Acute sinusitis
- 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
- Ventilation, drainage improvement
- Surgery
- Puncture of wall
- Conservative