Abstract
Sinonasal anatomy is complex and well assessed on imaging, particularly using CT and MRI. Coronal imaging is the preferred clinically applicable plane, allowing assessment synonymous to clinical evaluation whilst sagittal views also provide useful anatomical information. Possible surgical hazards including anatomical variants must be addressed in the radiology report. CT imaging is commonly utilised in the evaluation of chronic rhinosinusitis, where the use of the ‘CLOSED’ acronym can provide a checklist for radiologists in sinonasal assessment in order to aid in surgical planning. Complications of sinusitis, namely infection including intracranial involvement and non-infective aetiologies such as a mucocele can also be assessed on imaging. Unilateral nasal mass lesions must also be carefully interrogated radiologically, often warranting both CT and MRI evaluation. This chapter aims to highlight the optimum use of radiological investigations, provide an overview of radiological anatomy and review the most common pathologies of the sinonasal tract.
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References
S. Gray’s Anatomy; the anatomical basis of clinical practice. Elsevier; 2015.
Lund VJ, Stammberger H, Fokkens WJ, et al. European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinol Suppl. 2014:1–34.
Gwaltney JM Jr, Phillips CD, Miller RD, Riker DK. Computed tomographic study of the common cold. N Engl J Med. 1994;330:25–30.
Coutinho J, de Bruijn SF, Deveber G, Stam J. Anticoagulation for cerebral venous sinus thrombosis. Cochrane Database Syst Rev. 2011:CD002005.
Clayman GL, Adams GL, Paugh DR, Koopmann CF Jr. Intracranial complications of paranasal sinusitis: a combined institutional review. Laryngoscope. 1991;101:234–9.
Brook I. Microbiology of intracranial abscesses associated with sinusitis of odontogenic origin. Ann Otol Rhinol Laryngol. 2006;115:917–20.
Bhattacharyya N, Lee LN. Evaluating the diagnosis of chronic rhinosinusitis based on clinical guidelines and endoscopy. Otolaryngol Head Neck Surg. 2010;143:147–51.
Ashraf N, Bhattacharyya N. Determination of the “incidental” Lund score for the staging of chronic rhinosinusitis. Otolaryngol Head Neck Surg. 2001;125:483–6.
Leung R, Kern R, Jordan N, et al. Upfront computed tomography scanning is more cost-beneficial than empiric medical therapy in the initial management of chronic rhinosinusitis. Int Forum Allergy Rhinol. 2011;1:471–80.
Kanagalingam J, Bhatia K, Georgalas C, Fokkens W, Miszkiel K, Lund VJ. Maxillary mucosal cyst is not a manifestation of rhinosinusitis: results of a prospective three-dimensional CT study of ophthalmic patients. Laryngoscope. 2009;119:8–12.
Dalgorf DM, Sacks R, Wormald PJ, et al. Image-guided surgery influences perioperative morbidity from endoscopic sinus surgery: a systematic review and meta-analysis. Otolaryngol Head Neck Surg. 2013;149:17–29.
Connor SE, Umaria N, Chavda SV. Imaging of giant tumours involving the anterior skull base. Br J Radiol. 2001;74:662–7.
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Hopkins, C., Connor, S. (2021). Sinonasal Radiology. In: Tatla, T.S., Manjaly, J., Kumar, R., Weller, A. (eds) Head and Neck Imaging. Springer, Cham. https://doi.org/10.1007/978-3-030-80897-6_9
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DOI: https://doi.org/10.1007/978-3-030-80897-6_9
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