This document discusses rhinosinusitis, beginning with definitions and classifications of acute and chronic rhinosinusitis. Acute rhinosinusitis usually occurs after an upper respiratory tract infection and can be caused by predisposing factors like dental infections, adenoids, and tonsils. Common organisms involved include streptococcus pneumoniae, haemophilus influenzae, and moraxella catarrhalis. Clinical features of acute rhinosinusitis include pain, redness, edema of soft tissues, and tenderness. Diagnosis can be made using anterior and posterior rhinoscopy or x-rays showing hazy, fluid-filled sinuses. Treatment involves bed rest, nasal decongestants, and steam inhalations

1. RHINOSINUSITIS
Prof Udaya Shankar
27 Sep 2023

2. Contents
Clinical Features,
investigations and
treatment of -
Acute RS Chronic RS

3. Definition
• Inflammation of the
mucosal linings of –
Nose and PNS

4. Classification
• Acute
• Subacute
• Chronic
• Recurrent acute

5. Acute
Rhinosinusitis
Usually after acute rhinitis

6. Predisposing factors
AFTER 10 DAYS OF
URTI
DENTAL
INFECTIONS
ADENOIDS AND
TONSILS
DNS, POLYP OR
TUMORS OF NOSE
LUNG DISEASES

7. Organisms
Pneumococcus, haemophilus influenza,
moraxella catarrhalis and streptococcus
pyogenes, staphylococcus and anaerobic

8. Clinical
Features -
Pain

9. Signs
Redness and edema of the soft
tissues
Tenderness
Anterior rhinoscopy –
mucopus, congestion, edema
Posterior rhinoscopy
Fiberoptic nasolaryngoscope

10. X ray
(waters view)
hazy,
fluid levels

11. Management
Bed Rest

12. •Nasal decongestants

13. •steam inhalations

14. Ethmoidal sinusitis with orbital cellulitis
• video