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

Sinusitis