Normal and Abnormal Appearance of Nose and Paranasal Sinuses After Microendoscopic Surgery, Open Surgery, and Radiation Therapy

  • Roberto Maroldi
  • Laura Palvarini
  • Vanessa Portugalli
  • Andrea Borghesi
  • Piero Nicolai
Part of the Medical Radiology book series (MEDRAD)


Paranasal Sinus Maxillary Sinus Adenoid Cystic Carcinoma Sphenoid Sinus Frontal Sinus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Batteur B, Strunski V, Caprio D et al (1994) Recurrence of nasosinusal polyposis after ethmoidectomy by endonasal approach. Functional, endoscopic, x-ray tomographic aspects and surgical implications. Ann Otolaryngol Chir Cervicofac 111:121–128PubMedGoogle Scholar
  2. Becker M, Schroth G, Zbaren P et al (1997) Long-term changes induced by high-dose irradiation of the head and neck region: imaging findings. Radiographics 17:5–26PubMedGoogle Scholar
  3. Bely N, Zanoun M, Laccourreye O et al (1997) Radiological surveillance of operated ethmoidal cancers. Practical points. Neurochirurgie 43:76–84PubMedGoogle Scholar
  4. Bendet E, Eyal A, Kronenberg J (1995) Pneumocephalus as a complication of intranasal ethmoidectomy and polypectomy. Ann Otol Rhinol Laryngol 104:326–328PubMedGoogle Scholar
  5. Bolger WE, Woodruff WW Jr, Morehead J et al (1990) Maxillary sinus hypoplasia: classification and description of associated uncinate process hypoplasia. Otolaryngol Head Neck Surg 103:759–765PubMedGoogle Scholar
  6. Catalano PJ, Hecht CS, Biller HF et al (1994) Craniofacial resection. An analysis of 73 cases. Arch Otolaryngol Head Neck Surg 120:1203–1208PubMedGoogle Scholar
  7. Chagnaud C, Petit P, Bartoli J et al (1998) Postoperative follow-up of juvenile nasopharyngeal angiofibromas: assessment by CT scan and MR imaging. Eur Radiol 8:756–764CrossRefPubMedGoogle Scholar
  8. Chambers DW, Davis WE, Cook PR et al (1997) Long-term outcome analysis of functional endoscopic sinus surgery: correlation of symptoms with endoscopic examination findings and potential prognostic variables. Laryngoscope 107:504–510CrossRefPubMedGoogle Scholar
  9. Chang CC, Chen MK, Wen YS et al (2000) Effects of radiotherapy for nasopharyngeal carcinoma on the paranasal sinuses: study based on computed tomography scanning. J Otolaryngol 29:23–27PubMedGoogle Scholar
  10. Chong J, Hinckley LK, Ginsberg LE (2000a) Masticator space abnormalities associated with mandibular osteoradionecrosis: MR and CT findings in five patients. AJNR Am J Neuroradiol 21:175–178PubMedGoogle Scholar
  11. Chong VF, Fan YF (1997) Detection of recurrent nasopharyngeal carcinoma: MR imaging versus CT. Radiology 202:463–470PubMedGoogle Scholar
  12. Chong VF, Fan YF, Chan LL (1997) Temporal lobe necrosis in nasopharyngeal carcinoma: pictorial essay. Australas Radiol 41:392–397PubMedGoogle Scholar
  13. Chong VF, Fan YF, Mukherji SK (2000b) Radiation-induced temporal lobe changes: CT and MR imaging characteristics. AJR Am J Roentgenol 175:431–436PubMedGoogle Scholar
  14. Chong VF, Khoo JB, Chan LL et al (2002) Neurological changes following radiation therapy for head and neck tumours. Eur J Radiol 44:120–129CrossRefPubMedGoogle Scholar
  15. Chu CT, Lebowitz RA, Jacobs JB (1997) An analysis of sites of disease in revision endoscopic sinus surgery. Am J Rhinol 11:287–291PubMedGoogle Scholar
  16. Draf W, Weber R, Keerl R et al (1995) Current aspects of frontal sinus surgery. I. Endonasal frontal sinus drainage in inflammatory diseases of the paranasal sinuses. HNO 43:352–357PubMedGoogle Scholar
  17. Dubrulle F, Darras J, Khalil C (2003) Imagerie des sinus operes. J Radiol 84:945–959PubMedGoogle Scholar
  18. Fischbein NJ, Noworolski SM, Henry RG et al (2003) Assessment of metastatic cervical adenopathy using dynamic contrast-enhanced MR imaging. AJNR Am J Neuroradiol 24:301–311PubMedGoogle Scholar
  19. Friedman WH, Katsantonis GP, Bumpous JM (1995) Staging of chronic hyperplastic rhinosinusitis: treatment strategies. Otolaryngol Head Neck Surg 112:210–214PubMedGoogle Scholar
  20. Gaensler EH, Dillon WP, Edwards MS et al (1994) Radiation-induced telangiectasia in the brain simulates cryptic vascular malformations at MR imaging. Radiology 193:629–636PubMedGoogle Scholar
  21. Gaucher S, Viala J, Lusinchi A et al (2002) CT and MRI aspects of 28 patients with cerebral radiation necrosis irradiated for ORL tumors: correlation with the radiation technique. J Radiol 83:1749–1757PubMedGoogle Scholar
  22. Ginsberg LE (2002) MR imaging of perineural tumor spread. Magn Reson Imaging Clin North Am 10:511–525, viCrossRefGoogle Scholar
  23. Goffart Y, Jorissen M, Daele J et al (2000) Minimally invasive endoscopic management of malignant sinonasal tumors. Acta Otorhinolaryngol Belg 54:221–232PubMedGoogle Scholar
  24. Gong QY, Zheng GL, Zhu HY (1991) MRI differentiation of recurrent nasopharyngeal carcinoma from postradiation fibrosis. Comput Med Imaging Graph 15:423–429CrossRefPubMedGoogle Scholar
  25. Graham SM, Nerad JA (2003) Orbital complications in endoscopic sinus surgery using powered instrumentation. Laryngoscope 113:874–878CrossRefPubMedGoogle Scholar
  26. Harrison MJ, Wolfe DE, Lau TS et al (1991) Radiation-induced meningiomas: experience at the Mount Sinai Hospital and review of the literature. J Neurosurg 75:564–574Google Scholar
  27. Hudgins PA (1993) Complications of endoscopic sinus surgery. The role of the radiologist in prevention. Radiol Clin North Am 31:21–32PubMedGoogle Scholar
  28. Hudgins PA (2002) Flap reconstruction in the head and neck: expected appearance, complications, and recurrent disease. Semin Ultrasound CT MR 23:492–500CrossRefPubMedGoogle Scholar
  29. Hudgins PA, Browning DG, Gallups J et al (1992) Endoscopic paranasal sinus surgery: radiographic evaluation of severe complications. AJNR Am J Neuroradiol 13:1161–1167PubMedGoogle Scholar
  30. Imola MJ, Schramm VL Jr (2002) Orbital preservation in surgical management of sinonasal malignancy. Laryngoscope 112:1357–1365CrossRefPubMedGoogle Scholar
  31. Jankowski R, Pigret D, Decroocq F (1997) Comparison of functional results after ethmoidectomy and nasalization for diffuse and severe nasal polyposis. Acta Otolaryngol 117:601–608PubMedGoogle Scholar
  32. Janssen AG, Mansour K, Bos JJ (1997) Obstructed nasolacrimal duct system in epiphora: long-term results of dacryocystoplasty by means of balloon dilation. Radiology 205:791–796PubMedGoogle Scholar
  33. Katsantonis GP, Friedman WH, Sivore MC (1990) The role of computed tomography in revision sinus surgery. Laryngoscope 100:811–816PubMedGoogle Scholar
  34. Katz TS, Hinerman RW, Amdur RJ et al (2002) Malignant tumors of the nasal cavity and paranasal sinuses. Head Neck 24:821–829CrossRefPubMedGoogle Scholar
  35. Kennedy DW (1992) Prognostic factors, outcomes and staging in ethmoid sinus surgery. Laryngoscope 102:1–18Google Scholar
  36. Kennedy DW, Senior BA, Gannon FH et al (1998) Histology and histomorphometry of ethmoid bone in chronic rhino-sinusitis. Laryngoscope 108:502–507CrossRefPubMedGoogle Scholar
  37. King AD, Ahuja AT, Teo P et al (2000) Radiation induced sarcomas of the head and neck following radiotherapy for nasopharyngeal carcinoma. Clin Radiol 55:684–689CrossRefPubMedGoogle Scholar
  38. Laccourreye O, Bely N, Halimi P et al (1994) Cavernous sinus involvement from recurrent adenoid cystic carcinoma. Ann Otol Rhinol Laryngol 103:822–825PubMedGoogle Scholar
  39. Lell M, Baum U, Greess H et al (2000) Head and neck tumors: imaging recurrent tumor and post-therapeutic changes with CT and MRI. Eur J Radiol 33:239–247CrossRefPubMedGoogle Scholar
  40. Levine HL (1990) Functional endoscopic sinus surgery: evaluation, surgery, and follow-up of 250 patients. Laryngoscope 100:79–84PubMedGoogle Scholar
  41. Liang EY, Lam WW, Woo JK et al (1996) Another CT sign of sinonasal polyposis: truncation of the bony middle turbinate. Eur Radiol 6:553–556CrossRefPubMedGoogle Scholar
  42. Liu SH, Chang JT, Ng SH et al (2004) False positive fluorine-18 fluorodeoxy-D-glucose positron emission tomography finding caused by osteoradionecrosis in a nasopharyngeal carcinoma patient. Br J Radiol 77:257–260CrossRefPubMedGoogle Scholar
  43. Loevner LA, Sonners AI (2002) Imaging of neoplasms of the paranasal sinuses. Magn Reson Imaging Clin North Am 10:467–493CrossRefGoogle Scholar
  44. Loevner LA, Tobey JD, Yousem DM et al (2002) MR imaging characteristics of cranial bone marrow in adult patients with underlying systemic disorders compared with healthy control subjects. AJNR Am J Neuroradiol 23:248–254PubMedGoogle Scholar
  45. Mantoni M, Larsen P, Hansen H et al (1996) Coronal CT of the paranasal sinuses before and after functional endoscopic sinus surgery. Eur Radiol 6:920–924CrossRefPubMedGoogle Scholar
  46. Mark RJ, Bailet JW, Poen J et al (1993) Postirradiation sarcoma of the head and neck. Cancer 72:887–893PubMedGoogle Scholar
  47. Maroldi R, Farina D, Battaglia G et al (1997) MR of malignant nasosinusal neoplasms. Frequently asked questions. Eur J Radiol 24:181–190CrossRefPubMedGoogle Scholar
  48. Maroldi R, Battaglia G, Farina D et al (1999) Tumours of the oropharynx and oral cavity: perineural spread and bone invasion. Jbr Btr 82:294–300PubMedGoogle Scholar
  49. May M, Sobol SM, Korzec K (1990) The location of the maxillary os and its importance to the endoscopic sinus surgeon. Laryngoscope 100:1037–1042PubMedGoogle Scholar
  50. Metson R, Woog JJ, Puliafito CA (1994) Endoscopic laser dacryocystorhinostomy. Laryngoscope 104:269–274PubMedGoogle Scholar
  51. Meyers RM, Valvassori G (1998) Interpretation of anatomic variations of computed tomography scans of the sinuses: a surgeon’s perspective. Laryngoscope 108:422–425CrossRefPubMedGoogle Scholar
  52. Moehler TM, Hawighorst H, Neben K et al (2001) Bone marrow microcirculation analysis in multiple myeloma by contrast-enhanced dynamic magnetic resonance imaging. Int J Cancer 93:862–868CrossRefPubMedGoogle Scholar
  53. Ng SH, Chang JT, Ko SF et al (1999) MRI in recurrent nasopharyngeal carcinoma. Neuroradiology 41:855–862CrossRefPubMedGoogle Scholar
  54. Ng SH, Liu HM, Ko SF et al (2002) Posttreatment imaging of the nasopharynx. Eur J Radiol 44:82–95CrossRefPubMedGoogle Scholar
  55. Nicolai P, Berlucchi M, Tomenzoli D et al (2003) Endoscopic surgery for juvenile angiofibroma: when and how. Laryngoscope 113:775–782CrossRefPubMedGoogle Scholar
  56. Ninomiya H, Oriuchi N, Kahn N et al (2004) Diagnosis of tumor in the nasal cavity and paranasal sinuses with [11C]choline PET: comparative study with 2-[18F]fluoro-2-deoxy-D-glucose (FDG) PET. Ann Nucl Med 18:29–34PubMedGoogle Scholar
  57. Nomayr A, Lell M, Sweeney R et al (2001) MRI appearance of radiation-induced changes of normal cervical tissues. Eur Radiol 11:1807–1817CrossRefPubMedGoogle Scholar
  58. Ophir D, Shapiro M, Ruchvarger E et al (1994) Pneumocephalus following nasal polypectomy. Ann Otol Rhinol Laryngol 103:576–577PubMedGoogle Scholar
  59. Osguthorpe JD, Patel S (1995) Craniofacial approaches to sinus malignancy. Otolaryngol Clin North Am 28:1239–1257PubMedGoogle Scholar
  60. Petit P, Vivarrat-Perrin L, Champsaur P et al (2000) Radiological follow-up of inverted papilloma. Eur Radiol 10:1184–1189CrossRefPubMedGoogle Scholar
  61. Piazzalunga B, Moraschi Y, Ghirardi C et al (2004) Enhancement pattern of recurrent head and neck neoplasms: dynamic MR measurement. Eur Radiol 14:191Google Scholar
  62. Porter MJ, Leung SF, Ambrose R et al (1996) The paranasal sinuses before and after radiotherapy for nasopharyngeal carcinoma: a computed tomographic study. J Laryngol Otol 110:19–22PubMedGoogle Scholar
  63. Rabin BM, Meyer JR, Berlin JW et al (1996) Radiation-induced changes in the central nervous system and head and neck. Radiographics 16:1055–1072PubMedGoogle Scholar
  64. Rahmouni A, Montazel JL, Divine M et al (2003) Bone marrow with diffuse tumor infiltration in patients with lymphoproliferative diseases: dynamic gadolinium-enhanced MR imaging. Radiology 229:710–717PubMedGoogle Scholar
  65. Raynal M, Peynegre R, Beautru R et al (1999) Mucoceles sinusiennes et iatrogenie chirurgicale. Ann Otolaryngol Chir Cervicofac 116:85–91PubMedGoogle Scholar
  66. Rejab E, Said H, Saim L et al (1991) Sphenoid sinus mucocoele: a possible late complication of radiotherapy to the head and neck. J Laryngol Otol 105:959–960Google Scholar
  67. Richtsmeier WJ, Briggs RJ, Koch WM et al (1992) Complications and early outcome of anterior craniofacial resection. Arch Otolaryngol Head Neck Surg 118:913–917PubMedGoogle Scholar
  68. Roger G, Tran Ba Huy P, Froehlich P et al (2002) Exclusively endoscopic removal of juvenile nasopharyngeal angiofibroma: trends and limits. Arch Otolaryngol Head Neck Surg 128:928–935PubMedGoogle Scholar
  69. Rouviere P, Peynegre R (2000) Recurrence of polyposis: risk factors, prevention, treatment and follow-up. In: Stamm AC, Draf W (eds) Micro-endoscopic surgery of the paranasal sinuses and the skull base. Springer, Berlin Heidelberg New York, pp 286–307Google Scholar
  70. Rubinstein AB, Reichenthal E, Borohov H (1989) Radiation-induced schwannomas. Neurosurgery 24:929–932PubMedGoogle Scholar
  71. Saidi IS, Biedlingmaier JF, Rothman MI (1998) Pre-and postoperative imaging analysis for frontal sinus disease following conservative partial middle turbinate resection. Ear Nose Throat J 77:326–328, 330, 332 passimPubMedGoogle Scholar
  72. Salib RJ, Chaudri SA, Rockley TJ (2001) Sinusitis in the hypoplastic maxillary antrum: the crucial role of radiology in diagnosis and management. J Laryngol Otol 115:676–678CrossRefPubMedGoogle Scholar
  73. Schick B, Steigerwald C, el Rahman el Tahan A, Draf W (2001) The role of endonasal surgery in the management of frontoethmoidal osteomas. Rhinology 39:667–670Google Scholar
  74. Schuster JJ, Phillips CD, Levine PA (1994) MR of esthesioneuroblastoma (olfactory neuroblastoma) and appearance after craniofacial resection. AJNR Am J Neuroradiol 15:1169–1177PubMedGoogle Scholar
  75. Som PM, Lawson W, Biller HF et al (1986a) Ethmoid sinus disease: CT evaluation in 400 cases, part II. Postoperative findings. Radiology 159:599–604PubMedGoogle Scholar
  76. Som PM, Lawson W, Biller HF et al (1986b) Ethmoid sinus disease: CT evaluation in 400 cases, part III. Craniofacial resection. Radiology 159:605–609PubMedGoogle Scholar
  77. Som PM, Dillon WP, Sze G et al (1989) Benign and malignant sinonasal lesions with intracranial extension: differentiation with MR imaging. Radiology 172:763–766PubMedGoogle Scholar
  78. Stamm AC (2000) Complications of micro-endoscopic sinus surgery. In: Stamm AC, Draf W (eds) Micro-endoscopic surgery of the paranasal sinuses and the skull base. Springer, Berlin Heidelberg New York, pp 581–593Google Scholar
  79. Stammberger H, Anderhuber W, Walch C et al (1999) Possibilities and limitations of endoscopic management of nasal and paranasal sinus malignancies. Acta Otorhinolaryngol Belg 53:199–205PubMedGoogle Scholar
  80. Stankiewicz JA (1987) Complications of endoscopic intranasal ethmoidectomy. Laryngoscope 97:1270–1273PubMedGoogle Scholar
  81. Steeves RA, Bataini JP (1981) Neoplasms induced by megavoltage radiation in the head and neck region. Cancer 47:1770–1774PubMedGoogle Scholar
  82. Stewart MG, Donovan DT, Parke RB Jr et al (2000) Does the severity of sinus computed tomography findings predict outcome in chronic sinusitis? Otolaryngol Head Neck Surg 123:81–84CrossRefPubMedGoogle Scholar
  83. Taylor JS, Tofts PS, Port R et al (1999) MR imaging of tumor microcirculation: promise for the new millennium. J Magn Reson Imaging 10:903–907CrossRefPubMedGoogle Scholar
  84. Tomenzoli D, Castelnuovo P, Pagella F et al (2004) Different endoscopic surgical strategies in the management of inverted papilloma of the sinonasal tract: experience on 47 cases. Laryngoscope (in press)Google Scholar
  85. Valk PE, Dillon WP (1991) Radiation injury of the brain. AJNR Am J Neuroradiol 12:45–62Google Scholar
  86. Van der Laan BF, Baris G, Gregor RT et al (1995) Radiation-induced tumours of the head and neck. J Laryngol Otol 109:346–349PubMedGoogle Scholar
  87. Vassallo P, Tranfa F, Forte R et al (2001) Ophthalmic complications after surgery for nasal and sinus polyposis. Eur J Ophthalmol 11:218–222PubMedGoogle Scholar
  88. Vleming M, Middelweerd MJ, de Vries N (1993) Goede resultaten van endoscopische neusbijholtenchirurgie wegens chronische of recidiverende sinusitis en wegens polyposis nasi. Ned Tijdschr Geneeskd 137:1453–1456PubMedGoogle Scholar
  89. Wanamaker JR, Mehle ME, Wood BG et al (1995) Tension pneumocephalus following craniofacial resection. Head Neck 17:152–156PubMedGoogle Scholar
  90. Williams LS, Mancuso AA, Mendenhall WM (2001) Perineural spread of cutaneous squamous and basal cell carcinoma: CT and MR detection and its impact on patient management and prognosis. Int J Radiat Oncol Biol Phys 49:1061–1069CrossRefPubMedGoogle Scholar
  91. Younis RT, Lazar RH, Anand VK (2002) Intracranial complications of sinusitis: a 15-year review of 39 cases. Ear Nose Throat J 81:636–638, 640–632, 644PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2005

Authors and Affiliations

  • Roberto Maroldi
    • 1
  • Laura Palvarini
    • 1
  • Vanessa Portugalli
    • 1
  • Andrea Borghesi
    • 1
  • Piero Nicolai
    • 2
  1. 1.Department of RadiologyUniversity of BresciaBrescia, BSItaly
  2. 2.Department of OtorhinolaryngologyUniversity of BresciaBrescia, BSItaly

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