PubMed · 8192762
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R P Harrie. 1993-12-08. Imaging for sinusitis.. https://pubmed.ncbi.nlm.nih.gov/8192762/
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The radiation dose to the lens during CT of the paranasal sinuses was measured in 20 patients. In 10 patients, a "standard" technique with axial and coronal sections was used. In the remaining 10 patients, overlapping axial sections for bidimensional reconstruction were obtained. Radiation dose was measured using thermoluminescent dosimeters. The mean dose was 22 mGy in patients who underwent "standard" CT and 42 mGy in those who underwent CT with overlapping sections. Dose was dependent on the total number of slices and of transorbital axial sections. Coronal sections did not statistically increase the radiation dose to the lenses. Although these doses were significantly below the critical dose for cataracts, CT with overlapping sections gives a considerably higher radiation dose. We recommend the bidimensional reconstruction technique only for selected cases (e.g. preoperative assessment of the roof of the ethmoid sinuses or in patients who can or should not maintain the hyperextended position required for coronal views.
The Caldwell-Luc operation was performed on 38 patients with and without the counteropening at the inferior meatus in order to investigate whether the opening is necessary or not. The blood loss with the opening was 108 g more on average than that on the side without it. The operation time was 11 min longer in the group with a counteropening. The differences in these two items were statistically significant. The difference in cheek swelling with both methods was not statistically significant. Postoperative conditions followed up to over 2 years showed no significant differences on both sides. The establishment of the counterdrainage at the inferior meatus is not necessary considering operation time, blood loss, possibility of nasolacrimal duct injury and early postoperative conditions.
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