The Value of Spiral Chest Computed Tomography Scan in the Diagnosis of Asymptomatic Coronavirus Carriers among Paranasal Sinus and Pharynx Surgery Candidates
Introduction The nasopharynx and oropharynx are the main colonization sites of coronavirus. Therefore, patients with paranasal sinuses and pharyngeal problems (ear, nose, and throat [ENT] patients) predispose coronavirus infection. Ear, nose, and throat patients with concomitant asymptomatic coronav...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-07-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1745733 |
| _version_ | 1818521528502845440 |
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| author | Mehrdad Hasibi Ali Asadollahi-Amin Hashem Sharifian Mohammad Ali Kazemi Pershang Nazemi Ali Kouhi Babak Mohajer Iravani SeyedAhmad SeyedAlinaghi |
| author_facet | Mehrdad Hasibi Ali Asadollahi-Amin Hashem Sharifian Mohammad Ali Kazemi Pershang Nazemi Ali Kouhi Babak Mohajer Iravani SeyedAhmad SeyedAlinaghi |
| author_sort | Mehrdad Hasibi |
| collection | DOAJ |
| description | Introduction The nasopharynx and oropharynx are the main colonization sites of coronavirus. Therefore, patients with paranasal sinuses and pharyngeal problems (ear, nose, and throat [ENT] patients) predispose coronavirus infection. Ear, nose, and throat patients with concomitant asymptomatic coronavirus infection may develop severe pneumonia following surgical procedures. As a result, presurgical screening for coronavirus infection is a substantial concern.
Objective We evaluated the usefulness of a spiral chest computed tomography (CT) scan in the diagnosis of asymptomatic coronavirus infection in the presurgical assessment of ENT patients
Methods In this study, candidates of paranasal sinus or pharyngeal surgery were evaluated for coronavirus infection. Patients with neither history of coronavirus disease 2019 (COVID-19) nor compatible symptoms and signs were screened for asymptomatic coronavirus infection. These patients composed two groups: the first group underwent a reverse transcription polymerase chain reaction (RT-PCR) test of nasopharyngeal sample and spiral chest CT scan, but for the second one, only the latter was performed.
Results In the first group, which consisted of 106 patients, 11 (10.4%) cases had positive RT-PCR test results, and 17 (16%) patients showed positive findings in favor of coronavirus infection in the spiral chest CT scan. In the second group, which consisted of 173 patients, 34 (19.7%) cases had positive chest CT scan results.
Conclusion The chest CT scan has a valuable role in the early diagnosis of asymptomatic coronavirus carriers in patients highly predisposed to infection, especially in low resource areas, where the RT-PCR test is unavailable. |
| first_indexed | 2024-12-11T01:52:16Z |
| format | Article |
| id | doaj.art-38ec44247ddb4b85a5a41cdcfefa6907 |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-12-11T01:52:16Z |
| publishDate | 2022-07-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-38ec44247ddb4b85a5a41cdcfefa69072022-12-22T01:24:42ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642022-07-012603e487e49010.1055/s-0042-1745733The Value of Spiral Chest Computed Tomography Scan in the Diagnosis of Asymptomatic Coronavirus Carriers among Paranasal Sinus and Pharynx Surgery CandidatesMehrdad Hasibi0Ali Asadollahi-Amin1Hashem Sharifian2Mohammad Ali Kazemi3Pershang Nazemi4Ali Kouhi5Babak Mohajer Iravani6SeyedAhmad SeyedAlinaghi7Department of Infectious Diseases, Amir-Alam Hospital, Tehran University of Medical Sciences, Tehran, IranIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, IranDepartment of Radiology Diseases, Amir-Alam Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Radiology Diseases, Amir-Alam Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Infectious Diseases, Yas Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Otolaryngology, Head and Neck Surgery, Amir-Alam Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Infectious Diseases, Amir-Alam Hospital, Tehran University of Medical Sciences, Tehran, IranIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, IranIntroduction The nasopharynx and oropharynx are the main colonization sites of coronavirus. Therefore, patients with paranasal sinuses and pharyngeal problems (ear, nose, and throat [ENT] patients) predispose coronavirus infection. Ear, nose, and throat patients with concomitant asymptomatic coronavirus infection may develop severe pneumonia following surgical procedures. As a result, presurgical screening for coronavirus infection is a substantial concern. Objective We evaluated the usefulness of a spiral chest computed tomography (CT) scan in the diagnosis of asymptomatic coronavirus infection in the presurgical assessment of ENT patients Methods In this study, candidates of paranasal sinus or pharyngeal surgery were evaluated for coronavirus infection. Patients with neither history of coronavirus disease 2019 (COVID-19) nor compatible symptoms and signs were screened for asymptomatic coronavirus infection. These patients composed two groups: the first group underwent a reverse transcription polymerase chain reaction (RT-PCR) test of nasopharyngeal sample and spiral chest CT scan, but for the second one, only the latter was performed. Results In the first group, which consisted of 106 patients, 11 (10.4%) cases had positive RT-PCR test results, and 17 (16%) patients showed positive findings in favor of coronavirus infection in the spiral chest CT scan. In the second group, which consisted of 173 patients, 34 (19.7%) cases had positive chest CT scan results. Conclusion The chest CT scan has a valuable role in the early diagnosis of asymptomatic coronavirus carriers in patients highly predisposed to infection, especially in low resource areas, where the RT-PCR test is unavailable.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1745733covid 19chest ctent surgery |
| spellingShingle | Mehrdad Hasibi Ali Asadollahi-Amin Hashem Sharifian Mohammad Ali Kazemi Pershang Nazemi Ali Kouhi Babak Mohajer Iravani SeyedAhmad SeyedAlinaghi The Value of Spiral Chest Computed Tomography Scan in the Diagnosis of Asymptomatic Coronavirus Carriers among Paranasal Sinus and Pharynx Surgery Candidates International Archives of Otorhinolaryngology covid 19 chest ct ent surgery |
| title | The Value of Spiral Chest Computed Tomography Scan in the Diagnosis of Asymptomatic Coronavirus Carriers among Paranasal Sinus and Pharynx Surgery Candidates |
| title_full | The Value of Spiral Chest Computed Tomography Scan in the Diagnosis of Asymptomatic Coronavirus Carriers among Paranasal Sinus and Pharynx Surgery Candidates |
| title_fullStr | The Value of Spiral Chest Computed Tomography Scan in the Diagnosis of Asymptomatic Coronavirus Carriers among Paranasal Sinus and Pharynx Surgery Candidates |
| title_full_unstemmed | The Value of Spiral Chest Computed Tomography Scan in the Diagnosis of Asymptomatic Coronavirus Carriers among Paranasal Sinus and Pharynx Surgery Candidates |
| title_short | The Value of Spiral Chest Computed Tomography Scan in the Diagnosis of Asymptomatic Coronavirus Carriers among Paranasal Sinus and Pharynx Surgery Candidates |
| title_sort | value of spiral chest computed tomography scan in the diagnosis of asymptomatic coronavirus carriers among paranasal sinus and pharynx surgery candidates |
| topic | covid 19 chest ct ent surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1745733 |
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