ISSN: 1859 - 2872
Some charateristics and correlation of computed tomography scan and histology of chronic rhinosinusitis with polyp
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Abstract
Objective: To describe the characteristics of chronic rihinosinusitis with polyp (CRSwP) on CT and evaluate the correlation between CT images and histopathology of CRSwP. Subject and method: A case-by-case study on 20 patients diagnosed with rhinosinusitis with nasal polyps at the Department of Otolaryngology, 103 Military Hospital from January 2022 to August 2011. Result: 20 patients with rhinosinusitis had polyps, on CT scan, polyps were found in the nasal cavity 13/20 (65%), polyps in the sinuses 4/20 (20%), polyps from the maxillary sinuses developed into the middle and posterior nasal passages 2/20 (10%). CRS with polyp causes bone changed in some cases with 7/20 (35%) thinning of the bone wall, 2/20 (10%). Maxillary sinusitis (100%). Lund-Mackay score: 5.65 ± 1.87. Eosinophil/HPF cell count 79.45 ± 117.47; thickness of mucosal epithelium 65.99 ± 37.4µm. Gland cells 76-100% accounted for the highest rate 65%; squamous metaplasia accounted for 35%; Continuous edematous stroma accounted for the highest rate of 50%; fibrous stroma accounted for 55%. The average level of inflammation accounted for the highest rate of 45%. Conclusion: Along with CT, histopathology provides the characteristics of the cells and stroma of the nasal cavity, which play an important role in diagnosis and treatment
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References
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