Yousem D M
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
Radiology. 1993 Aug;188(2):303-14. doi: 10.1148/radiology.188.2.8327669.
Changes in imaging sinonasal inflammatory disease have paralleled changes in the treatment of chronic sinusitis. As functional endoscopic sinus surgery has become a more widespread technique, coronal computed tomography (CT) has become the primary imaging modality, replacing plain radiography. Knowledge of the plethora of sinonasal anatomic variations and the inherent surgical implications is critical to the interpretation of the CT scans and to the safe performance of endoscopic surgery. Currently, the role of magnetic resonance imaging is restricted to the evaluation of complicated sinusitis, intraorbital and intracranial manifestations of aggressive sinusitis, and sinonasal neoplasms.
鼻窦炎性疾病的影像学变化与慢性鼻窦炎的治疗变化同步。随着功能性鼻内镜鼻窦手术成为一种更广泛应用的技术，冠状位计算机断层扫描（CT）已成为主要的影像学检查方式，取代了普通X线摄影。了解大量的鼻窦解剖变异及其固有的手术意义对于CT扫描的解读和鼻内镜手术的安全实施至关重要。目前，磁共振成像的作用仅限于评估复杂性鼻窦炎、侵袭性鼻窦炎的眶内和颅内表现以及鼻窦肿瘤。
