In:
Otolaryngologia Polska, Index Copernicus, Vol. 76, No. 2 ( 2022-1-14), p. 7-14
Abstract:
〈 br 〉 〈 b 〉 Introduction: 〈 /b 〉 The International Frontal Sinus Anatomy Classification (IFAC) is a consensus document created to standardize and specify the naming of cells within the region of the frontal recess and frontal sinus. 〈 /br 〉 〈 br 〉 〈 b 〉 Aim: 〈 /b 〉 The aim of this study was to analyze the difficulties in identifying cells according to the IFAC in patients with diffuse primary chronic rhinosinusitis. 〈 /br 〉 〈 br 〉 〈 b 〉 Material and methods: 〈 /b 〉 Three independent reviewers examined triplanar computed tomography (CT) scans to assess the anatomy of the frontal recess using the IFAC system. CT scans were chosen randomly and divided into 3 groups: CT scans of patients not presenting sinus complaints (control group), CT scans of patients affected by diffuse primary chronic rhinosinusitis non-type 2, and CT scans of patients affected by diffuse primary chronic rhinosinusitis type 2. 〈 /br 〉 〈 br 〉 〈 b 〉 Results: 〈 /b 〉 Identification of all frontal cell types was accurate in patients not presenting sinus complaints (P-value 〈 0.05). Patients scoring 9 or more points in the Lund-Mackay scoring system demonstrated a statistically increased risk of improper identification of frontal recess cells (P-value 〈 0.0001). 〈 /br 〉 〈 br 〉 〈 b 〉 Conclusions: 〈 /b 〉 Due to a large number of possible anatomical variants and changes caused by the chronic inflammatory disease, the IFAC nomenclatura is easier to apply to non-type 2 primary diffuse CRS patients with low scores in the L-M score scale than to primary diffuse type 2 CRS patients with higher M-L scores. 〈 /br 〉
Type of Medium:
Online Resource
ISSN:
0030-6657
,
2300-8423
DOI:
10.5604/01.3001.0015.6959
Language:
English
Publisher:
Index Copernicus
Publication Date:
2022
detail.hit.zdb_id:
2753524-1
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