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Acute Sinusitis
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Balasubramanian Thiagarajan
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This presentation describes acute sinusitis and its management
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Acute Sinusitis
1.
2.
3.
Can be classified
into acute and chronic
4.
Allergic & infective
types
5.
6.
7.
Infection is said
to be closed if the inflammatory exudate cannot escape from the sinus because of blocked ostium or viscous secretion
8.
9.
10.
Swiming / bathing
11.
Trauma to paranasal
sinuses
12.
13.
Pharyngeal infections
14.
15.
Chemical rhinitis
16.
17.
Foreign bodies involving
sinuses
18.
19.
Measles
20.
Whooping cough
21.
22.
Low resistence to
infections
23.
Over crowding
24.
Anatomical obstructions
25.
Conditions like Kartagener's
syndrome
26.
27.
Bounded by middle
turbinate medially, basal lamella posteriorly and superiorly and lamina papyracea laterally
28.
It drains anteriorly
and inferiorly
29.
30.
Bacteria include –
Pneumococci, streptococci, staphylococci, H influenzae, E coli, Micrococcus
31.
32.
Exudative stage
33.
Suppurative stage
34.
Stage of complications
35.
36.
History should be
strongly suggestive of bacterial sinusitis
37.
38.
Facial fullness &
congestion
39.
Nasal congestion &
obstruction
40.
Purulent nasal discharge
/ post nasal drip
41.
Hyposmia / anosmia
42.
43.
Halitosis
44.
Fatigue
45.
Cough
46.
Dental pain
47.
48.
49.
50.
Ethmoidal pain –
Over bridge of nose, and inner canthus of eye. May be referred to parietal eminence
51.
Frontal sinus pain
– Localized to forehead. Shows classic periodicity
52.
53.
Swelling over lower
eyelids / upper eyelids
54.
Swelling over inner
canthus of eye
55.
Tenderness over affected
sinus
56.
57.
Culture sensitivity
58.
59.
Antibiotics
60.
Nasal decongestants
61.
Anti histamines
62.
Anti inflammatory drugs
63.
64.
Orbital cellulitis
65.
Orbital abscess formation
66.
Intracranial complications –
cavernous sinus thrombosis, meningitis, and intracranial abscess
67.
Ch sinusitis
68.
Middle ear infections
69.
Laryngitis, oroantral fistula,
mucoceles
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