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The use of cone beam computed tomography of paranasal sinuses in the investigation and management of rhinosinusitis: a national survey and our ‘one-stop’ rhinology clinic experience

Published online by Cambridge University Press:  12 January 2022

A Munnings Open the ORCID record for A Munnings [Opens in a new window] ,
S Sood  and
D Gupta
A Munnings*
Affiliation:
ENT Department, Great Western Hospital, Swindon, UK
S Sood
Affiliation:
ENT Department, Great Western Hospital, Swindon, UK
D Gupta
Affiliation:
ENT Department, Great Western Hospital, Swindon, UK
*
Author for correspondence: Dr A Munnings, ENT Department, Great Western Hospital, Marlborough Road, SwindonSN3 6BB, UK E-mail: amberley.munnings@nhs.net
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Abstract

Objective

Cone beam computed tomography is an imaging technique that can be used for the paranasal sinuses. This study assessed how widely it is used and the impact it has on chronic rhinosinusitis management in the ENT department of one hospital.

Method

A nationwide survey was conducted to assess the use of cone beam computed tomography throughout ENT UK members. A retrospective analysis of four-year rhinology clinic data for patients presenting with chronic rhinosinusitis symptoms was subsequently performed to assess how many scans were achieved the same day and the subsequent patient management.

Results

The survey results indicated that a majority of staff do not use cone beam computed tomography to image sinuses (86.5 per cent), and this was largely because of lack of access (92 per cent). This study assessed 355 cone beam computed tomography requests. Overall, 306 cases had a cone beam computed tomography scan on the same day as their clinic appointment with the majority seen back in clinic during the same hospital attendance for the results. Overall, 97 patients were discharged on the same day.

Conclusion

This study suggested a lack of awareness and understanding of cone beam computed tomography in managing rhinosinusitis. The ‘one-stop’ rhinology clinic model offers benefits including reduced patient hospital attendance.

Keywords

Cone BeamParanasal SinusesNasal SinusesRhinosinusitisSinusitis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1226 - 1230
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr A Munnings takes responsibility for the integrity of the content of the paper

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