ENT · Rhinology and Endoscopic Sinus Surgery (FESS, CRS Phenotypes, Invasive Fungal Sinusitis)

The Lund-Mackay scoring system is used to evaluate which condition on CT scan?

  • A Extent of nasal polyposis on endoscopy
  • B Olfactory function grading
  • C Chronic rhinosinusitis severity on CT of paranasal sinuses
  • D Degree of nasal septal deviation
Correct answer: C. Chronic rhinosinusitis severity on CT of paranasal sinuses

Explanation

The Lund-Mackay score grades CRS severity on CT by scoring each sinus group (maxillary, anterior/posterior ethmoid, sphenoid, frontal) as 0 (no opacification), 1 (partial), or 2 (complete) and the osteomeatal complex as 0 (not occluded) or 2 (occluded) bilaterally; maximum score is 24. It standardises reporting and surgical planning. Polyposis is graded endoscopically by Lund-Kennedy score. Olfactory function uses Sniffin' Sticks or UPSIT.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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