Sinus, middle-ear and mastoid radiological findings of severe acute respiratory syndrome coronavirus-2. Issue 1 (20th October 2022)

• Record Type: Journal Article
• Authors: Watts, E; Balai, E; Kwatra, D; Banerjee, S; Hoskison, E
• Is Part Of: Journal of laryngology & otology. Volume 137:Issue 1(2023)
• Page Start: 76
• Page End: 80
• Publication Date: 2022-10-20
• Subjects: COVID-19 -- SARS-CoV-2 -- Mastoid -- Diagnostic Imaging -- Paranasal Sinuses -- Diagnostic Imaging; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215122002304
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Objective: To assess the incidence of radiological inflammation within the paranasal sinuses, middle ear and mastoid in patients with confirmed severe acute respiratory syndrome coronavirus-2. Methods: A retrospective cohort study was conducted to examine consecutive adults (aged over 18 years) with coronavirus disease 2019 (confirmed on polymerase chain reaction within 7 days of imaging) who underwent computed tomography of the head between 1 March 2020 and 24 June 2020. Lund–Mackay and mastoid and middle-ear opacification scores were used to categorise the extent of sinus and mastoid opacification on axial and coronal computed tomography images. Results: Of 147 patients originally identified, only 83 met the inclusion criteria. Sinus opacification was present in 51.8 per cent of patients ( n = 43), and middle-ear or mastoid opacification was observed in 24.1 per cent ( n = 20). There was no statistically significant difference in sinus or middle-ear and mastoid opacification between patients after stratification based on 30-day all-cause mortality. Conclusion: Radiological computed tomography findings suggest mild mucosal disease within the sinuses, middle ear and mastoid. There was no statistical correlation between such opacification and 30-day mortality.