Korean J Oral Maxillofac Radiol.  2008 Dec;38(4):215-218.

The value of panoramic radiography in assessing maxillary sinus inflammation

Affiliations
  • 1Department of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University, Korea. yhjung@pusan.ac.kr

Abstract

Purpose: To evaluate the value of panoramic radiography in diagnosing maxillary sinus inflammation.
MATERIALS AND METHODS
A total of 214 maxillary sinuses from 114 panoramic radiographs were assessed in this study. Two independent experienced oral radiologists evaluated the images in random order for sinus inflammation. Using Cone beam CT images as the gold standard, the sensitivity and specificity of panoramic radiography were calculated, and inter- and intraobserver agreement for panoramic interpretation were obtained.
RESULTS
The mean sensitivity and specificity of panoramic radiography were 81.0% and 85.6%, respectively. The weighted kappas for inter- and intraobserver agreement of panoramic radiography were 0.56 and 0.60, respectively.
CONCLUSION
Panoramic radiography is a reasonably accurate method for diagnosing maxillary sinus inflammation and can be used for screening. However, additional examinations should be considered in patients with potentially significant pathology.

Keyword

Maxillary Sinus; Radiography, Panoramic; Cone-Beam Computed Tomography

MeSH Terms

Cone-Beam Computed Tomography
Humans
Inflammation
Mass Screening
Maxillary Sinus
Radiography, Panoramic
Sensitivity and Specificity
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