Acta Medica Medianae
Vol. 49, No 3, September, 2010
UDK 61
ISSN 0365-4478(Printed version)
ISSN 1821-2794(Online)
 

Correspondence to:

Vladan Stanojković

Odeljenje za otorinolaringologiju opšte bolnice Izola

Polje 32, Izola 6310, Slovenija

E-mail: vladan.stanojkovic@gmail.com

Original article
UDC: 616.212-089-072.1:616-073

CORRELATION BETWEEN COMPUTED TOMOGRAPHY AND INTRAOPERATIVE FINDING IN FUNCTIONAL ENDOSCOPIC SURGERY OF NOSE AND PARANASAL SINUSES

Vladan Stanojković

       Department of Otorhynolaryngology, General Hospital Izola, Slovenia

Medical literature lacks sufficient data that compare preoperative computed tomography and intraoperative findings during endoscopic surgery of nose and paranasal sinuses.

The aim of the paper was to determine the practical value of  CT in preoperative preparation for functional endoscopic surgery of nose and sinuses.

Cadaver head was placed in CT with subsequent scanning changing window (W) and center (C) parameters. Forty  patients  treated in ENT Department of Vranje and Isola were also included. Routine radiography and CT (SIMENS Smile, SIMENS Somatom 4, and spiral Simens Fach) were performed. Obtained values were compared with intraoperative findings.

We found significant difference in intraoperative findings and radiography, and intraoperative findings and  CT,  in favour of CT data. Contrary to this, there was no significant difference between these comparisons for cystic changes and effusion in paranasal sinuses.

CT gave significantly better agreement with intraoperative findings when compated to classic radiography. Exact diagnosis was found in 90.7% on  classic radiography, and in 87.8% on CT scan. Acta Medica Medianae 2010;49(3):19-26.

Key words: functional endoscopic surgery, nose, paranasal sinuses, computed tomography