{"id":145143,"date":"2026-11-03T21:26:10","date_gmt":"2026-11-03T19:26:10","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/analize\/ct-sinusuri-nativ\/"},"modified":"2026-11-03T21:26:17","modified_gmt":"2026-11-03T19:26:17","slug":"ct-sinusuri-nativ","status":"publish","type":"product","link":"https:\/\/www.clinica-sante.com\/ro\/computer-tomograf\/ct-sinusuri-nativ\/","title":{"rendered":"CT sinusuri nativ"},"content":{"rendered":"<p><strong>1. Descriere general\u0103<\/strong><\/p>\n<p>CT sinusuri nativ (tomografia computerizat\u0103 a sinusurilor paranazale, f\u0103r\u0103 substan\u021b\u0103 de contrast) este o investiga\u021bie imagistic\u0103 ce folose\u0219te raze X pentru a ob\u021bine sec\u021biuni sub\u021biri prin sinusurile maxilare, frontale, etmoidale \u0219i sfenoidale, cavit\u0103\u021bi pline cu aer din oasele fe\u021bei. Investiga\u021bia eviden\u021biaz\u0103 pere\u021bii oso\u0219i, mucoasa sinusurilor, septul nazal, cornetele nazale \u0219i complexele ostiomeatale (c\u0103ile de drenaj ale sinusurilor). Examinarea nativ\u0103 este de regul\u0103 suficient\u0103 \u0219i reprezint\u0103 metoda imagistic\u0103 de referin\u021b\u0103 pentru rinosinuzita cronic\u0103; substan\u021ba de contrast se administreaz\u0103 doar \u00een situa\u021bii selectate. Rezultatul este interpretat de medicul radiolog \u0219i folosit de medicul ORL \u00een stabilirea cauzei simptomelor \u0219i \u00een planificarea unei eventuale interven\u021bii.<\/p>\n<p><strong>2. Indica\u021bii<\/strong><\/p>\n<ul>\n<li>Rinosinuzit\u0103 cronic\u0103 (simptome de peste 12 s\u0103pt\u0103m\u00e2ni) care nu r\u0103spunde la tratamentul medical.<\/li>\n<li>Sinuzit\u0103 acut\u0103 recurent\u0103, polipoz\u0103 nazal\u0103, mucocel sau sinuzit\u0103 fungic\u0103 neinvaziv\u0103.<\/li>\n<li>Planificarea chirurgiei endoscopice a sinusurilor (FESS) \u0219i controlul postoperator.<\/li>\n<li>Obstruc\u021bie nazal\u0103 persistent\u0103 sau simptome unilaterale ori atipice, inclusiv de origine dentar\u0103.<\/li>\n<li>Traumatisme ale fe\u021bei, cu posibile fracturi ale pere\u021bilor sinusurilor sau ai orbitei.<\/li>\n<li>Suspiciunea unei tumori a cavit\u0103\u021bii nazale sau a sinusurilor.<\/li>\n<li>Rinoree apoas\u0103 persistent\u0103, cu suspiciune de scurgere de lichid cefalorahidian.<\/li>\n<\/ul>\n<p>Sinuzita acut\u0103 necomplicat\u0103, cu durat\u0103 sub 4 s\u0103pt\u0103m\u00e2ni, nu reprezint\u0103 de regul\u0103 o indica\u021bie.<\/p>\n<p><strong>3. Preg\u0103tirea pacientului<\/strong><\/p>\n<p>Nu este necesar\u0103 o preg\u0103tire special\u0103. Nu este nevoie de repaus alimentar. Obiectele metalice din zona capului \u0219i g\u00e2tului se \u00eendep\u0103rteaz\u0103 \u00eenainte de examinare. Exemple: cercei, agrafe, ochelari, proteze dentare mobile. O posibil\u0103 sarcin\u0103 se comunic\u0103 medicului. Pacientul st\u0103 \u00eentins pe spate \u0219i r\u0103m\u00e2ne nemi\u0219cat c\u00e2teva secunde. Examinarea este nedureroas\u0103 \u0219i dureaz\u0103 aproximativ 10\u201315 minute.<\/p>\n<p><strong>4. Valori de referin\u021b\u0103<\/strong><\/p>\n<p>Nu exist\u0103 un interval numeric de referin\u021b\u0103; reperul este aspectul normal, cu sinusuri bine pneumatizate (pline cu aer), mucoas\u0103 sub\u021bire, complexe ostiomeatale libere \u0219i pere\u021bi oso\u0219i continui, f\u0103r\u0103 eroziuni. Doza efectiv\u0103 de radia\u021bii este mic\u0103 fa\u021b\u0103 de alte examin\u0103ri CT, \u00eentre 0,1 \u0219i 1 mSv la adul\u021bi \u0219i \u00eentre 0,03 \u0219i 0,3 mSv la copii, conform Colegiului American de Radiologie; protocoalele cu doz\u0103 redus\u0103 coboar\u0103 expunerea spre 0,1 mSv. Rezultatul se interpreteaz\u0103 \u00een raport cu descrierea \u0219i concluzia din buletinul de rezultat semnat de medicul radiolog.<\/p>\n<p><strong>5. Interpretare rezultate<\/strong><\/p>\n<p><strong>Aspect normal.<\/strong> Sinusuri aerate, cu mucoas\u0103 sub\u021bire \u0219i c\u0103i de drenaj libere. Un aspect normal nu exclude complet o rinosinuzit\u0103 cronic\u0103, al c\u0103rei diagnostic r\u0103m\u00e2ne clinic.<\/p>\n<p><strong>Modific\u0103ri inflamatorii.<\/strong> \u00cengro\u0219area mucoasei, opacifierea unui sinus \u0219i nivelul hidroaeric sugereaz\u0103 un proces inflamator, acut (nivel hidroaeric) sau cronic (\u00eengro\u0219area pere\u021bilor oso\u0219i). Modific\u0103ri discrete apar frecvent \u0219i la persoane f\u0103r\u0103 simptome, inclusiv dup\u0103 o r\u0103ceal\u0103.<\/p>\n<p><strong>Polipi \u0219i forma\u021biuni.<\/strong> Forma\u021biunile cu densitate de \u021besut moale pot corespunde polipozei nazale sau unui mucocel; eroziunea pere\u021bilor oso\u0219i poate ridica suspiciunea unei tumori sau a unei infec\u021bii fungice invazive \u0219i impune examin\u0103ri cu contrast sau RMN.<\/p>\n<p><strong>Variante anatomice.<\/strong> Devia\u021bia de sept, concha bullosa (cornet nazal pneumatizat) sau \u00eengustarea complexului ostiomeatal sunt frecvente \u0219i la persoane s\u0103n\u0103toase; conteaz\u0103 mai ales \u00een planificarea chirurgical\u0103.<\/p>\n<p>Interpretarea rezultatului apar\u021bine medicului, \u00een contextul clinic \u0219i al celorlalte investiga\u021bii.<\/p>\n<p><strong>6. Factori care pot influen\u021ba rezultatele<\/strong><\/p>\n<ul>\n<li>Infec\u021bie respiratorie viral\u0103 recent\u0103 \u2014 \u00eengro\u0219\u0103ri tranzitorii ale mucoasei; examinarea se face, de regul\u0103, la distan\u021b\u0103 de episodul acut.<\/li>\n<li>Tratament recent cu corticosteroizi, antibiotice sau decongestionante \u2014 poate reduce modific\u0103rile vizibile. Tratamentul \u00een curs nu se \u00eentrerupe dec\u00e2t la indica\u021bia medicului.<\/li>\n<li>Mi\u0219carea \u00een timpul scan\u0103rii \u0219i artefactele lucr\u0103rilor dentare metalice \u2014 reduc claritatea imaginilor.<\/li>\n<li>Interven\u021bii chirurgicale anterioare la nivelul sinusurilor \u2014 modific\u0103 anatomia; se compar\u0103 cu examin\u0103rile precedente.<\/li>\n<\/ul>\n<p><strong>7. Analize complementare<\/strong><\/p>\n<p>La suspiciunea unei complica\u021bii, a unei tumori sau a unei infec\u021bii fungice invazive, medicul poate recomanda CT sinusuri cu contrast sau o examinare RMN. C\u00e2nd simptomele sinusale se asociaz\u0103 cu cefalee intens\u0103 sau cu un traumatism cranian se poate alege CT cerebral + sinusuri nativ ori CT cranio-cerebral nativ. Consultul ORL cu endoscopie nazal\u0103 completeaz\u0103 imaginile; \u00een rinosinuzita cronic\u0103 asociat\u0103 cu rinit\u0103 alergic\u0103, Pachet suspiciune alergii orienteaz\u0103 spre un teren alergic.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CT sinusuri nativ (tomografia computerizat\u0103 a sinusurilor paranazale, f\u0103r\u0103 substan\u021b\u0103 de contrast) eviden\u021biaz\u0103 cu raze X sinusurile maxilare, frontale, etmoidale \u0219i sfenoidale, pere\u021bii lor oso\u0219i \u0219i c\u0103ile de drenaj c\u0103tre fosele nazale. Este investiga\u021bia imagistic\u0103 de referin\u021b\u0103 \u00een rinosinuzita cronic\u0103 sau recurent\u0103, \u00een polipoza nazal\u0103 \u0219i \u00eenaintea interven\u021biilor endoscopice. Se recomand\u0103 de regul\u0103 dup\u0103 tratamentul medical, nu \u00een episodul acut necomplicat, \u0219i nu necesit\u0103 preg\u0103tire special\u0103.<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"product_brand":[],"product_cat":[1209,5364,3477],"product_tag":[5449,5451,5448,5450,5452,5445,5441,5442,5454,5438,5439,5453,5455,5444,5437,5443,5435,5440,5446,5433,5434,5436,5447],"class_list":["post-145143","product","type-product","status-publish","product_cat-analize","product_cat-computer-tomograf","product_cat-serviciu-de-imagistica","product_tag-ct-sinusuri-ce-arata","product_tag-ct-sinusuri-copii","product_tag-ct-sinusuri-pregatire","product_tag-ct-sinusuri-radiatii","product_tag-ct-sinusuri-sarcina","product_tag-deviatie-de-sept","product_tag-durere-de-cap","product_tag-durere-faciala","product_tag-fess","product_tag-nas-infundat","product_tag-obstructie-nazala","product_tag-operatie-sinusuri","product_tag-orl","product_tag-pierderea-mirosului","product_tag-polipi-nazali","product_tag-presiune-in-sinusuri","product_tag-rinosinuzita","product_tag-secretii-nazale","product_tag-sinusuri-paranazale","product_tag-sinuzita","product_tag-sinuzita-cronica","product_tag-sinuzita-recurenta","product_tag-tomografie-sinusuri","first","instock","sale","shipping-taxable","purchasable","product-type-variable"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 5.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"CT sinusuri nativ (tomografia computerizat\u0103 a sinusurilor paranazale, f\u0103r\u0103 substan\u021b\u0103 de contrast) eviden\u021biaz\u0103 cu raze X sinusurile maxilare, frontale, etmoidale \u0219i sfenoidale, pere\u021bii lor oso\u0219i \u0219i c\u0103ile de drenaj c\u0103tre fosele nazale. 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