TY - JOUR
T1 - Evaluation of sinusitis in the intensive care unit patient
AU - Skoulas, Ioannis G.
AU - Helidonis, Emmanuel
AU - Kountakis, Stilianos E.
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2003/4/1
Y1 - 2003/4/1
N2 - OBJECTIVE: The purposes of this study were to evaluate the effectiveness of radiologic studies in diagnosing sinusitis in the intensive care unit (ICU) patient and to compare it with the effectiveness of endoscopic examination of the middle meatus. METHODS: We conducted a prospective collection of data in 141 ICU patients consulted for sinusitis over a 5-year period beginning in the 1994. RESULTS: Antral lavage was performed at least unilaterally in 112 patients, with a total of 195 lavages performed. Plain films and computer tomography scans predicted purulence in 41% (χ2 = 2.9, P = 0.09) and 47% (χ2 = 2.2, P = 0.14) of the cases, respectively, whereas the presence of purulence in the middle meatus as seen on endoscopy predicted purulence in the maxillary sinus in 78% of the lavages (χ2 = 28.9, P = 8 × 10-8). When there was no evidence of purulence in the middle meatus on endoscopy, 73% of the lavages were negative. CONCLUSION: The most important predictor of a positive antral lavage in the ICU patient with suspected sinusitis is evidence of purulence on endoscopic examination of the middle meatus.
AB - OBJECTIVE: The purposes of this study were to evaluate the effectiveness of radiologic studies in diagnosing sinusitis in the intensive care unit (ICU) patient and to compare it with the effectiveness of endoscopic examination of the middle meatus. METHODS: We conducted a prospective collection of data in 141 ICU patients consulted for sinusitis over a 5-year period beginning in the 1994. RESULTS: Antral lavage was performed at least unilaterally in 112 patients, with a total of 195 lavages performed. Plain films and computer tomography scans predicted purulence in 41% (χ2 = 2.9, P = 0.09) and 47% (χ2 = 2.2, P = 0.14) of the cases, respectively, whereas the presence of purulence in the middle meatus as seen on endoscopy predicted purulence in the maxillary sinus in 78% of the lavages (χ2 = 28.9, P = 8 × 10-8). When there was no evidence of purulence in the middle meatus on endoscopy, 73% of the lavages were negative. CONCLUSION: The most important predictor of a positive antral lavage in the ICU patient with suspected sinusitis is evidence of purulence on endoscopic examination of the middle meatus.
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U2 - 10.1016/S0194-5998(03)00129-3
DO - 10.1016/S0194-5998(03)00129-3
M3 - Article
C2 - 12707652
AN - SCOPUS:0037390814
SN - 0194-5998
VL - 128
SP - 503
EP - 509
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 4
ER -