Occipito-mental side projection radiography in childhood maxillary sinusitis. 1990

K Ilkka, and R Matti
Department of Otolaryngology, Central Hospital of Kanta-Häme, Hämeenlinna, Finland.

152 sinuses of children with acute maxillary sinusitis were roentgenographically examined with both a standard occipito-mental (OM) and an occipito-mental side (OMS) projection. In the acute phase of the disease the OMS projection was superior in 13% of sinuses in demonstrating the presence of retained maxillary secretion. When the result of medical treatment was controlled after two weeks the superiority was seen only in 1% of sinuses due to the major difference between the subgroups' 'mucosal thickening'. The clinical importance of the OM finding 'mucosal thickening' seems to be different in the acute and in the follow-up phase. From the clinical point of view single OM projection seems to be sufficient in most cases. However, the OMS projection seems to be a useful adjunct to or replacement of the standard OM radiogram in the acute phase of childhood maxillary sinusitis, if it is felt necessary to demonstrate the presence of retained secretion in spite of the increased radiation. When the result of treatment is evaluated, in unilateral cases OMS projection can replace OM projection.

UI MeSH Term Description Entries
D008443 Maxillary Sinus The air space located in the body of the MAXILLARY BONE near each cheek. Each maxillary sinus communicates with the middle passage (meatus) of the NASAL CAVITY on the same side. Antrum of Highmore,Maxillary Antrum,Maxillary Ostium,Antrum, Maxillary,Highmore Antrum,Maxillary Antrums,Maxillary Ostiums,Sinus, Maxillary
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000208 Acute Disease Disease having a short and relatively severe course. Acute Diseases,Disease, Acute,Diseases, Acute
D015523 Maxillary Sinusitis Inflammation of the NASAL MUCOSA in the MAXILLARY SINUS. In many cases, it is caused by an infection of the bacteria HAEMOPHILUS INFLUENZAE; STREPTOCOCCUS PNEUMONIAE; or STAPHYLOCOCCUS AUREUS. Sinusitis, Maxillary,Maxillary Sinusitides,Sinusitides, Maxillary

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