B-ENT
Original Article

Evaluation of Radiological Images of Cases Operated for Nasal Polyp

1.

Department of Radiology, Recep Tayyip Erdoğan University School of Medicine, Rize, Turkey

2.

Department of Ear, Nose and Throat, Mustafa Kemal University School of Medicine, Hatay, Turkey

B-ENT 2022; 18: 2-6
DOI: 10.5152/B-ENT.2022.21362
Read: 956 Downloads: 541 Published: 01 January 2022

Objective: In this study, we aimed to evaluate the differential diagnosis of nasal polyps and infected nasal polyps before the operation with density measurement in paranasal sinus computed tomography examination.

Methods: The study included 129 patients (93 men and 36 women; mean age 41.00 years; range 13 to 82 years) diagnosed as nasal polyps (nasal polyps group) and 26 patients (17 men, 9 women; mean age 42.50 years; range 16 to 74 years) diagnosed as infected nasal polyps. In the preoperative paranasal computed tomography examination, the nasal polyps density of the patients was scored according to the Lund-Mackey system. To measure the volume of inflammatory opacification, the soft tissue density ratio (%) was measured. Neutrophil to lymphocyte ratio, mean platelet volume values, Lund-Mackey system, and soft tissue density ratio scores were statistically compared in all the groups.

Results: The median mean platelet volume value was 9.40 (6.4-12.0) in the nasal polyps group and 10.20 (7.9-12.1) in the infected nasal polyps group with a statistically significant difference (P = .007). There was a significant positive correlation between infected nasal polyps and mean platelet volume (P = .006, r = 0.219**), Lund-Mackey system total, and soft tissue density ratio total (P = .000, r = 0.797**). According to the results of receiver operating curve analysis in patients with infected nasal polyps, sensitivity 61.5% and specificity 60.5% for mean platelet volume (P = .007, area under curve: 0.669 [0.574–0.763]) were found. The cut-off point for mean platelet volume value was > 9.95.

Conclusion: If there is an infection in patients with nasal polyps, surgery should be considered after antibiotic therapy. The use of mean platelet volume as a marker of inflammation in these patients appears to be more reliable than the Lund-Mackey system and soft tissue density ratio scores.

Cite this article as: Burakgazi G, Arlı C. Evaluation of Radiological Images of Cases Operated for Nasal Polyp. B-ENT 2022;18(1):2-6.

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