Evoluˋˋo cl赤nica de alteraˋˋes tomogr芍ficas incidentais de seios paranasais em indiv赤duos assintom芍ticos: estudo de coorte

作者：Araujo Neto; Severino A de; Baracat; Emilio C E

来源：Jornal de Pediatria, 2011.

DOI：10.1590/S0021-75572011000500011

• rhinosinusitis
• computerized tomography
• diagnosis.

objective: to determine whether the presence of opacification in the paranasal sinuses of children and adolescents without rhinosinusitis implies an increased risk of later development of upper respiratory tract symptoms. methods: this was a prospective study of a cohort of patients aged 0 to 18 years who underwent computerized tomography (ct) scans for indications unrelated to rhinosinusitis. sinus opacification was evaluated using an opacification/development ratio score. the patients＊ clinical progression was followed up using a questionnaire for 1 month after the scans. results: fifty-six percent (56%) of the 106 patients enrolled in the study had opacity, the majority due to mucosal thickening. intense opacification was defined as %26quot;suspected%26quot; (score %26gt; 15) and patients in this subset had a greater risk of developing symptoms during follow-up (odds ratio = 2.74; 95%ci 1.10-6.83) compared to those with no findings or discrete findings. conclusion: intense incidental sinus opacity on ct indicates a risk of future development of a clinical respiratory condition.

• 出版日期2011