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In essence, inhalation therapy resolves the obstruction found to be bothersome, alleviates the irritation of the nasal mucosa and supports the self-cleaning mechanisms. Inhalation therapy is commonly mentioned in North American and international guidelines for treatment of CRS (Bachmann et al., 2000). [3]
Treatment of atrophic rhinitis can be either medical or surgical. Medical measures include: Nasal irrigation using normal saline [4] Nasal irrigation and removal of crusts using alkaline nasal solutions. 25% glucose in glycerine can be applied to the nasal mucosa to inhibit the growth of proteolytic organisms which produce foul smell.
Odontogenic sinusitis. Odontogenic sinusitis is a type of sinusitis (inflammation of the sinuses), specifically caused by dental infections or procedures. [1] Comprising approximately 10-12% of all chronic sinusitis cases, this condition primarily affects the maxillary sinus, which is in close proximity to the upper teeth. [2]
Sinusitis, also known as rhinosinusitis, is an inflammation of the mucous membranes that line the sinuses resulting in symptoms that may include production of thick nasal mucus, nasal congestion, facial congestion, facial pain, facial pressure, loss of smell, or fever.
Functional endoscopic sinus surgery (FESS) is a procedure that is used to treat sinusitis and other conditions that affect the sinuses. Sinusitis is an inflammation of the sinuses that can cause symptoms such as congestion, headaches, and difficulty breathing through the nose.
Age: Below the age of 3 years, as the size of the sinus is small due to underdeveloped Maxillary Sinus. [10] Bleeding disorders: May lead to epistaxis. [10] Fracture of maxilla: Antral Lavage may result in escape of the fluid through fracture lines. [10] Febrile stage of acute maxillary sinusitis: May cause osteomyelitis of Maxilla. [10]
Sinus surgery with balloons may be performed in a hospital, outpatient surgery setting or in the physician’s office under local anesthesia. The physician inserts a guide catheter through the nostril and near the sinus opening under endoscopic visualization. A flexible guide wire is then introduced into the targeted sinus to confirm access.
Maxillary sinusitis is common due to the close anatomic relation of the frontal sinus, anterior ethmoidal sinus and the maxillary teeth, allowing for easy spread of infection. Differential diagnosis of dental problems needs to be done due to the close proximity to the teeth since the pain from sinusitis can seem to be dentally related. [ 1 ]