Correlation of Lund-Mackay Score on Computed Tomography Scan and Nasoendoscopic Score in Chronic Rhinosinusitis.

Abstract

The diagnosis of chronic rhinosinusitis (CRS) is confirmed by subjectively assessing a patient's complaints and objectively by a computed tomography scan (CT scan) and nasoendoscopic examination. The Lund Mackay (LM) score on paranasal sinus CT scans and the Modified Lund Kennedy (MLK) nasoendoscopic score have more advantages than other scores. The aim of this study was to determine the correlation between the LM score on paranasal sinus CT scans and the nasoendoscopic MLK score in patients with CRS at Dr. Hasan Sadikin General Hospital Bandung. This is a cross-sectional analytical observational study conducted on 70 adult CRS patients with nasoendoscopy and paranasal sinus CT scans at Dr. Hasan Sadikin General Hospital Bandung. The Lund Mackay score and nasoendoscopic MLK score were collected, and the data were analyzed using Spearman's correlation. In this study, 51.4% were males and 48.6% were females, and most subjects were without polyps (72.9%). This study found a strong positive correlation in subjects with polyps (Spearman's rank correlation coefficient 0.7) in LM score with nasoendoscopic MLK score and a very small correlation in subjects without polyps. There is a significant correlation between Lund Mackay score on paranasal sinus CT scan and nasoendoscopic Modified Lund Kennedy score in CRS patients with polyps in Dr. Hasan Sadikin Bandung General Hospital.