Acute sinusitis

Revision as of 11:04, 24 November 2023 by Nikolas (talk | contribs) (Created page with "* Sinusitis rarely occurs without rhinitis – rhinosinusitis * Pansinusitis – all sinuses * Acute rhinosinusitis ** < 4 weeks ** Maxillary sinus > ethmoidal cells ** Etiology *** Spread of rhinitis *** Viruses **** Rhinovirus **** Coronavirus *** Bacteria **** S. pneumoniae **** H. influenzae *** Spread of dental root infection ** Clinical features *** Symptoms of rhinitis *** Pain over sinus *** Headache – worsens when bending over ** Diagnosis *** Rhinoscopy/endos...")

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Sinusitis rarely occurs without rhinitis – rhinosinusitis
Pansinusitis – all sinuses
Acute rhinosinusitis
- < 4 weeks
- Maxillary sinus > ethmoidal cells
- Etiology
  - Spread of rhinitis
  - Viruses
    - Rhinovirus
    - Coronavirus
  - Bacteria
    - S. pneumoniae
    - H. influenzae
  - Spread of dental root infection
- Clinical features
  - Symptoms of rhinitis
  - Pain over sinus
  - Headache – worsens when bending over
- Diagnosis
  - Rhinoscopy/endoscopy – pus, swollen mucosa
  - Sinus radiography – partial opacification of affected sinus or fluid level
- Treatment
  - Conservative
    - Ventilation, drainage improvement
      - Decongestants
    - Antibiotics
  - Surgery
    - Puncture of wall

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