Sinusitis in the Intensive Care Unit Patient
| Autor: | Benjamin Bassichis, Luke Burke, Charles M. Stiernberg, Jean-Jacques Rafie, Stilianos E. Kountakis, Alberto A. J. Maillard |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Antral lavage medicine.medical_specialty Meatus Maxillary sinus Critical Illness Physical examination Fever of Unknown Origin law.invention 03 medical and health sciences 0302 clinical medicine law otorhinolaryngologic diseases medicine Humans Sinusitis Therapeutic Irrigation 030223 otorhinolaryngology Retrospective Studies Suppuration medicine.diagnostic_test business.industry Incidence (epidemiology) Retrospective cohort study medicine.disease Intensive care unit Surgery Intensive Care Units medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Female Tomography X-Ray Computed business |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 117:362-366 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1016/s0194-5998(97)70127-x |
| Popis: | A retrospective study was undertaken to determine the incidence of sinusitis as a source of fever in the intensive care unit (ICU) patient, evaluate the effectiveness of radiologic studies in diagnosing sinusitis, and develop guidelines that may help predict the result of antral levage. Sixteen of 52 (30.7%) lavages in patients studied with plain films and 27 of 67 (40.3%) lavages in patients studied with computed tomography of the sinuses revealed purulence in the maxillary sinuses. Conversely, 23 of 30 (76.7%) of the cases with purulence in the middle meatus had purulence in the maxillary sinus (chi-squared = 27.1). If no purulence was seen, the results of the antral lavage were negative in 68 of 89 cases (76.4%). When physical examination was used in conjunction with computed tomography, 92.3% of lavages confirmed purulence in the maxillary sinus (chi-squared = 16.6). In conclusion, the most important factor in predicting a positive result with antral lavage is the presence of purulence in the middle meatus on physical examination in conjunction with the presence of sinus disease on computed tomography of the sinuses. (Otolaryngol Head Neck Surg 1997;117:362-6.) |
| Databáze: | OpenAIRE |
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