Evidence map›Paper›PMID 34776694›Full record

ArticleJournal of maxillofacial and oral surgery2021

The Evaluation of the Sensitivity and Specificity of a New Endoscopic Diagnostic Sign of Allergic Fungal Rhinosinusitis: Intrapolypoidal White Particles.

Khalid Al-Qahtani, Fahad Nasser Altamimi, Mohammed Humaidan Al-Harbi, Tahera Islam, Nouf Abdulkalq Al-Zendi, Nader Fajhan Aldajani

Abstract read
In one paragraph

Article in Journal of maxillofacial and oral surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Clinicopathological and microbiological study of fungal rhinosinusitis treated with endoscopic surgery.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Khalid Al-QahtaniDeparment of Otolaryngology-Head and Neck Surgery, College of Medicine, King Abdul Aziz University Hospital, King Saud University, PO Box No-245, Riyadh, 11411 Kingdom of Saudi Arabia.ORCID 0000-0002-6993-7868
Fahad Nasser AltamimiDeparment of Otolaryngology-Head and Neck Surgery, College of Medicine, King Abdul Aziz University Hospital, King Saud University, PO Box No-245, Riyadh, 11411 Kingdom of Saudi Arabia.
Mohammed Humaidan Al-HarbiDepartment of Otolaryngology-Head & Neck Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Tahera IslamCollege of Medicine and Research Center, King Saud University, Riyadh, Kingdom of Saudi Arabia.ORCID 0000-0001-9440-0280
Nouf Abdulkalq Al-ZendiDeparment of Otolaryngology-Head and Neck Surgery, College of Medicine, King Abdul Aziz University Hospital, King Saud University, PO Box No-245, Riyadh, 11411 Kingdom of Saudi Arabia.
Nader Fajhan AldajaniDepartment of Otolaryngology-Head & Neck Surgery, King Fahad Medical City, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe diagnostic criteria of allergic fungal rhinosinusitis focus on characteristic clinical, radiographic, histopathologic findings and immunologic characteristics of the disease. None of these are useful for a prompt outpatient diagnosis of the condition. No clear endoscopic signs (pathognomonic) of polyps in allergic fungal rhinosinusitis are mentioned in the literature.

objectiveThe objective of this study is to describe and evaluate the sensitivity and specificity of an endoscopic sign the METHODOLOGY: In a descriptive, cross-sectional study, 46 chronic rhinosinusitis patients were examined by endoscope in the outpatient clinic. The endoscopic images of the nasal polypi were captured preoperatively. During endoscopic surgery, a sample of nasal polypi was taken for fungal staining and culture. Results of histopathology were compared to the impression of rhinologist on the images of nasal polypi captured preoperatively.

resultsThe most common endoscopic features were the expansion of sinus (24, 52.2%) and intrapolypoidal white particles (50%). Intrapolypoidal white particles were calculated to have 85.71% sensitivity, 65.63% specificity, 52.17% positive predictive value, 91.3% negative predictive value and 71.74% diagnostic accuracy.

conclusionThis study offers a new endoscopic sign, intrapolypoidal white particles for diagnosing allergic fungal rhinosinusitis.

Indexed as

AFRSAllergic fungal rhinosinusitisEndoscopic signNasal polypi

Identifiers

PMID34776694
PMCPMC8554882

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