SINUSITIS

SINUSITIS

It is inflammation of the mucosa membrane of one or more paranasal sinuses.

TYPES

1.     Acute Sinusitis: occurs suddenly with severe onset of symptoms

2.      Chronic Sinusitis: is a severe persistent or recurrent attack of sinusitis. It may persist for the rest of the person’s life.

CAUSES

1.      Common cold

2.      Viral infections

3.      Bacteria (staphylococcus, Aureus, Streptococcus, Pneumonia, Haemophillis influenza)

4.      Allergens

5.      Air pollution

6.      Inhalation of toxins

 SIGNS AND SYMPTOMS

v  Pain and pressure in the sinuses

v  Purulent nasal secretions

v  Red edematous nasal mucosa

v  Frontal headache

v  Maxillary sinuses: pain is referred to the lateral side of the nose and the upper part of the teeth.

v  Nasal congestion

v  Resonance of speech

v  Occipital pain

v  Fever

v  Epistaxis (nose bleeding)

v  Anosmia (unable to smell)

MANAGEMENT

ü  Analgesic: paracetamol for pain

ü  Avoid allergens if allergic reaction is suspected

ü  Antibiotics for bacterial causes

ü  Postural drainage and antrum wash out

     Provide warmth

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