Chronic rhinosinusitis: Correlation between the symptoms and score lund-mackay

Authors

  • Miguel Sá Breda Interno de Formação Específica de ORL - Serviço ORL – Hospital de Braga http://orcid.org/0000-0002-4462-7046
  • Daniel Miranda Interno de Formação Específica de ORL - Serviço ORL – Hospital de Braga
  • Sara Pereira Interno de Formação Específica de ORL - Serviço ORL – Hospital de Braga
  • Diana Silva Interno de Formação Específica de ORL - Serviço ORL – Hospital de Braga
  • Ana Menezes Interno de Formação Específica de ORL - Serviço ORL – Hospital de Braga
  • Filipa Moreira Assistente Hospitalar ORL - Serviço ORL – Hospital de Braga
  • Daniela Ribeiro Assistente Hospitalar ORL - Serviço ORL – Hospital de Braga
  • Jaime Rocha Director de Serviço / Assistente Graduado Sénior Neurorradiologia - Serviço Neurorradiologia – Hospital de Braga
  • Luis Dias Director de Serviço / Assistente Graduado Sénior ORL - Serviço ORL – Hospital de Braga

DOI:

https://doi.org/10.34631/sporl.649

Keywords:

sinusitis, nasal polyps, nasal sinuses, signs and symptoms, computed tomography

Abstract

Introduction: The correct diagnosis of chronic rhinosinusitis with (CRSwNP) or without (CRSsNP) polyposis implies a well performed anamnesis and physical examination to, judiciously, request a paranasal sinuses CT scan (CT NS)1. Lund and Mackay suggested a paranasal sinuses opacification score (SLM)2 based on CT NS.

Objective: To test a possible correlation between clinical findings and SLM.

Methods: Retrospective controlled study of CRSw/sNP patients undergoing FESS during 2013.

Results: Using the linear regression, we found that each additional symptom incresead SLM in 2,5 units (95% CI:1,9 – 3,2). With the binary logistc regression, we found that rhinorrhea (OR = 29; 95% CI 2-539), nasal pruritus (OR = 20; 95% CI 1-394) and nasal obstruction (OR = 17, 95 2-133%) were risk factors for SLM> 4.

Conclusion: We found a positive correlation between the clinical findings and the SLM.

References

– Fokkens WJ, Lund VJ, Mullol J, Bachert C, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinology. March 2012; 50 (Suppl 23)

– Lund VJ, Mackay IS. Staging in rhinosinusitis. Rhinology. 1993; 31 (4):183-4.

– Amodu EJ, Fasunla AJ, Akano AO, Olusesi AD. Chronic rhinosinusitis: correlation of symptoms with computed tomography scan findings. Pan African Medical Journal. 2014; 18(40): 1-6.

– Zinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology. 1987; 163(3): 769-75.

– Hopkins C, Browne J, Slack R, Lund V, Brown P. The Lund-Mackay staging system for chronic rhinosinusitis: How is it used and what does it predict?. Otolaryngol Head Neck Surg. 2007; 137(4): 555-61.

– Damm M, Quante G, Jungehuelsing M, Stennert E. Impact of functional endoscopic sinus surgery on symptoms and quality of life in chronic rhinosinusitis. The Laryngoscope. 2002. Feb; 112(2):310-5.

– Ling FT, Kountakis SE. Important clinical symptoms in patients undergoing functional endoscopic sinus surgery for chronic rhinosinusitis. The Laryngoscope. 2007 Jun; 117(6):1090-3.

– Clifton NJ, Jones NS. Prevalence of facial pain in 108 consecutive patients with paranasal mucopurulent discharge at endoscopy. J Laryngol Otol. 2007 Apr;121(4):345-8.

– Fahy C, Jones NS. Nasal polyposis and facial pain. Clinical otolaryngology and allied sciences. 2001 Dec;26(6):510-3.

– Schubert CR, Cruickshanks KJ, Klein BE, Klein R, Nondahl DM. Olfactory impairment in older adults: fiveyear incidence and risk factors. The Laryngoscope. 2011 Apr;121(4):873-8.

– Ashraf N, Bhattacharyya N. Determination of the incidental Lund-Mackay score for the staging of chronic rhinosinusitis. Otolaryngol Head Neck Surg 2001;125:483– 6.

– Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr. 1988 Sep-Oct;12(5):778-84.

– Caughey RJ, Jameson MJ, Gross CW, Han JK. Anatomic risk factors for sinus disease: fact or fiction? American journal of rhinology. 2005 Jul-Aug;19(4):334-9.

– Wabnitz DAM, Nair S, Wormald PJ. Correlation between preoperative symptom scores, quality-of-life questionnaires, and staging with computed tomography in patients with chronic rhinosinusitis. American journal of rhinology. 2005;19(1):91-6.

– Stewart MG, Sicard MW, Piccirillo JF, Diaz-Marchan PJ. Severity staging in chronic sinusitis: are CT scan findings related to patient symptoms? American journal of rhinology. 1999 May-Jun;13(3):161-7.

Published

2017-05-31

How to Cite

Sá Breda, M., Miranda, D., Pereira, S., Silva, D., Menezes, A., Moreira, F., Ribeiro, D., Rocha, J., & Dias, L. (2017). Chronic rhinosinusitis: Correlation between the symptoms and score lund-mackay. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 54(3), 157–164. https://doi.org/10.34631/sporl.649

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Original Article