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    Acute Sinusitis

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    Roshandiep Gill
    Acute sinusitis is an inflammation of the sinus mucosa, most commonly involving the maxillary sinus. It is usually caused by a viral upper respiratory infection that allows bacteria like Streptococcus pneumoniae to invade the sinus cavities. Symptoms include fever, headache, nasal obstruction and purulent nasal discharge. Diagnosis involves x-rays or preferably a CT scan showing fluid or inflammation in the sinuses. Treatment focuses on antibiotics, nasal decongestants, steam inhalation and analgesics. Chronic sinusitis involves similar symptoms but on a long-term basis, often requiring functional endoscopic sinus surgery for management.

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    Acute Sinusitis

    Uploaded by

    Roshandiep Gill
    9 views11 pages
    Acute sinusitis is an inflammation of the sinus mucosa, most commonly involving the maxillary sinus. It is usually caused by a viral upper respiratory infection that allows bacteria like Streptococcus pneumoniae to invade the sinus cavities. Symptoms include fever, headache, nasal obstruction and purulent nasal discharge. Diagnosis involves x-rays or preferably a CT scan showing fluid or inflammation in the sinuses. Treatment focuses on antibiotics, nasal decongestants, steam inhalation and analgesics. Chronic sinusitis involves similar symptoms but on a long-term basis, often requiring functional endoscopic sinus surgery for management.

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    Acute sinusitis is an inflammation of the sinus mucosa, most commonly involving the maxillary sinus. It is usually caused by a viral upper respiratory infection that allows bacteria like Streptococcus pneumoniae to invade the sinus cavities. Symptoms include fever, headache, nasal obstruction and purulent nasal discharge. Diagnosis involves x-rays or preferably a CT scan showing fluid or inflammation in the sinuses. Treatment focuses on antibiotics, nasal decongestants, steam inhalation and analgesics. Chronic sinusitis involves similar symptoms but on a long-term basis, often requiring functional endoscopic sinus surgery for management.

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    Download as pptx, pdf, or txt
    9 views11 pages

    Acute Sinusitis

    Uploaded by

    Roshandiep Gill
    Acute sinusitis is an inflammation of the sinus mucosa, most commonly involving the maxillary sinus. It is usually caused by a viral upper respiratory infection that allows bacteria like Streptococcus pneumoniae to invade the sinus cavities. Symptoms include fever, headache, nasal obstruction and purulent nasal discharge. Diagnosis involves x-rays or preferably a CT scan showing fluid or inflammation in the sinuses. Treatment focuses on antibiotics, nasal decongestants, steam inhalation and analgesics. Chronic sinusitis involves similar symptoms but on a long-term basis, often requiring functional endoscopic sinus surgery for management.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Acute sinusitis

    BY: HASPREET GILL


    Acute sinusitis
    - Acute inflammation of sinus mucosa.
    -most commonly involved sinus is maxillary (ethmoid> frontal>sphenoid sinus)
    -Sinusitis maybe “open” or “closed”, depending whether the sinus cavity can
    drain into the nasal cavity through the natural ostia.
    Aetiology of sinusitis in general
    • BACTERIOLOGY:
    -Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis,
    Streptococcus pyogenes, Satphylococcus aureus, Klebsiella pneumoniae
    .Anaerobic infections are seen in sinusitis of dental origin.

    A) EXCITING CAUSES :
    -Nasal infections: Viral rhinitis followed by bacterial invasion.
    - Swimming and diving: infected water enters sinuses through ostia.
    - Trauma: Compound fractures or penetrating injuries.
    - Dental infections. (maxillary sinus)
    • B) PREDISPOSING CAUSES
    LOCAL:
    1- Obstruction to sinus ventilation and drainage
    a)Deviated Nasal Septum,
    b)hypertrophic turbinates
    c) nasal polyp
    d)edema of ostia due to allergy or vasomotor rhinitis
    e) benign or malignant neoplasms).

    2- Stasis of secretions in nasal cavity:


    ( Cystic fibrosis ,enlarged adenoids, choanal atresia)
    3- Previous attacks of sinusitis

    GENERAL
    -Environment: Cold and wet climate.
    - Poor general health: Exanthematous fever (measles,chickenpox),nutritional deficiencies, systemic disorders.
    CLINICAL FEATURE:
    symptoms:
    -fever,malaise
    -headache (frontal sinus- early morning headache, usually resolves in afternoon )
    (ethmoidal sinus- pain betwen eyes ,headache while lying down)
    (maxillary sinus-pain at temporal side)
    ( sphenoidal sinus- pain at vertex or occiput)
    -nasal obstruction
    -nasal discharge, usually purulent/mucopurulent

    signs:
    - tenderness at effected sinus
    -pus in middle meatus by using anterior rhinoscopy
    - post-nasal drip (purulent)
    • DIAGNOSIS:
    - Xray: WATER”S VIEW/LATERAL VIEW.
    - CT is preferred.
    -osteomeatal scan

    • TREATMENT
    -Antimicrobial drugs.
    - Nasal decongestant drops.
    - Steam inhalation.
    - Analgesics.
    - Hot fomentation.
    Chronic sinusitis
    1. symptoms:
    -headache /dullness/heaviness of the head
    -halitosis

    2. signs:
    -tenderness at effected sinus area
    -mucoid like discharge seen in anterior rhinoscopy
    - post-nasal drip seen

    Management :
    -besides medicine, functional endoscopic sinus
    surgery is done
    THE END

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