장용주 교수는 Ann Otol Rhinol Laryngol 에 “Incidence and Radiological Findings of Incidental Sinus Opacifications in Patients Undergoing Undergoing Septoplasty or Septorhinoplasty. (비중격수술 또는 비중격 및 외비성형수술을 시행받은 환자들에서 우연히 발견되는 부비동 음영의 발생률과 방사선학적 소견)”이라는 논문을 게재하였다

Ann Otol Rhinol Laryngol. 2019 Sep 20:3489419878453. doi: 10.1177/0003489419878453

Incidence and Radiological Findings of Incidental Sinus Opacifications in Patients Undergoing Septoplasty or Septorhinoplasty.

Kim SH, Oh JS, Jang YJ.

Abstract

OBJECTIVES: Although the routine use of computed tomography (CT) is controversial, it is employed in the preoperative screening of patients undergoing septoplasty or septorhinoplasty. The aim of this study was to evaluate the incidence and radiological characteristics of incidentally found sinus pathologies on screening CT in patients who underwent elective septoplasty or septorhinoplasty.

METHODS: We retrospectively reviewed the patients who underwent septoplasty and septorhinoplasty performed by a single surgeon (Y.J.J.) at Asan Medical Center between January 2016 and December 2017. CT images of 372 patients who had agreed to undergo preoperative CT were reviewed to determine the location and extent of incidental sinus opacifications.

RESULTS: Of the 372 patients, 107 (28.8%) showed incidental sinus lesions on CT images. Opacifications were mainly found in the maxillary sinus (73, 68.2%), followed by the ethmoid (34, 31.8%), sphenoid (10, 9.3%), and frontal (3, 2.8%) sinuses. The most common sinus lesion was retention cyst (55, 51.4%), and the second most common one was opacification and mucosal thickening (46, 43%). Other lesions such as osteoma (3, 2.8%), dental cyst (2, 1.9%), and mucocele (1, 0.9%) were rarely found.

CONCLUSIONS: Preoperative CT in patients undergoing septoplasty or septorhinoplasty might be helpful to surgeons not only for better understanding the anatomical detail but also for detecting hidden paranasal sinus disease.

PMID: 31639874