African Health Sciences
Makerere University Medical School
Vol. 12, No. 4, 2012, pp. 459-463
Bioline Code: hs12079
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 12, No. 4, 2012, pp. 459-463
© Copyright 2012 - African Health Sciences
The role of plain radiographs in the diagnosis of chronic maxillary rhinosinusitis in adults|
Background: Computed tomography is currently the gold standard for the diagnosis of chronic rhinosinusitis. However,
this facility is not readily available in many developing countries. Thus, plain sinus radiography is still widely in use in our
Objectives: To assess the diagnostic value of plain radiographs in adult patients with uncomplicated chronic maxillary
Methods: This study was carried out at a tertiary health facility in Northern Nigeria. All adult patients with clinical and
radiological diagnosis of chronic maxillary rhinosinusitis were included.
Results: A total of 88 patients were recruited into the study. There were 51 males (58.0%) and 37 (42.0%) females. Their ages
ranged from 18 to 60 years; with a mean age of 31.7±9.20 years. Mucosal thickening was the commonest diagnostic plain
radiographic feature, and fluid level was the least. Maxillary antra with diagnostic plain radiographic interpretations of fluid
level, haziness and opacity had high specificities (100%, 95.2%, and 85.7%) and high positive predictive values (100%, 75%,
and 70%) respectively.
Conclusions: Plain radiographs are relevant in the diagnosis of chronic maxillary rhinosinusitis in our locality only when
they show features of fluid level: findings of haziness and opacity are of less diagnostic value.
Chronic rhinosinusitis, paranasal sinus radiography, maxillary antral lavage, Nigeria.