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Grade II is characterized by severe pain for up to 24 h, with some mucosal thickening on X-ray. Patients with grade III have severe pain lasting for more than 24 h and X-ray shows severe mucosal thickening or opacification of the affected sinus; epistaxis or subsequent sinusitis may be observed.
The ethmoidal sinuses are further subdivided into anterior and posterior ethmoid sinuses, the division of which is defined as the basal lamella of the middle nasal concha. In addition to the severity of disease , discussed below, sinusitis can be classified by the sinus cavity it affects:
The ethmoid air cells consist of numerous thin-walled cavities in the ethmoidal labyrinth [4] that represent invaginations of the mucous membrane of the nasal wall into the ethmoid bone. [3] They are situated between the superior parts of the nasal cavities and the orbits , and are separated from these cavities by thin bony lamellae.
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.
Paranasal sinuses are a group of four paired air-filled spaces that surround the nasal cavity. [1] The maxillary sinuses are located under the eyes; the frontal sinuses are above the eyes; the ethmoidal sinuses are between the eyes and the sphenoidal sinuses are behind the eyes.
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.
The sphenoethmoidal recess is a small triangular space superior to the superior nasal meatus of the nasal cavity into which the sphenoidal sinus [1] [2] [3] opens. [4] The sphenoethmoidal recess is situated supero posterior to the superior nasal concha, [3] [2] between the superior nasal concha and the anterior aspect of the body of the sphenoid bone.
Ethmoidectomy is the medical name for a procedure that involves removing the partitions between the ethmoid sinuses in order to create larger sinus cavities.This procedure treats sinus infections and sinus obstructions that have been the cause of chronic sinus problems.