CAT scan of the sinuses...questions

anonymous

New member
I would think they would. Our ds had his first sinus ct scan after 4 wks of ceftin for what was obviously a sinus infection, followed by two months of non-stop illness, including fevers, ear infections, etc. & 2 more antibiotics. At the time of the ct scan, we THOUGHT his sinuses were clear because he didn't have ANY nasal symptoms. That ct was pretty much the same as what you said your child's was like. When another 6 wks of a stronger antibiotic didn't clear it, we were referred to an ENT for sinus surgery to clean them out. Now, we know not to judge by nasal symptoms but more by other symptoms. HTH.
 

trishwhis

New member
Thanks for responding...does your child have cf? Did you have the sinus surgery...if so how was it for your child and at what age did you have it done? Thanks for the info.
 

anonymous

New member
After a year of contant colds and antibiotics we had a CT SCAN that showed of my daughters sinuses completely blocked but she ended up having polyps, not just a sinus infecttion. How can they tell the difference. When she had her polyps removed she was 100% better and we weren't on antibiotics anymore. How can they tell the difference between polyps and mucosal disease?
Debbie, Mother of 2 girls w/cf
 

trishwhis

New member
I don't know how they can tell if the polyps are there if the sinuses are blocked with mucus. I know the polyps are a growth of tissue. How was the surgery for your daughter ? Was the CT part of being diagnosed with CF?
 

anonymous

New member
My son, who is now 4, had a CT scan to look for polyps. His CF doctor could see nasal polyps just by looking in his nose, but he wanted a CT scan to see if there were polyps in his sinuses as well. There were tons!!!! He had surgery to remove all his polyps, tonsils and adenoids and now he feels great. No problems at all!
 

anonymous

New member
Ok, this is my basic understanding. Mucosal thickening is basically inflammation of the sinuses. The sinus will just look thicker on the ct and there will be less airspace as a result. My understanding is they actually measure the layer to see how thick it is. If there is a polyp, the layer will be thicker but then it will look like it's protruding out into the airspace kind of like a finger. If there's opacification then there will be a slightly different shade of gray/black (opacification = air/fluid levels meaning the sinus is partially or completely filled with mucous as opposed to air like it's suppose to be). Cts are really rather fascinating. I've seen our ds's several time from packing them around from one specialist to another, along with they myriad of chest x-rays, etc, etc.

Here's a site that actually shows/explains cts and sinus disease fairly well:
<a target=new class=ftalternatingbarlinklarge href="http://www.sinuses.com/ctscan.htm">http://www.sinuses.com/ctscan.htm</a>
 

trishwhis

New member
Thank you for that great link on the CT scans...I happened to have my daughters at home with me and it was really neat to compare. Thank you for all of the helpful information.
 

CHERIE4HARTS

New member
I have just joined this site and am noticing that there are not many parents of older children that write in too much. I think that my saving grace years ago was the support of other, and more experienced parents.
As for the sinus, my son who is now 21 years old, has had problems all his life. The clinics/Drs never considered them in the earlier years, but I am glad to hear you all talking about it now. By now my son has had 8 sinus surgeries, and each time the procedure is better and he feels great for quite a while. He ususally flies thru the surgery, and yes, years ago he had polyps removed and they haven't come back. Last surgery was just 8 weeks ago, and they got into spots that "had never been touched". Most of all his lung infections and problems have always started with the sinus's- just keep an open mind when you see your child not feeling well- ask your Dr about nasal irrigation and forstall a lot of problems.
 
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