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Sinusitis (treatment (Abx (augmentin 7/7, 3-4/52 if chronic), surgery (if…
Sinusitis
treatment
Abx
augmentin 7/7
3-4/52 if chronic
Sinus rinse
surgery
if symptoms remain despite max medical therapy 4-6/52
functional endoscopic sinus surgery (FEES)
antihistamines and intranasal corticosteroids if allergic
inflammation of the sinuses that is accompanied by inflammation of the nasal cavity.
acute
up to 4 weeks of purulent nasal discharge with nasal obstruction, facial pain, facial pressure or fullness
chronic
allergic
aetiology
viral
<10 days
bacterial
10+ days beyond URTI symptoms
S.pneumoniae
H.influenzae
Moraxella catarrhalis
S.aureus if chronic
allergic
incidence
1 in 7 - common
chronic 1 in 1000
F>M
clinical
symptoms
purulent nasal discharge
nasal obstruction
facial pain/pressure/fullness
decreased sense of smell
examination
nasal polyps
purulent mucus or oedema in middle meatus/ethmoid region
diagnosis
anterior rhinoscopy
flexible nasendoscopy
ancillary
FBC
CT
complications
orbital infection
periorbital oedema
orbital cellulitis
subperiosteal abcess
orbital abscess
cavernous sinus thrombosis
intracranial complications
meningitis
epidural abscess
Pott's Puffy tumour (osteomyelitis of frontal bone with subperiosteal abscess
pathophysiology
inflammatory response to infection/allergy
prognosis
good