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Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 35 Issue: 3

Determination of the Lund-Mackay Score in the Asymptomatic Population: The Mean Lund Score in Children and Adults without Symptoms and Signs of Rhinosinusitis

Orhan Asya(Marmara University, Faculty of Medicine, Pendik Training and Research Hospital, Department of Otorhinolaryngology)0000-0003-0366-3099
Yavuz Gündoğdu(Marmara University, Faculty of Medicine, Pendik Training and Research Hospital, Department of Otorhinolaryngology)0000-0003-3662-829X
Özlem Demircioğlu(Marmara University, Faculty of Medicine, Pendik Training and Research Hospital, Department of Radiology)0000-0002-2408-7660
Merve Uzun(Marmara University, Faculty of Medicine, Pendik Training and Research Hospital, Department of Otorhinolaryngology)0009-0002-0096-5681
Elmira Iskandarli(Marmara University, Faculty of Medicine, Pendik Training and Research Hospital, Department of Otorhinolaryngology)0009-0008-8231-0550
Fatmanur Atılgan(Marmara University, Faculty of Medicine, Pendik Training and Research Hospital, Department of Otorhinolaryngology)0009-0000-9633-4344
Ömer Faruk Kuyumcu(Marmara University, Faculty of Medicine, Pendik Training and Research Hospital, Department of Otorhinolaryngology)0000-0002-2330-6788
Rabia Nur Tok(Marmara University, Faculty of Medicine, Pendik Training and Research Hospital, Department of Radiology)0000-0001-7011-8758
E. Şeyma Karaketir(İstanbul University, İstanbul Faculty of Medicine, Department of Public Health)0000-0002-8540-4148
Pages
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Publication Date
2025-09-25
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In the absence of CRS symptoms or acute/subacute upper respiratory infections, adenoid hypertrophy may not significantly predict the severity of the sinus disease.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Computed tomography (CT) plays an important role in the diagnosis and management of chronic rhinosinusitis (CRS).
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Key Findings & Data:It also explored whether a measurable increase in the adenoid thickness to nasopharyngeal cavity (AT/NC) ratio correlates positively with LMS in these patients.
💡
Conclusion & Impact:In the absence of CRS symptoms or acute/subacute upper respiratory infections, adenoid hypertrophy may not significantly predict the severity of the sinus disease.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Lund score · computed tomography · chronic rhinosinusitis

Abstract

Objective: Computed tomography (CT) plays an important role in the diagnosis and management of chronic rhinosinusitis (CRS). Among the CT-based staging systems, the Lund–Mackay score (LMS) exhibits a strong linear correlation between the nasal symptom severity and radiographic disease. This study aimed to determine the baseline (normal) LMS of patients without symptoms or signs of CRS. It also explored whether a measurable increase in the adenoid thickness to nasopharyngeal cavity (AT/NC) ratio correlates positively with LMS in these patients. Materials and Methods: Between 2014 and 2023, 1418 individuals without clinical findings of rhinosinusitis who were scheduled for otologic procedures underwent temporal bone CT scans at a tertiary academic hospital. These cases were retrospectively analysed using a cross-sectional design. Results: Of the 1661 patients in the radiologic database, 1418 met the inclusion criteria, including 718 males and 700 females; 946 were adults and 472 were children. The cohort’s mean age was 28.23 years. The mean LMS was 2.5 among pediatric and 1.8 among adult patients. The AT/NC ratio did not correlate with LMS in either group. Conclusion: Our study determined the incidental LMS in adults (1.8) and children (2.5). The maxillary sinus was the most frequently abnormal, followed by the anterior ethmoid sinuses. In the absence of CRS symptoms or acute/subacute upper respiratory infections, adenoid hypertrophy may not significantly predict the severity of the sinus disease.

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Cite This Article

Asya, O., Gündoğdu, Y., Demircioğlu, Ö., Uzun, M., Iskandarli, E., Atılgan, F., Kuyumcu, Ö. F., Tok, R. N., Karaketir, E. Ş. (2025). Determination of the Lund-Mackay Score in the Asymptomatic Population: The Mean Lund Score in Children and Adults without Symptoms and Signs of Rhinosinusitis. The Turkish Journal of Ear Nose and Throat, Volume: 35 Issue: 3. https://doi.org/10.26650/Tr-ENT.2025.1696251

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