Evaluation of sinusitis in the intensive care unit patient

Ioannis G. Skoulas, Emmanuel Helidonis, Stilianos E. Kountakis

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

OBJECTIVE: The purposes of this study were to evaluate the effectiveness of radiologic studies in diagnosing sinusitis in the intensive care unit (ICU) patient and to compare it with the effectiveness of endoscopic examination of the middle meatus. METHODS: We conducted a prospective collection of data in 141 ICU patients consulted for sinusitis over a 5-year period beginning in the 1994. RESULTS: Antral lavage was performed at least unilaterally in 112 patients, with a total of 195 lavages performed. Plain films and computer tomography scans predicted purulence in 41% (χ2 = 2.9, P = 0.09) and 47% (χ2 = 2.2, P = 0.14) of the cases, respectively, whereas the presence of purulence in the middle meatus as seen on endoscopy predicted purulence in the maxillary sinus in 78% of the lavages (χ2 = 28.9, P = 8 × 10-8). When there was no evidence of purulence in the middle meatus on endoscopy, 73% of the lavages were negative. CONCLUSION: The most important predictor of a positive antral lavage in the ICU patient with suspected sinusitis is evidence of purulence on endoscopic examination of the middle meatus.

Original languageEnglish (US)
Pages (from-to)503-509
Number of pages7
JournalOtolaryngology - Head and Neck Surgery
Volume128
Issue number4
DOIs
StatePublished - Apr 1 2003

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Therapeutic Irrigation
Sinusitis
Intensive Care Units
Endoscopy
Maxillary Sinus
Motion Pictures
Tomography
Antral

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Evaluation of sinusitis in the intensive care unit patient. / Skoulas, Ioannis G.; Helidonis, Emmanuel; Kountakis, Stilianos E.

In: Otolaryngology - Head and Neck Surgery, Vol. 128, No. 4, 01.04.2003, p. 503-509.

Research output: Contribution to journalArticle

Skoulas, Ioannis G. ; Helidonis, Emmanuel ; Kountakis, Stilianos E. / Evaluation of sinusitis in the intensive care unit patient. In: Otolaryngology - Head and Neck Surgery. 2003 ; Vol. 128, No. 4. pp. 503-509.
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