DOI: 10.36347/sasjm.2015.v01i04.013

Pages: 191-194

Abstract: Introduction: The maxillary sinuses are most commonly affected with acute and chronic sinusitis. Most of these cases can be managed with medications alone. When medical management fails, surgery may be needed to treat chronic maxillary sinusitis. Material and Methods: This prospective study was done in the Department of Radiology at a tertiary care teaching Hospital over a period of six months. A total of 60 patients who were referred to our department with clinical suspicion of sinusitis disease underwent computed tomography (CT) evaluation of sinusitis using 64 Multi slice CT scanner. Study protocol A detailed history of the patient including signs and symptoms, detailed physical examination, histopathological examination and radiological investigations which included. Results: In the present study, a total of 60 subjects were included out of which 71 (59.2%) were males and 49 (40.8%) were females. In our study, most of the subjects were 21-40 years i.e., 27 out of 60 (45%) followed by 41-60 years, i.e., 21 out of 60 (35%). Predominant symptoms in study group were headache in 19 patients (31.6%) followed in decreasing order by facial pain in 17 patients (28.3%), swelling in 19 patients (38%) and nasal obstruction in 8 patients (16%). Twenty-one patients had fungal sinusitis on pathologic examinations of surgical specimens. Intrasinus calcification was found in 13 (61.9%) of 21 patients with fungal sinusitis. The infecting organism was Aspergillus in the 13 patients who had fungal sinusitis and intrasinus calcification on CT scans. The intrasinus location of the calcification was central within the maxillary sinus in 11 (84.6%) and peripheral near the sinus wall in 2 (15.3%) of the 13 patients who had aspergillosis of the maxillary sinus. The shape of the intrasinus calcification was fine punctate (38.4%), linear (38.4%), and nodular (15.3%) in the patients with fungal sinusitis. Conclusion: CT findings of intrasinus calcification in patients.............