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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. [6] [7] Sinusitis is a condition that affects both children and adults.
The first line of treatment for nasal polyps is topical steroids. [12] Steroids decrease the inflammation of the sinus mucosa to decrease the size of the polyps and improve symptoms. [12] Topical preparations are preferred in the form of a nasal spray but are often ineffective for people with many polyps.
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 ]
Dental maxillary sinusitis. [6] Oro-antral fistula if associated with sinusitis. [7] Acute Bacterial Rhinosinusitis. Though it is indicated only in severe cases not as a regular treatment. [8] It can be also used as diagnostic procedure for: Carrying out culture and sensitivity test if the returning fluid is mucopurulent or purulent in Chronic ...
CRS is a common condition in children and young adults. [11] The purpose of FESS in treatment of CRS is to remove any anatomical obstructions that prevent proper mucosal drainage. A standard FESS includes removal of the uncinate process, and opening of the ethmoid air cells and Haller cells [12] as well as the maxillary ostium, if necessary
Once access to a blocked sinus is confirmed, a balloon catheter is advanced over the guide wire and positioned in the blocked sinus opening for inflation. The balloon is inflated. The entire procedure takes around 31 minutes and if the procedure is successful, the sinus will remain open after the balloon is deflated and removed for up to 24 months.
Because the maxillary posterior teeth are close to the maxillary sinus, this can also cause clinical problems if any disease processes are present, such as an infection in any of these teeth. These clinical problems can include secondary sinusitis, the inflammation of the sinuses from another source such as an infection of the adjacent teeth. [6]
Silent sinus syndrome most often affects the maxillary sinus, usually with a collapse of the orbital floor. It may also affect the frontal sinus or the ethmoid sinus. When the maxillary sinus is involved, the inferior oblique muscle may be damaged. [1] The cause of silent sinus syndrome is not well understood.
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