Comparative validity evaluation of para-nasal sinus diseases using conventional radiography and computed tomography in a tertiary care hospital of Madhya Pradesh


  • Chandni Sethi Department of Otorhinolaryngology, MLB Medical College, Jhansi, Uttar Pradesh, India
  • Anuj Shamsher Sethi Department of Paediatrics, MLB Medical College, Jhansi, Uttar Pradesh, India



Paranasal sinus, X-ray, CT scan, Validity, Gwalior


Background: Sinonasal diseases include a wide spectrum ranging from inflammatory conditions to neoplasms, both benign and malignant and with the advancement in medical sciences and technology, and the ability to detect and control most illnesses, time has witnessed a momentous evolutionary change in medical practice. Objectives of the present study was to assess the demographical profile of sinonasal diseases patients and to compare the role of X-ray and computed tomography (CT) in the diagnosis of sinonasal diseases.

Methods: The study was conducted on 100 cases presenting in the ENT OPD, patients admitted in ENT ward and cases referred from medical and surgical departments of G. R. Medical College and J. A. Group of Hospitals, Gwalior, who had chronic sinonasal symptoms. All the collected data was analyzed using SPSS15.0 and frequencies, validity of both the modalities were compared.  

Results: The mean age was 33.75 years with youngest patient of 5 years and oldest being 85 years of age. CT had a good sensitivity and specificity for bacterial sinusitis (95.1%, 93.2%), fungal sinusitis (80%, 97.9%), single nucleotide polymorphism (90%, 88.6%), benign lesions (75%, 97.7%), malignant lesions (78.6%, 98.8%) respectively with a p value of <0.001, reflecting a highly significant level.

Conclusions: Present study proves the significance of CT in diagnosing sinonasal pathologies and guiding their management. However, the importance of X-ray as a preliminary investigation, especially in acute or chronic cases which cannot be ignored.

Author Biographies

Chandni Sethi, Department of Otorhinolaryngology, MLB Medical College, Jhansi, Uttar Pradesh, India

Department of ENT, Senior Resident

Anuj Shamsher Sethi, Department of Paediatrics, MLB Medical College, Jhansi, Uttar Pradesh, India

Department of Pediatrics, MLB Medical College, Jhansi


Parsons C, Hodson N. Computed tomography of paranasal sinus tumors. Radiology. 1979;132:641‑5.

Fagnan LJ. Acute sinusitis: A cost‑effective approach to diagnosis and treatment. Am Fam Physician. 1998;58:1795‑802.

Bhattacharyya N. Clinical and symptom criteria for the accurate diagnosis of chronic rhinosinusitis. Laryngoscope. 2006;116:1‑22.

Zinreich SJ. Paranasal sinus imaging. Otolaryngol Head Neck Surg. 1990;103:863‑8.

Lund VJ, Savy L, Lloyd G. Imaging for endoscopic sinus surgery in adults. J Laryngol Otol 2000;114:395‑7.

Chopra H. Nasal polyps: A clinical, histopathological and radiological profile. Indian J Otolaryngol Head Neck Surg. 2008;60:112‑6.

Bâldea V, Indrei A, Ciupilan C, Scutariu MD. Anatomical variations of landmarks in endoscopic surgery of the paranasal sinuses revealed by MRI imaging. Rev Med Chir Soc Med Nat Iasi. 2010;114(2):490-503.

Roman RA, Hedeşiu M, Gersak M, Fidan F, Băciuţ G, Băciuţ M. Assessing the prevalence of paranasal sinuses anatomical variants in patients with sinusitis using Cone Beam Computer Tomography. Clujul Med. 2016;89(3):419-21.

Simmen D, Jones N. The endoscopic examination, anatomical variants and special circumstances. Laryngorhinootologie. 2014;93(8):573-7.

Nadeem CA, Waheed AM. Paranasal sinuses mucosal thickening: Comparison between conventional radiography and computed tomography. PJMHS. 2009;3(2):128-30.

Verma J, Rathaur SK, Mishra S, Mishra AK. The role of diagnostic imaging in evaluation of nasal and paranasal sinus pathologies. Int J Otorhinolaryngol Head Neck Surg. 2016;2:140-6.

Bagul M. Computed tomography study of paranasal sinuses pathologies. Int J Sci Stud. 2016;4(4):12-6.

Kushwah APS, Bhalse R, Pande S. CT evaluation of diseases of PNS and histopathological studies. Int J Med Res Rev. 2015;3(11):1306-10.

Ranjan P, Ranjan R. CT evaluation of diseases of PNS. J Evolution Med Dent Sci. 2016;5(67):4843-50.

Kandukuri R, Phatak S. Evaluation of sinonasal diseases by computed tomography. J Clin Diagnos Res. 2016;10(11):9-12.

Bisht SS, Saurabh V, Vijay B, Sanjeev B, Anuradha K. Clinicopathological profile of sinonasal masses: Aexperience in tertiary care hospital of Uttarakhand. National J Maxillofacial Surg. 2012;3(2):180-6.

Parvez HAHM, Zahurul Huq AHM, Tarequddin Ahmed SM, Kamal MS, Kyaw KU, Bhattacharjee N. Clinicopathological study of sinonasal masses. Bangladesh J Otorhinolaryngol. 2010;16(1):15-22.

Srivastava M, Tyagi S, Kumar L. Comparative evaluation of chronic rhinosinusitis patients by conventional radiography, computed tomography and diagnostic nasal endoscopy (DNE). Indian J Otorhinolaryngol Head Neck Surg. 2016;68(2):173-8.

Chaitanya SC, Raviteja A. Computed tomographic evaluation of diseases of PNS. Int J Recent Sci Res. 2015;6(7):5081-5.

Patel AK, Patel A, Chand JS, Singh B. A study of correlation between nasal endoscopy and CT Scan in cases of chronic rhinosinusitis. J Evidence Based Med Healthcare. 2015;2(28):4128-33.

Hussein AO, Ahmed BH, Omer MAA, Manafal MFM, Elhaj AB. Assessment of clinical x-ray and CT in diagnosis of paranasal sinus diseases. Int J Sci Res. 2014;3(6):7-11.






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