Sinus computed tomography findings in patients with COVID-19

Daniel Vaccaro Sumi, Rafael Maffei Loureiro, Simon Michael Collin, Patrícia Duarte Deps, Lorena Lima Bezerra, Regina Lúcia Elia Gomes, Mauro Miguel Daniel

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

OBJECTIVE: To analyze computed tomography scans of paranasal sinuses of a series of patients with coronavirus disease 2019, and correlate the findings with the disease.

METHODS: Computed tomography scans of 95 adult patients who underwent a polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 were analyzed. Clinical data were obtained from patients' records and telephone calls. Paranasal sinus opacification was graded and compared according to severe acute respiratory syndrome coronavirus 2 positivity.

RESULTS: Of the patients 28 (29.5%) tested positive for severe acute respiratory syndrome coronavirus 2 (median age 52 [range 26-95] years) and 67 were negative (median age 50 [range 18-95] years). Mucosal thickening was present in 97.4% of maxillary sinuses, 80% of anterior ethmoid air cells, 75.3% of posterior ethmoid air cells, 74.7% of frontal sinuses, and 66.3% of sphenoid sinuses. Minimal or mild mucosal thickening (score 1)and normally aerated sinuses (score 0) corresponded to 71.4% and 21.3% of all paranasal sinuses, respectively. The mean score of each paranasal sinus among severe acute respiratory syndrome coronavirus 2 positive and negative patients was 0.85±0.27 and 0.87±0.38, respectively (p=0.74). Median paranasal sinus opacification score among severe acute respiratory syndrome coronavirus 2 positive patients was 9 (interquartile range 8-10) compared to 9 (interquartile range 5-10) in negative patients (p=0.89). There was no difference in mean score adjusted for age and sex. Nasal congestion was more frequent in severe acute respiratory syndrome coronavirus 2 positive than negative patients (p=0.05).

CONCLUSION: Severe acute respiratory syndrome coronavirus 2 infection was associated with patient recall of nasal congestion, but showed no correlation with opacification of paranasal sinuses.

Original languageEnglish
Pages (from-to)eAO6255
JournalEinstein (Sao Paulo, Brazil)
Volume19
DOIs
Publication statusPublished - 9 Mar 2021

Structured keywords

  • Covid19

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19/diagnostic imaging
  • Frontal Sinus/diagnostic imaging
  • Humans
  • Maxillary Sinus/diagnostic imaging
  • Middle Aged
  • Sphenoid Sinus/diagnostic imaging
  • Tomography, X-Ray Computed
  • Young Adult

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