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Rhinosinusitis

Rhinosinusitis. Department of Otolaryngology—Head and Neck Surgery University of Missouri. Sinusitis. Sinusitis affects 31 million Americans annually. Chronic sinusitis is defined as unrelenting symptoms >12 weeks in duration. Major Symptoms

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Rhinosinusitis

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  1. Rhinosinusitis Department of Otolaryngology—Head and Neck Surgery University of Missouri

  2. Sinusitis • Sinusitis affects 31 million Americans annually. • Chronic sinusitis is defined as unrelenting symptoms >12 weeks in duration. Major Symptoms Nasal / Post-nasal drainage*Facial pain / pressure*Nasal obstruction / congestion*Hyposmia / anosmiaCough not due to asthma(in children) *most common symptoms Minor Symptoms FeverCoughFatigueMaxillary dental painEar fullness/pressureHeadache Department of Otolaryngology—Head and Neck Surgery University of Missouri

  3. Sinus Anatomy Superior turbinate Frontal sinus Ethmoid sinus Maxillary sinus opening Middle turbinate Inferior turbinate Maxillary sinus Department of Otolaryngology—Head and Neck Surgery University of Missouri

  4. Sphenoid sinus Sinus Anatomy Department of Otolaryngology—Head and Neck Surgery University of Missouri

  5. Sinus Evaluation Department of Otolaryngology—Head and Neck Surgery University of Missouri

  6. Causes of Sinusitis • Wide spectrum of responsible causes • Allergy • Immunology • Bacteria • Fungus • Polyps • Anatomic blockage Department of Otolaryngology—Head and Neck Surgery University of Missouri

  7. Treatment of Sinusitis • Treat underlying causes • Allergy • allergy testing • Antihistamine (Claritin, Zyrtec, Allegra) • Nasal steroid spray (Flonase, Nasocort, Rhinocort) • Immunotherapy • Inflammation • Oral steroids • Infection • Antibiotics

  8. Nasal Saline Irrigation • Moisturizes the nasal passage • Improves the functioning of nasal and sinus lining • Helps wash and remove inhaled allergens and irritants Department of Otolaryngology—Head and Neck Surgery University of Missouri

  9. Indications for Surgery • Chronic sinusitis, >12 weeks duration • Symptomatic • Unresponsive to medical therapy • Recurrent acute sinusitis? • Sinus tumors/masses/polyps • GOAL: to relieve blockage of sinuses to establish better drainage. • Medical treatment, especially for allergies, may still be required after surgery. Department of Otolaryngology—Head and Neck Surgery University of Missouri

  10. Thank You Please ask us any questions you may have. Press button to view presentation again Department of Otolaryngology—Head and Neck Surgery University of Missouri

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