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Sinus, middle-ear and mastoid radiological findings of severe acute respiratory syndrome coronavirus-2.
Watts, E; Balai, E; Kwatra, D; Banerjee, S; Hoskison, E.
  • Watts E; Department of ENT Surgery, University Hospitals Coventry and Warwickshire, Coventry, UK.
  • Balai E; Department of ENT Surgery, University Hospitals Coventry and Warwickshire, Coventry, UK.
  • Kwatra D; Department of ENT Surgery, University Hospitals Coventry and Warwickshire, Coventry, UK.
  • Banerjee S; Department of ENT Surgery, University Hospitals Coventry and Warwickshire, Coventry, UK.
  • Hoskison E; Department of ENT Surgery, University Hospitals Coventry and Warwickshire, Coventry, UK.
J Laryngol Otol ; : 1-5, 2022 Oct 20.
Article in English | MEDLINE | ID: covidwho-2246271
ABSTRACT

OBJECTIVE:

To assess the incidence of radiological inflammation within the paranasal sinuses, middle ear and mastoid in patients with confirmed severe acute respiratory syndrome coronavirus-2.

METHODS:

A retrospective cohort study was conducted to examine consecutive adults (aged over 18 years) with coronavirus disease 2019 (confirmed on polymerase chain reaction within 7 days of imaging) who underwent computed tomography of the head between 1 March 2020 and 24 June 2020. Lund-Mackay and mastoid and middle-ear opacification scores were used to categorise the extent of sinus and mastoid opacification on axial and coronal computed tomography images.

RESULTS:

Of 147 patients originally identified, only 83 met the inclusion criteria. Sinus opacification was present in 51.8 per cent of patients (n = 43), and middle-ear or mastoid opacification was observed in 24.1 per cent (n = 20). There was no statistically significant difference in sinus or middle-ear and mastoid opacification between patients after stratification based on 30-day all-cause mortality.

CONCLUSION:

Radiological computed tomography findings suggest mild mucosal disease within the sinuses, middle ear and mastoid. There was no statistical correlation between such opacification and 30-day mortality.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: J Laryngol Otol Journal subject: Otolaryngology Year: 2022 Document Type: Article Affiliation country: S0022215122002304

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: J Laryngol Otol Journal subject: Otolaryngology Year: 2022 Document Type: Article Affiliation country: S0022215122002304