SINUSITIS

DEFINITION

•Infection of para nasal sinus is termed as sinusitis

TYPES

•Acute Maxillary sinusitis -(Most common)

•Acute frontal sinusitis

•Chronic maxillary sinusitis

•Chronic frontal sinusitis

•Ethmoidal and sphenoidal sinusitis

RISK FACTORS

•Nasal infections

•Dental infections

•Trauma

•Blood borne infections

•Tonsillitis and adenoiditis

•Lowered resistance

•Atmospheric pollution

PATHOLOGY

•Catarrhal stage

•Exudation

•Purulent stage

•Stage of complications

•Stage of resolution

CLINICAL MANIFESTATIONS

•Discomfort in the nasopharynx

•Pain in the maxillary region

•Nasal Discharge

•Blocking of the nose

•Nasal resonance

•Dry cough

• Epistaxis

•Malaise

DIAGNOSTIC TESTS

•Posture test

•Transillumination test

•Radiograph

•CT scan

•Smear culture and antibiotic sensitivity

•Endoscopy of the nose and paranasal sinuses

COMPLICATIONS•Pansinusitis

•Middle ear infection

•Pharyngitis, Laryngitis and tracheobronchitis

•Perorbital and orbital cellulitis

•Osteomyelitis of the axilla

•Aggravation of asthma

•Mucocele or pyocele

MANAGEMENT

•Antibiotics

•Decongestants

•Analgesics

•Antihistamines

•Steam inhalation

SURGERY

•Antral puncture

•FESS – Functional Endoscopic Sinus Surgery

•Caldwell-Luc operation

THANK YOU