Chronic sinusitis

From greek.doctor
  • Chronic rhinosinusitis
    • > 12 weeks
    • Etiology
      • Impaired ventilation due to obstruction
      • Anatomical abnormalities
        • Septal deviation
        • Septal spur
      • Untreated acute rhinosinusitis
      • Chronic allergy
    • Clinical features (4 major signs, 4 minor)
      • 4 major signs
        • Nasal obstruction
        • Purulent nasal discharge (ant/post)
        • Anosmia
        • Facial pain
      • 4 minor signs
        • Cough
        • Dental pain
        • Fever
        • Halitosis
    • Diagnosis
      • Rhinoscopy/endoscopy
      • CT
    • Treatment
      • Conservative (symptomatic)
        • Decongestants
        • Antibiotics
      • Functional endoscopic sinus surgery (FESS) (definitive)‎