Sinusitis/Rhinosinusitis

 

 

The Sinusitis/Rhinosinusitis results in inflammation of the nasal mucosa and sinuses and is one of the leading causes of school absences and truancy. It is also illustrated by the overprescribing of antibiotics by physicians, driven by the expectations of patients.

 

Pathophysiological mechanisms: inflammation of the nose (redness, congestion, pain) will cause an obstruction of drainage holes sinuses, air-filled cavities that are still unaware of the true value. This obstruction will thus induce sinus infection by viruses most often, but sometimes by bacteria such as Streptococcus pneumoniae (pneumococcus) or Haemophilus influenzae. Note that sinusitis can also be secondary to a dental problem.

 

Clinical symptoms: the patient with sinusitis will have a stuffy nose (nasal congestion), flow and pain or heaviness in the frontal (frontal sinus) or eyes (maxillary sinus), especially in the morning and when he looks eg head forward.

Treatment: in two thirds of cases, it is a viral Sinusitis/Rhinosinusitis and heal spontaneously, possibly with the help of nasal decongestants or topical corticosteroids. If sinusitis persists beyond a week, it would most likely a bacterial cause in this case, the prescription of an antibiotic is valid. Examples: Amoxicillin Clavulanate and. The only way to prove, however, that bacteria is the cause would be to make a withdrawal at the nose. The result of the culture reaches 24-48h.

 

Finally, a few words on the Chronic Sinusitis/Rhinosinusitis, an inflammatory condition which reflects recurrent or persistent sinus cavities due to inadequate drainage following an infection, chronic inflammation or allergy. The obstruction of an ostium (hole) sinus can also cause chronic sinusitis. Drug treatments are often tedious and disappointing and expansion of intercellular spaces (holes) through sinus surgery is a good way to restore proper ventilation. The act of removing the ethmoid sinus (ethmoidectomy) is also part of the procedure.