Assessment of Clinical, X-ray and CT in Diagnosis of Paranasal Sinus Diseases

Para nasal sinuses diseases are common and include wide spectrum ranging from inflammation to neoplasm. They have been evaluated to reveal the value of clinical diagnosis, water’s view technique relative to CT exam at Ear Nose Throat at Khartoum specialist hospital among a total of 240 patients and their ages ranged from 8 to 95 years old. Based on the clinical history and the examinations of X-ray paranasal sinuses (PNS) (Water’s view) and CT-PNS, the analysis revealed that: the female were commonly involved with paranasal sinuses pathologies with 54% relative to males 46%, the common involved age with sinuses pathologies was 19-29 years old taking 29.2%, the common pathologies involving sinuses were polyp, chronic sinusitis and acute sinusitis with a percent of 33.8%, 23.8% and 17.1, respectively, while the symptom were the nasal obstruction, nasal discharge and headache with a percent with a percent of 87.9%, 69.2% and 60.4 respectively, maxillary sinus was the common involved sinuses with a percent of 72.1%, followed by the ethmoidal, frontal and the sphenoidal sinuses with a percent of45.4%, 31.7%, 27.2% respectively. When the sensitivity and specificity of clinical diagnosis (CD) versus CT diagnosis correlated it revealed that the CD has a considerable sensitivity and specificity in diagnosis of acute and chronic sinusitis as (97.6%, 91%) and (93%, 75.4%) respectively and when the sensitivity and specificity of water’s view technique diagnosis versus CT diagnosis correlated it revealed that the water’s view technique has a considerable sensitivity and specificity in diagnosis of acute sinusitis at 87.8% and 92% respectively