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ROENTGEN EVALUATION OF THE PARANASAL SINUSES IN CHILDREN

CHAS. E. SHOPFNER M.D.1 and JORGE OMAR ROSSI M.D.2

1 Professor of Radiology, University of Alabama in Birmingham, University Station, Birmingham, Alabama.
2 Research Fellow, Department of Radiology, Children’s Mercy Hospital, Kansas City, Missouri; Currently, Head, Department of Radiology, San Justo Children’s Hospital, San Justo, Providence of Buenos Aires, Republic of Argentina.

1. Fifty-one per cent of patients with suspected sinusitis have abnormal roentgenograms consisting of one alone or a combination of mucosal thickening, opacity, fluid and polyps.

2. Similar abnormal roentgenograms are found in 57 per cent of children without sinusitis and in 75 per cent of children who have an upper respiratory infection, but without sinusitis.

3. Only 6 of 120 patients with suspected sinusitis had acute sinusitis, but the roentgen finding had no diagnostic or therapeutic significance.

4. Specific treatment for sinusitis caused the roentgen findings to disappear in 4 of 6 patients with acute sinusitis and in only 2 of 8 with suspected sinusitis.

5. Mucosal thickening, opacity, fluid and polyps have little diagnostic significance relative to sinusitis and appear to be associated with upper respiratory infection in most patients.

6. If sinus roentgenograms are to be utilized in the evaluation of the sinuses in children, the omnipresence and relationship of the roentgen pathology to upper respiratory infection must be recognized.


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