Proposed computed tomography severity index for the evaluation of invasive fungal sinusitis: Preliminary results

doi:10.4329/wjr.v16.i12.771

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World Journal of Radiology

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1949-8470

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Radiol. Dec 28, 2024; 16(12): 771-781
Published online Dec 28, 2024. doi: 10.4329/wjr.v16.i12.771

Table 1 Computed tomography severity scoring index

Items	Value
Disease limited to nose/PNS
Mucosal disease in paranasal sinuses	1
Mucosal disease in nasal cavity and nasopharynx	1
Adjacent tissue invasion
Hard palate erosion	1
Soft tissue infiltration anterior/posterior periantral fat	1
Soft tissue infiltration extending to PPF/SOF/IOF/Orbital apex/ITF	2
Significant bilateral disease	2
Orbit
Soft tissue/fat/muscle/NLD involvement	1
Bone erosion	2
Intraocular/optic nerve involvement	3
Intracranial disease
Skull base invasion (erosion)	2
Cavernous sinus involvement	3
Internal carotid artery narrowing/occlusion	3
Intracranial complications (meningitis/cerebritis/abscess/infarct)	3

Mild: 1-8; Moderate: 9-16; Severe: 17-25. PNS: Paranasal sinuses; PPF: Pterygopalatine fossa; SOF: Superior orbital fissure; IOF: Inferior orbital fissure; ITF: Infratemporal fossa; NLD: Nasolacrimal duct.

Citation: Manchanda S, Bhalla AS, Nair AD, Sikka K, Verma H, Thakar A, Kakkar A, Khan MA. Proposed computed tomography severity index for the evaluation of invasive fungal sinusitis: Preliminary results. World J Radiol 2024; 16(12): 771-781
URL: https://www.wjgnet.com/1949-8470/full/v16/i12/771.htm
DOI: https://dx.doi.org/10.4329/wjr.v16.i12.771