Computed Tomography Signs of Sinonasal Inflammation in Patients with Acute Dacryocystitis.

IF 2.5 3区 医学 Q1 OTORHINOLARYNGOLOGY American Journal of Rhinology & Allergy Pub Date : 2024-09-01 Epub Date: 2024-07-21 DOI:10.1177/19458924241262098
Yueqi Yu, Guangming Zhou, Xinyu Li, Jinfei Wei, Xiaoyu Ke, Linjuan Wu, Wencan Wu, Bo Yu
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Abstract

Background: Nasal and paranasal sinus abnormalities may be related to nasolacrimal duct obstructive disease but are strongly debated. Data of acute disease stage are lacking.

Objective: The purpose of this study was to determine if there are correlations between radiologic signs of sinus inflammation and acute dacryocystitis (AD).

Methods: This cross-sectional controlled study was conducted at Wenzhou, Zhejiang Province, China from February 2021 to November 2023. Forty-four consecutive patients with AD and 50 consecutive patients with orbital tumors (the control group), who completed preoperative computed tomography scans, were enrolled to evaluate the extent of their inflammatory sinonasal disease by the modified Lund-Mackay score system.

Results: The inflammation signs of the paranasal sinuses (total mean sinus scores, 95% CI [0.00, 2.00]; P < 0.001), namely the anterior ethmoid sinus(95% CI [0.00, 1.00]; P < 0.001), the posterior ethmoid sinus(95% CI [0.00, 0.00]; P = 0.003), the frontal sinus (95% CI [0.00, 0.00]; P = 0.02), and the ostiomeatal complex (P < 0.001) were more extensive in patients with AD when compared with the controls. The disease course was negatively correlated with the anterior ethmoid (P = 0.03) and frontal scores (P = 0.01). The symptom of eyelid swelling was positively correlated with the anterior ethmoid (P = 0.03), ostiomeatal complex (P = 0.004), and total sinus scores (P = 0.005).

Conclusion: Inflammatory sinus disease was found to be more frequent in patients with AD, which was gradually alleviated with the prolongation of the disease course. The mutual spread of inflammation particularly in the acute course may play an important role in lacrimal duct obstructive disease.

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急性泪囊炎患者鼻窦炎的计算机断层扫描征象
背景:鼻腔和副鼻窦异常可能与鼻泪管阻塞性疾病有关,但对此存在激烈的争论。目前还缺乏急性疾病阶段的数据:本研究的目的是确定鼻窦炎的放射学征象与急性泪囊炎(AD)之间是否存在相关性:这项横断面对照研究于 2021 年 2 月至 2023 年 11 月在中国浙江省温州市进行。方法:这项横断面对照研究于 2021 年 2 月至 2023 年 11 月在中国浙江温州进行,研究对象为完成术前计算机断层扫描的 44 例连续性急性泪囊炎患者和 50 例连续性眼眶肿瘤患者(对照组),采用改良的 Lund-Mackay 评分系统评估其鼻窦炎性疾病的程度:副鼻窦(平均鼻窦总分,95% CI [0.00,2.00];P P P = 0.003)、额窦(95% CI [0.00,0.00];P = 0.02)、骨骺复合体(P P = 0.03)和额叶评分(P = 0.01)的炎症体征。眼睑肿胀症状与乙状前窦(P = 0.03)、蝶窦复合体(P = 0.004)和总窦评分(P = 0.005)呈正相关:结论:炎症性鼻窦疾病在 AD 患者中更为常见,并随着病程的延长而逐渐缓解。炎症的相互蔓延,尤其是在急性期,可能在泪道阻塞性疾病中起着重要作用。
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来源期刊
CiteScore
5.60
自引率
11.50%
发文量
82
审稿时长
4-8 weeks
期刊介绍: The American Journal of Rhinology & Allergy is a peer-reviewed, scientific publication committed to expanding knowledge and publishing the best clinical and basic research within the fields of Rhinology & Allergy. Its focus is to publish information which contributes to improved quality of care for patients with nasal and sinus disorders. Its primary readership consists of otolaryngologists, allergists, and plastic surgeons. Published material includes peer-reviewed original research, clinical trials, and review articles.
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