Conclusions: A combined short-term steroid therapy is highly effective in chronic polypoid rhinosinusitis, reducing the mucosal inflammation mainly in the large sinuses and reducing the incidence of symptoms significantly.
What is polypoid mucosal disease?
Chronic hypertrophic polypoid rhinosinusitis is a condition in which the mucous membrane lining the nose and paranasal sinuses becomes markedly hypertrophied, and nasal polyps become evident. Superimposed infection is common. Bony erosion, sometimes marked, may also result.
Does mucosal thickening mean sinus infection?
Mucosal thickening is seen in more than 90% of patients with sinusitis, but this finding is highly nonspecific. Air-fluid levels and complete opacification are more specific for sinusitis, but they are seen in only 60% of sinusitis cases.1 mar 2021
What causes polypoid mucosal thickening?
The condition is usually, but not always, associated with a suppurative sinusitis. Skillern stated that repeated attacks of coryza, each one leaving greater changes in the mucosa, contribute to the ultimate formation of polypoid tissue. Influenza seems to be a predisposing factor.
Is mucosal thickening normal?
We conclude that mucosal thickening of up to 3 mm is common and lacks clinical significance in asymptomatic patients. An ancillary finding is that 1- to 2-mm areas of mucosal thickening in the ethmoidal sinuses occur in 63% of asymptomatic patients.
What is polypoid mucosal?
Polypoid was defined as an area of raised edematous mucosa that appeared distinct from the adjacent normal mucosa.
Can a MRI detect sinus infection?
MRI is excellent for evaluating soft tissue disease within the sinuses, but it is of little value in the diagnostic workup for acute sinusitis. This type of imaging may be too sensitive to define soft tissue structures.1 mar 2018
What is mucosal thickening in the sphenoid sinus?
The sphenoid sinus mucosa thickens during the acute stage of pituitary apoplexy. This thickening neither indicates infectious sinusitis nor rules out the choice of the transsphenoidal route for surgery.