PMID- 18022702
OWN - NLM
STAT- MEDLINE
DCOM- 20080422
LR  - 20220409
IS  - 0165-5876 (Print)
IS  - 0165-5876 (Linking)
VI  - 72
IP  - 1
DP  - 2008 Jan
TI  - Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in 
      longstanding pediatric chronic rhinosinusitis.
PG  - 103-8
AB  - OBJECTIVES: To evaluate the chronic bony changes in the paranasal sinuses of 
      longstanding chronic rhinosinusitis (CRS) in pediatric patients and to compare 
      them with normal controls. STUDY DESIGN: A single-institution retrospective 
      analysis. METHOD: Thirty 15- and 16-year-old children with longstanding CRS, for 
      more than 2 years, despite maximal medical treatment and had a Lund CT score over 
      20 were enrolled as the CRS group. They were compared with 45 age and gender 
      matched randomly selected normal controls without CRS. No enrolled patient had a 
      history of nasal or adenoid surgery. The volume of the maxillary sinus was 
      measured using a three-dimensional CT reconstruction program (V-works 4.0). The 
      bony thickness of the maxillary (MS) and ethmoid sinuses (ES) and the middle 
      turbinate (MT) was measured and compared. In addition, we evaluated the effect of 
      disease duration on the sinus volume and bony thickness. RESULTS: The mean volume 
      of the MS was 22.5+/-4.4 cm(3) in the normal group and 20.0+/-4.1 cm(3) in the 
      CRS group; this difference was statistically significant (p=0.02). However, there 
      was no correlation found between the disease duration and maxillary sinus volume 
      (r=-0.07, p=0.69). The mean thicknesses of the bony walls were 1.0+/-0.4 mm (MS), 
      0.8+/-0.4 mm (ES) and 1.8+/-0.5 mm (MT) in the normal group and 1.2+/-0.3 mm 
      (MS), 1.2+/-0.4 mm (ES) and 2.4+/-0.5 mm (MT) in the CRS group; these differences 
      were significant (p<0.01). In addition, the bony thickness of the ES was 
      significantly correlated with the duration of symptoms (r=0.44, p=0.03). 
      CONCLUSION: The volume of the maxillary sinuses decreased and the bony thickness 
      of the paranasal sinuses increased with longstanding pediatric CRS.
FAU - Kim, Hyo Yeol
AU  - Kim HY
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, 
      Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 
      135-710, Republic of Korea.
FAU - Kim, Min-Beom
AU  - Kim MB
FAU - Dhong, Hun-Jong
AU  - Dhong HJ
FAU - Jung, Yong Gi
AU  - Jung YG
FAU - Min, Jin-Young
AU  - Min JY
FAU - Chung, Seung-Kyu
AU  - Chung SK
FAU - Lee, Hyun Jong
AU  - Lee HJ
FAU - Chung, Soo Chan
AU  - Chung SC
FAU - Ryu, Nam Gyu
AU  - Ryu NG
LA  - eng
PT  - Journal Article
DEP - 20071126
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Adolescent
MH  - Chronic Disease
MH  - Ethmoid Sinus/pathology
MH  - Female
MH  - Humans
MH  - Male
MH  - Maxillary Sinus/diagnostic imaging/*pathology
MH  - Organ Size
MH  - Paranasal Sinuses/*pathology
MH  - Radiography
MH  - Retrospective Studies
MH  - Sinusitis/*pathology
MH  - Turbinates/pathology
EDAT- 2007/11/21 09:00
MHDA- 2008/04/23 09:00
CRDT- 2007/11/21 09:00
PHST- 2007/07/02 00:00 [received]
PHST- 2007/09/27 00:00 [revised]
PHST- 2007/09/28 00:00 [accepted]
PHST- 2007/11/21 09:00 [pubmed]
PHST- 2008/04/23 09:00 [medline]
PHST- 2007/11/21 09:00 [entrez]
AID - S0165-5876(07)00449-1 [pii]
AID - 10.1016/j.ijporl.2007.09.018 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2008 Jan;72(1):103-8. doi: 
      10.1016/j.ijporl.2007.09.018. Epub 2007 Nov 26.