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Clinical consensus statement: appropriate use of computed tomography for paranasal sinus disease. Otolaryngol Head Neck Surg 2012 Nov;147(5):808-16



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OBJECTIVE: To develop a consensus statement on the appropriate use of computed tomography (CT) for paranasal sinus disease.

SUBJECTS AND METHODS: A modified Delphi method was used to refine expert opinion and reach consensus by the panel.

RESULTS: After 3 full Delphi rounds, 33 items reached consensus and 16 statements were dropped because of not reaching consensus or redundancy. The statements that reached consensus were grouped into 4 categories: pediatric sinusitis, medical management, surgical planning, and complication of sinusitis or sinonasal tumor. The panel unanimously agreed with 13 of the 33 statements. In addition, at least 75% of the panel strongly agreed with 14 of 33 statements across all of the categories.

CONCLUSIONS: For children, careful consideration should be taken when performing CT imaging but is needed in the setting of treatment failures and complications, either of the pathological process itself or as a result of iatrogenic (surgical) complications. For adults, imaging is necessary in surgical planning, for treatment of medical and surgical complications, and in all aspects of the complete management of patients with sinonasal and skull base pathology.

Author List

Setzen G, Ferguson BJ, Han JK, Rhee JS, Cornelius RS, Froum SJ, Gillman GS, Houser SM, Krakovitz PR, Monfared A, Palmer JN, Rosbe KW, Setzen M, Patel MM


John S. Rhee MD Chair, Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Paranasal Sinus Diseases
Tomography, X-Ray Computed
jenkins-FCD Prod-486 e3098984f26de787f5ecab75090d0a28e7f4f7c0