Rhinosinusitis

• • It is the inflammation of nose & paranasal sinuses

Risk factors

1. 1. Allergy

   2. Mechanical obstruction of sinus

      1. Tumors

      2. Foreign bodies

   3. Conditions affecting mucocilliary clearance

      1. Cystic fibrosis

      2. Kastagener"s syndrome

Symptoms

1. 1. Acute Rhino-sinusitis

      1. Nasal congestion

      2. Pain in face and in mouth

      3. Hyposmia(altered taste)

   2. Chronic Rhino-sinusitis

      1. Nasal congestion

      2. Pain in face & in mouth

      3. Hyposmia(Altered taste)

      4. Sore throat

      5. Sneezing

      6. Runny eyes

      7. Blocked ears

      8. General malaise

Complications

1. 1. Frontal sinusitis

      1. Osteomyelitis

      2. Meningitis

      3. Frontal lobe abscess

      4. Extradural abscess

      5. Subdural abscess

   2. Ethamoid sinusitis

      1. Periorbital cellulitis

      2. Orbital abscess

   3. Maxillary sinusitis

   4. Sphenoid sinusitis

Treatment

1. 1. Acute Rhino-sinusitis

      1. Analgesics

      2. Decongestants

      3. Antibiotics

      4. Surgery

   2. Chronic Rhinosinusitis

      1. Analgesics

      2. Decongestants

      3. Antibiotics

      4. Steriods

      5. Anti-histamines

      6. Surgery - Functional Endoscopic Sinus Surgery(FESS)