RELATIONSHIP BETWEEN COMPUTED TOMOGRAPHY CHARACTERISTIC FIGURES AND ENDOSCOPIC FINDINGS IN CHRONIC RHINOSINUSITIS PATIENTS

Anh Tuan Phung1, , Viet Hoan Tran2,3
1 Military Hospital 103
2 Vietnam Military Medical University
3 Military Hospital 6

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Abstract

Objectives: To compare computed tomography (CT) and endoscopic findings in patients with chronic rhinosinusitis. Methods: A prospective, cross-sectional descriptive study was conducted on 58 patients with chronic rhinosinusitis who were examined by endoscopy, CT-scans, and treated at Military Hospital 103 from August 2025 to March 2026. The findings on the two methods were compared using the Kappa coefficient. Results: There was a substantial agreement between the two methods in assessing ostiomeatal complex obstruction (Kappa = 0.65) and a poor agreement in assessing the severity of rhinosinusitis (Kappa = 0.37). The agreements between endoscopy and CT scans ranged from poor to substantial in assessing different components of the nasal cavity (Kappa = 0.24 - 0.63). Conclusion: Endoscopy and CT scans show a range of poor to substantial agreements in assessing rhinosinusitis lesions. 

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References

1. Bộ Y tế. Quyết định số 5643/QĐ-BYT ngày 31/12/2015. Hướng dẫn chẩn đoán và điều trị một số bệnh về Tai Mũi Họng. Nhà xuất bản Y học, Hà Nội. 2016.
2. Fokkens WJ, Lund VJ, Hopkins C, et al. Executive summary of EPOS 2020 including integrated care pathways. Rhinology. 2020;58(2):82-111.
3. Deosthale NV, Khadakkar SP, Harkare VV, et al. Diagnostic accuracy of nasal endoscopy as compared to computed tomography in chronic rhinosinusitis. Indian Journal of Otolaryngology and Head & Neck Surgery. 2017;69(4):494-9.
4. Phạm Minh Hiển. Nghiên cứu đặc điểm hình ảnh cắt lớp vi tính ở bệnh nhân viêm mũi xoang mạn tính. Luận văn chuyên khoa II, Trường Đại học Y Dược Huế. 2022.
5. Nguyễn Quang Hùng, Phạm Thanh Hải, Tạ Hùng Sơn và CS. Nghiên cứu lâm sàng, hình ảnh nội soi và chụp cắt lớp vi tính của viêm xoang mạn tính có polyp mũi tại Khoa Tai Mũi Họng, Bệnh viện Hữu nghị Việt Tiệp Hải Phòng. Tạp chí Tai Mũi Họng Việt Nam. 2023;68(4):30-5.
6. Hoàng Đình Âu, Hoàng Thị Quyên. Xác định mối tương quan giữa thang điểm Lund–Mackay trên cắt lớp vi tính xoang và Lund-Kennedy qua nội soi mũi trong viêm xoang do nấm. Tạp chí Y học Việt Nam. 2024;534(2):245-9.
7. Garg A, Khare PK, Rawat PS. Comparative study of diagnostic value of CT paranasal sinus and diagnostic nasal endoscopy in patients of chronic rhinosinusitis. International Journal of Academic Medicine and Pharmacy. 2024;6(6):775-81.
8. Chakraborty P and Jain RK. Nasal endoscopy as an effective alternative for CT-scan in diagnosing chronic rhinosinusitis: a clinical study and review of literature. Indian Journal of Otolaryngology and Head & Neck Surgery. 2017;71(3):1734-38.
9. Singh AK, Kanaujia SK, Khan MS, et al. Determination of sensitivity and specificity of diagnostic nasal endoscopy compared to computed tomography scan of nasal and paranasal sinuses among patients suffering from chronic rhinosinusitis. Cureus. 2025;17(7):e87760.
10. Acharia K, Thakur P, Dasgupta P, et al. The role of diagnostic nasal endoscopy and computed tomography scan in chronic rhinosinusitis in adults: a study of clinical correlation. Indian J Otolaryngol Head Neck Surg. 2025;77(3): 1552-7.