Sinonasal Diseases

  • Bernadette Koch
  • Mauricio Castillo


Imaging of the sinonasal region in children is frequently requested for the evaluation of congenital, inflammatory, and neoplastic conditions. Imaging modalities primarily include radiographs, computed tomography (CT) and magnetic resonance imaging (MRI). Radiographs lack the anatomic resolution that is offered by CT and MRI. CT imaging is the modality of choice for detailed evaluation of the osseous structures (for instance in evaluating children with some congenital abnormalities, chronic sinusitis, and orbital complications of acute sinusitis) and to provide a road map for the surgeon prior to functional endoscopic sinus surgery. MRI is ideal for attempting to distinguish between inflammatory and neoplastic conditions and for evaluating intracranial complications of acute sinusitis, as well as in the evaluation of intracranial extension of sinonasal lesions. MRI is also helpful in assessing brain anomalies in a child with significant congenital abnormalities involving the midface.


Paranasal Sinus Maxillary Sinus Fibrous Dysplasia Sphenoid Sinus Acute Sinusitis 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2005

Authors and Affiliations

  • Bernadette Koch
    • 1
  • Mauricio Castillo
    • 2
  1. 1.Department of RadiologyCincinnati Children’s HospitalCincinnatiUSA
  2. 2.University of North Carolina School of MedicineChapel HillUSA

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