Revonta M, Suonpää J
J Laryngol Otol. 1981 Feb;95(2):133-40. doi: 10.1017/s0022215100090538.
The prevalence of subacute, occult maxillary sinusitis in children undergoing adenoidectomy, adenotonsillectomy or tympanostomy was 27 per cent as confirmed by antral puncture. A-mode ultrasound examination and radiographic examination with the occipito-mental projection were used as preoperative screening tests for the detection of maxillary sinus discharge. 135 children aged 4--10 years were examined. An abnormal radiographic finding was found in 40 per cent of children. When punctured these sinuses yielded discharge in 62 per cent of cases. A normal radiographic finding proved to be reliable (98 per cent). The total agreement between puncture and radiographic finding was 73 per cent. The total agreement between puncture and A-mode ultrasound finding was 94 per cent. The A-scan was positive in 88 per cent of the sinuses with discharge. A-mode ultrasonic examination proved to be a simple, non-ionizing reliable means of monitoring retained secretion within maxillary sinuses of children.
经上颌窦穿刺证实，在接受腺样体切除术、腺扁桃体切除术或鼓膜造口术的儿童中，亚急性隐匿性上颌窦炎的患病率为27%。A型超声检查和枕颏位X线检查被用作术前筛查试验，以检测上颌窦分泌物。对135名4至10岁的儿童进行了检查。40%的儿童X线检查结果异常。在穿刺时，这些鼻窦在62%的病例中引流出分泌物。X线检查结果正常被证明是可靠的（98%）。穿刺与X线检查结果的总一致性为73%。穿刺与A型超声检查结果的总一致性为94%。在有分泌物的鼻窦中，A超检查的阳性率为88%。A型超声检查被证明是一种简单、非电离的可靠方法，可用于监测儿童上颌窦内的潴留分泌物。
