bony thickness. RESULTS: The mean volume of the MS was 22.5+/-4.4cm(3) in the normal group and 20.0+/-4.1cm(3) in the CRS group; this difference was statistically significant (p=0.02). However, there was no correlation found between the disease duration and maxillary sinus volume (r=-0.07, p=0.69). The mean thicknesses of the bony walls were 1.0+/-0.4mm (MS), 0.8+/-0.4mm (ES) and 1.8+/-0.5mm (MT) in the normal group and 1.2+/-0.3mm (MS), 1.2+/-0.4mm (ES) and 2.4+/-0.5mm (MT) in the CRS group; these differences were significant (p<0.01). In addition, the bony thickness of the ES was significantly correlated with the duration of symptoms (r=0.44, p=0.03). CONCLUSION: The volume of the maxillary sinuses decreased and the bony thickness of the paranasal sinuses increased with longstanding pediatric CRS.

Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis. Publishing Authors By Initials

HY Kim,MB Kim,HJ Dhong,YG Jung,JY Min,SK Chung,HJ Lee,SC Chung,NG Ryu,

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Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: International journal of pediatric otorhinolaryngo

VOLUME: 72

Page Numbers: 103-8

Journal Abbreviation: Int. J. Pediatr. Otorhinolaryn

ISSN: 0165-5876

DAY: 26

MONTH: 11

YEAR: 2007

Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis. Information

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LANGUAGE: eng

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AFFILIATION: Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Republic of Korea.

Country: Ireland

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MEDLINETA: Int J Pediatr Otorhinolaryngol

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