Sinusitis
Sinusitis is defined as "an inflammatory process of the mucous membranes of the paranasal sinuses that occurs in three stages: acute, subacute, and chronic. Sinusitis results from any condition causing ostial obstruction or from pathophysiologic changes in the mucociliary transport mechanism."[1]
Etiology/causes
Microbiology
Diagnosis
History and physical examination
A systematic review by the Rational Clinical Examination has reviewed the best findings.[2] More recently reported is that a "red streak in the lateral recess of the oropharynx predicts acutesinusitis." (picture)[3]
CT Scan
Interpreting abnormal CT scan results is difficult because most patients with a common cold will have abnormalities of the maxillary sinuses.[4]
Treatment
Topical antibiotics do not seem to help.[5]
Topical corticosteroids do not seem to help.[5]
References
- ↑ National Library of Medicine. Sinusitis. Retrieved on 2007-12-04.
- ↑ Williams JW, Simel DL (1993). "Does this patient have sinusitis? Diagnosing acute sinusitis by history and physical examination". JAMA 270 (10): 1242–6. PMID 8355389. [e] OVID
- ↑ Thomas C, Aizin V (2006). "Brief report: a red streak in the lateral recess of the oropharynx predicts acute sinusitis". J Gen Intern Med 21 (9): 986–8. DOI:10.1111/j.1525-1497.2006.00498.x. PMID 16918746. Research Blogging.
- ↑ Gwaltney JM, Phillips CD, Miller RD, Riker DK (1994). "Computed tomographic study of the common cold". N. Engl. J. Med. 330 (1): 25–30. PMID 8259141. [e]
- ↑ 5.0 5.1 Ian G. Williamson et al., “Antibiotics and Topical Nasal Steroid for Treatment of Acute Maxillary Sinusitis: A Randomized Controlled Trial,” JAMA 298, no. 21 (December 5, 2007), http://jama.ama-assn.org/cgi/content/abstract/298/21/2487 (accessed December 5, 2007).