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For sinusitis lasting more than 12 weeks, a CT scan is recommended. [65] On a CT scan, acute sinus secretions have a radiodensity of 10 to 25 Hounsfield units (HU), but in a more chronic state they become more viscous, with a radiodensity of 30 to 60 HU. [67] Nasal endoscopy and clinical symptoms are also used to make a positive diagnosis. [28]
This type of chronic osteomyelitis of the frontal bone is confused with acute sub-periosteal abscess of the frontal bone, which presents as a discrete collection over the frontal sinus. Although it can affect all ages, it is mostly found among teenagers and adolescents. It is usually seen as a complication of frontal sinusitis or trauma ...
The maxillary sinuses, the largest of the paranasal sinuses, are under the eyes, in the maxillary bones (open in the back of the semilunar hiatus of the nose). They are innervated by the maxillary nerve (CN V2). [2] The frontal sinuses, superior to the eyes, in the frontal bone, which forms the hard part of the forehead.
Maxillary sinuses. Frontal sinuses, seen with an oblique view. Ethmoidal cells. Sphenoid sinus, seen through the open mouth. Odontoid process, where if it is just below the mentum, it confirms adequate extension of the head. The frontal sinus may not show the frontal sinus in detail. [1]
Frontal sinus. Each frontal sinus is situated between the external and internal plates of the frontal bone. [1] [2] Their average measurements are as follows: height 28 mm, breadth 24 mm, depth 20 mm, creating a space of 6-7 ml. [3]
CT scan images after application of radioactive laced nasal steroids using long nozzle. Note the reach of the medication into the area where nasal polyps originate Endoscopic sinus surgery , advocated and popularized by Professor Stammberger, is often very effective for most people, providing rapid symptom relief.
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 ]
The frontonasal duct is a duct through which either frontal sinus drains into the nasal cavity. [2] [3] Each frontal sinus opens into the frontonasal duct by an opening (the opening of frontal sinus or frontal sinus aperture [4]) on the inferomedial part [3] of the floor of the sinus. [4]
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