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Improving paranasal sinus computed tomography reporting prior to functional endoscopic sinus surgery – an ENT-UK panel perspective

Published online by Cambridge University Press:  24 October 2016

S G Mistry ,
D R Strachan  and
E L Loney
S G Mistry*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Bradford Teaching Hospitals NHS Foundation Trust, UK
D R Strachan
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Bradford Teaching Hospitals NHS Foundation Trust, UK
E L Loney
Affiliation:
Department of Radiology, County Durham and Darlington NHS Foundation Trust, Durham, UK
*
Address for correspondence: Mr Sandeep G Mistry, Department of Otolaryngology – Head and Neck Surgery, Bradford Royal Infirmary, Bradford BD9 6RJ, UK Fax: 01274 545 233 E-mail: smis83@doctors.org.uk
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Abstract

Background:

Functional endoscopic sinus surgery is recognised to have a significant complication profile (e.g. blindness, cerebrospinal fluid leak and intracranial sepsis). Pre-operative computed tomography imaging is considered mandatory for surgical planning to reduce intra-operative risk. A radiological report is the ‘gold standard’ in image interpretation; however, because of a lack of otolaryngological or radiological guidance, its contents may be variable. By surveying practising otolaryngologists, this study aimed to provide some guidance which may be used by radiologists to produce more surgically relevant radiological reports.

Method:

A prospective questionnaire was distributed to the ENT-UK panel.

Results:

A total of 117 consultant members of the panel completed the survey. Twenty-nine per cent indicated that they were uncomfortable interpreting all areas of the computed tomography scan. Greatest importance was given to areas including the ethmoid roof (dehiscence, asymmetry and angle), lamina papyracea (dehiscence) and sphenoid sinus (carotid canal dehiscence and optic nerve relationships).

Conclusion:

Functional endoscopic sinus surgery is commonly performed by non-subspecialist rhinologists. The information obtained from this study can be used by radiologists to improve report relevance, particularly for the generalist ENT surgeon. This contributes to improving patient safety and helps avoid medicolegal litigation when complications arise.

Keywords

TomographyX-Ray ComputedMedicolegal AspectsNatural Orifice Endoscopic SurgerySinusitisPerioperative Care
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 10 , October 2016 , pp. 962 - 966
Copyright
Copyright © JLO (1984) Limited 2016 

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