best ever approach to sinusitis

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TYPE OF
SINUSITIS
DURATION OF
EACH EPISODE
SYMPTOMS IN
BETWEEN
EPISODES
ACUTE BACTERIALACUTE BACTERIAL
SINUSITISSINUSITIS
< 30 DAYS< 30 DAYS COMPLETE RESOLUTIONCOMPLETE RESOLUTION
SUB-ACUTESUB-ACUTE
BACTERIAL SINUSITISBACTERIAL SINUSITIS
30- 90 DAYS30- 90 DAYS COMPLETE RESOLUTIONCOMPLETE RESOLUTION
RECURRENT ACUTERECURRENT ACUTE
BACTERIAL SINUSITISBACTERIAL SINUSITIS
EACH EPISODE <30 DAYSEACH EPISODE <30 DAYS
@ INTERVAL OF 10 DAYS@ INTERVAL OF 10 DAYS
COMPLETE RESOLUTIONCOMPLETE RESOLUTION
CHRONIC SINUSITISCHRONIC SINUSITIS > 90 DAYS> 90 DAYS PERSISTENT RESIDUALPERSISTENT RESIDUAL
RESPIRATORY SYMPTOMSRESPIRATORY SYMPTOMS
(Cough, Rhinorrhea, Nasal(Cough, Rhinorrhea, Nasal
Blockage)Blockage)
ACUTE SINUSITISACUTE SINUSITIS
SUPERIMPOSED TOSUPERIMPOSED TO
CHRONIC SINUSITISCHRONIC SINUSITIS
______ NEW RESPIRATORYNEW RESPIRATORY
SYMPTOMS IN PATIENT WITHSYMPTOMS IN PATIENT WITH
RESIDUAL RESPIRATORYRESIDUAL RESPIRATORY
SYMPTOMSSYMPTOMS

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• History of URI or allergic rhinitis
• History of pressure change
• Pressure, pain, or tenderness over
sinuses
• Low-grade temperature
• Persistent nasal discharge, often
purulent
• Postnasal drip
• Cough, worsens at night
• Mouth breathing, snoring
• History of previous episodes of
sinusitis
• Sore throat, bad breath
• Headache
Subjective Symptoms of Sinusitis
•Periorbital edema
•Nasal mucosa is reddened or
swollen
•Percussion or palpation
tenderness over a sinus
•Nasal discharge, thick, yellow
or green
•Postnasal discharge in posterior
pharynx
•Swelling of turbinate
Clinical presentation of
sinusitis

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21. 21 THANK YOU
Balloon sinuplasty and FESS
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