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General Thermography
Published in James Stewart Campbell, M. Nathaniel Mead, Human Medical Thermography, 2023
James Stewart Campbell, M. Nathaniel Mead
Sinusitis is an inflammation of the mucosa of one or more of the paranasal sinuses. Acute sinusitis lasts up to four weeks and is almost always of viral or allergic origin; it may develop into chronic bacterial sinusitis, which typically lasts at least 12 consecutive weeks and may persist for years. The disease progresses in the following manner: The ostium of the sinus becomes obstructed from mucosal swelling due to a virus or allergy. The air within the sinus is then absorbed by the mucosal surface, creating a painful negative pressure in the sinus. If the ostium is not reopened, a transudate fluid begins to fill the cavity, providing a medium for bacterial growth. The bacteria attract an exudate of white blood cells and serum, which creates a painful (and dangerous) positive pressure within the sinus.72 Bacterial sinusitis is not a benign disease. Serious complications may arise such as periorbital infections, meningitis, and brain abscess.73
Surgery
Published in Andrew Schofield, Paul Schofield, The Complete SAQ Study Guide, 2019
Andrew Schofield, Paul Schofield
A 19-year-old attends A&E complaining of pain in her left cheek and dripping from her nose. She is normal, fit and well, and has just started university after a taking a gap year travelling America with a dance troupe. You suspect maxillary sinusitis. What is a paranasal sinus? (1)Name the paranasal sinuses. (4)What epithelium lines the paranasal sinuses? (1)Give two causes of maxillary sinusitis. (2)How would you manage acute sinusitis? (2)
Acute sinusitis and its complications
Published in S. Musheer Hussain, Paul White, Kim W Ah-See, Patrick Spielmann, Mary-Louise Montague, ENT Head & Neck Emergencies, 2018
Acute sinusitis generally follows a viral URTI or common cold. The diagnosis should be suspected when there is a worsening of symptoms after a period over which it would be expected that the symptoms of a cold would abate (approximately 5 days) or a persistence of symptoms over a period of 10 days. Typical symptoms of acute sinusitis in children are: nasal obstruction, purulent nasal discharge, facial pressure/pain and cough.
Aspirin desensitization following endoscopic sinus surgery is effective in patients with nonsteroidal antiinflammatory drug exacerbated respiratory disease
Published in Journal of Asthma, 2023
Ömür Aydin, Esin Özlem Atmiş, Yücel Anadolu, İrfan Yorulmaz, Gülfem Elif Çelik
At the end of 1 year, there was a significant decrease in the number of acute sinusitis episodes only in group 1 (baseline: 6.4 ± 1.1 vs 1 year: 0.6 ± 0.2, p < 0.001) (Figure 3). Nasal obstruction scores decreased significantly only in group 1 (p = 0.008), whereas sneezing decreased in both groups. Smell tests showed no differences compared with baseline only in group 1 (p > 0.05), whereas a decrease in smell scores was seen in group 2 (p = 0.07) after 1 year. Polyps recurred in 3 patients among 16 patients who were ongoing AD and additionally in 2 patients whose AD therapy was stopped. The recurrence of polyps was less in group 1 (5/22, 22.7%) than in group 2 (9/14, 64.2%) after 1 year (p = 0.013). In this assessment, in group 1, three patients had grade 2 and two patients had grade 3 nasal polyps. AD was stopped in two patients with grade 3 polyps and they were recommended to undergo ESS. ESS was recommended for five patients with polyp recurrence in group 2. The patients in group 1 with nasal polyp recurrence less than grade 3 were recommended to have medical treatment in addition to AD without the necessity of ESS.
Current clinical diagnosis and management of orbital cellulitis
Published in Expert Review of Ophthalmology, 2021
Sara A. Khan, Ahsen Hussain, Paul O. Phelps
Other symptoms can include pain and systemic signs such as fever, nausea, and vomiting [1,12,13,24,34]. Patients typically present a few days after the onset of acute sinusitis or an upper respiratory tract infection [25]. If there is cranial extension or involvement, delirium, coma, or seizures can occur. The oculo-cardiac reflex may also be present [24]. Infants and young children may have less obvious ophthalmoplegia or proptosis and may also be challenging to examine due to pain and reduced compliance [19].
Current healthcare pathways in the treatment of rhinosinusitis in Germany
Published in Acta Oto-Laryngologica, 2018
Jonas Jae-Hyun Park, Claus Bachert, Stefan Dazert, Karel Kostev, David Ulrich Seidel
The study sample included patients from 940 GP and 106 ENT practices who had been diagnosed with acute sinusitis (AS) (ICD-10: J31), CS (ICD-10: J32), or NPs (ICD-10: J33) between January 2015 and December 2015 (index date).