OBJECTIVE: To determine the change in the clinical presentation of inflammatory paranasal sinus disease as a function of a patient's age. [ncbi.nlm.nih.gov]

• Recurrent Sinusitis

  Ten patients with histories of chronic or recurrent sinusitis underwent coronal CT studies of the paranasal sinuses before and after the application of a topical vasoconstrictor. [ncbi.nlm.nih.gov]

  Recurrent sinusitis may require surgery to improve sinus drainage. [merckmanuals.com]

  Recurrent sinusitis happens several times a year. Who Gets It? Lots of people. About 35 million Americans have sinusitis at least once each year. [webmd.com]

  complicated sinusitis, recurrent acute sinusitis, failed medical management of acute sinusitis, fungal sinusitis • obstructive nasal polyposis • sinus mucoceles • remove foreign bodies • tumor excision, transsphenoidal hypophysectomy • orbital decompression [alpfmedical.info]

• Malaise

  Symptoms include nasal obstruction and congestion, purulent rhinorrhea, and facial pain or pressure; sometimes malaise, headache, and/or fever are present. [merckmanuals.com]

  […] pediatric patients) • Chronic Sinusitis Symptoms: presents with more subtle symptoms of nasal obstruction, less fever and pain complaints • Associated Symptoms: anosmia, loss of taste (chronic sinusitis), allergic components (sneezing, watery eyes), fever, malaise [alpfmedical.info]

  Symptoms of sinusitis can include nasal congestion, purulent nasal discharge, maxillary tooth discomfort, cough, headache, fever, malaise, and facial pain or pressure that is worsened by bending forward. [aetna.com]

• Rhinitis

  Abstract The reliability of transillumination versus roentgenogram to diagnose maxillary and frontal paranasal sinus disease was assessed in 52 subjects with rhinitis and/or asthma. [ncbi.nlm.nih.gov]

  It may take allergy testing to rule out hay fever and accurately diagnose non-allergic rhinitis. What Causes Rhinitis? Rhinitis is common… Read More Sinus Surgery Sinus infections bring pain and discomfort to millions of Americans. [swient.com]

  INFLAMMATORY DISEASES OF THE NOSE AND SINUSES rhinitis – The most common form of acute inflammation of the nasal fossa, represented by acute rhinitis epidemic.This disease is commonly known as cold.It is supported by a viral etiology, particularly rhinovirus [mariobussi.com]

• Pneumonia

  Anatomical (compromised patency of ostia causes hypooxygenation and impairment of sinus drainage) • Dysfunction of Cilia Motility • Change in Quality of Secretions • Immune Dysfunction Pathogens Acute • Viral: rhinovirus (most common) • Bacterial: S. pneumoniae [alpfmedical.info]

  It also may be a complication of tooth infection, allergy, or certain infectious diseases, such as pneumonia and measles. [medical-dictionary.thefreedictionary.com]

  The five most common bacteria causing sinus infections are: Streptococcus pneumoniae Haemophilus influenzae Moraxella catarrhalis Staphylococcus aureus Streptococcus pyogenes Antibiotic treatment for sinus infections must be able to kill these five types [medicinenet.com]

  This helps prevent pneumonia. Your nurse will give you an incentive spirometer to help expand your lungs. Use it 10 times every hour you’re awake. For more information, read How to Use Your Incentive Spirometer. [mskcc.org]

• Nausea

  No nausea or vomiting (anorexia may occur) 2. No more than 1 of photophobia or phonophobia E. Not attributed to another disorder A. At least 5 attacks fulfilling criteria B-D B. [care.american-rhinologic.org]

  […] following symptoms may indicate a sinus infection in your child: a "cold" lasting more than 10 to 14 days sometimes with low-grade fever thick yellow-green nasal drainage post-nasal drip, sometimes leading to or exhibited as sore throat, cough, bad breath, nausea [childrensenthouston.com]

  Radiation also may cause nausea and vomiting, diarrhea, and urinary discomfort. There may also be a decrease in white blood cells, which are needed to fight infection. [encyclopedia.com]

  Ask you if you’ve had any problems with anesthesia in the past, including nausea or pain. Talk with you about your comfort and safety during your surgery. Talk with you about the kind of anesthesia you will have. [mskcc.org]

• Vomiting

  No nausea or vomiting (anorexia may occur) 2. No more than 1 of photophobia or phonophobia E. Not attributed to another disorder A. At least 5 attacks fulfilling criteria B-D B. [care.american-rhinologic.org]

  […] indicate a sinus infection in your child: a "cold" lasting more than 10 to 14 days sometimes with low-grade fever thick yellow-green nasal drainage post-nasal drip, sometimes leading to or exhibited as sore throat, cough, bad breath, nausea and / or vomiting [childrensenthouston.com]

  Radiation also may cause nausea and vomiting, diarrhea, and urinary discomfort. There may also be a decrease in white blood cells, which are needed to fight infection. [encyclopedia.com]

• Constipation

  Pain medication may cause constipation (having fewer bowel movements than what’s normal for you). Managing Constipation Talk with your nurse about how to manage constipation. You can also follow the guidelines below. Exercise, if you can. [mskcc.org]

• Halitosis

  Diagnosis of Acute Rhinosinusitis, Major and Minor Factors Fever Ear pain/ pressure/ fullness Purulence in nasal cavity on examination Cough Hyposmia/anosmia Dental pain Nasal discharge/ purulence/ discolored postnasal drainage Halitosis Nasal obstruction [slideshare.net]

  […] thick, green or yellow nasal discharge, they may be diagnosed with acute sinusitis. facial pain and pressure blocked nose nasal discharge reduced sense of smell congestion cough In more advanced cases, the following symptoms may also be present: fever halitosis [medicalnewstoday.com]

  […] pain and tenderness worse with straining of bending over, pressure headache (frontal, occipital headaches may arise from sphenoid sinusitis), nasal congestion, postnasal drip, nasal obstruction, nasal discharge (mucopurulent, serous, mucoid), cough and halitosis [alpfmedical.info]

• Hypertension

  Logistic regression, which was adjusted for age, sex, body mass index, waist-to-hip ratio, hypertension, smoking status, alcohol intake, and white blood cell count, was performed to calculate the odds ratio (OR) of having paranasal sinus disease among [ncbi.nlm.nih.gov]

  Expanding abscess: intracranial hypertension, seizures, paralysis 4. [alpfmedical.info]

• Sweating

  Ipsilateral forehead and facial sweating 5. Ipsilateral miosis and/or ptosis 6. Sense of restlessness or agitation D. Attacks have a frequency of 1 every other day to 8/d E. Not attributed to another disorder A. [care.american-rhinologic.org]

  […] characterized by abnormal exocrine gland function (chronic progressive pulmonary disorder with associated pancreatic, hepatobiliary, and genitourinary manifestations) • universally develop chronic sinusitis • 10% associated obstructive nasal polyps • Dx: sweat [alpfmedical.info]

• Skin Rash

  Some of the most common side effects of chemotherapy include: diarrhea hair loss ( alopecia ) hearing loss skin rashes tingling and numbness in the fingers and toes vomiting Most of these side effects are treatable, temporary, and recede after therapy [encyclopedia.com]

• Frontal Headache

  NON-Sinus Headaches Because the sinuses are located around the eyes, people generally tend to think that headache in the frontal, supraorbital and infraorbital regions are related to the sinuses. [care.american-rhinologic.org]

  Osteoma in frontal sinus Osteoma This is a patient who had been having brain MRI for the past 1,5 yrs for frontal headaches. On the MRI (not shown) it looked as if the patient had a little mucosal disease of the frontal sinus. [radiologyassistant.nl]

• Agitation

  Sense of restlessness or agitation D. Attacks have a frequency of 1 every other day to 8/d E. Not attributed to another disorder A. [care.american-rhinologic.org]

If sinusitis is not found to be present, the otolaryngologist must help the patient understand this point, reassure him or her that the otolaryngologist will still be vigilant for the development of sinusitis, and refocus the history and workup for some [ncbi.nlm.nih.gov]

They are less common in the other sinuses and typically do not require additional workup or follow-up. 9 Polyps, on the other hand, may become more extensive and problematic, leading to obstruction and osseous remodeling. [jaocr.org]

• Polyps

  In addition, it has been suggested by serendipitous observations that many of the aspirin-intolerant patients have nasal polyps and that treatment with the leukotriene inhibitors has resulted in improvement and resolution of the polyps. [ncbi.nlm.nih.gov]

  Chronic rhinosinusitis with nasal polyps (CRSwNP) is characterized by a T(H)2-skewed eosinophilic inflammation, whereas chronic rhinosinusitis without nasal polyps (CRSsNP) represents a predominant T(H)1 milieu. [zora.uzh.ch]

  Antral polyps of infectious or allergic origin may be difficult to distinguish from retention pseudocysts, but when there is concurrent mucositis and multiple soft tissue masses, the possibility of polyps should be considered. [pocketdentistry.com]

Subjects (n = 40) were randomly allocated to treatment either with isotonic Ems salt solution or with isotonic sodium chloride solution. The treatment consisted of endonasal irrigation twice daily and additional nasal spray as required. [ncbi.nlm.nih.gov]

Here, we describe a series of patients that presented with CNVI palsy, their management, and prognosis for recovery. [ncbi.nlm.nih.gov]

Prognosis for sixth nerve palsy arising from paranasal sinus disease. [arizona.pure.elsevier.com]

We retrospectively studied the prognosis of patients who had optic nerve blindness due to paranasal sinus disease. During the past 10 years, we identified 17 patients with optic nerve disease and posterior paranasal sinus disease. [karger.com]

Abstract The paranasal sinuses of 20 consecutive young adult patients with a complete Bell's palsy were investigated by magnetic resonance imaging (MRI) to obtain more information on the etiology of the disease. [ncbi.nlm.nih.gov]

A wide range of literature describes myriad causes for CNVI palsy, but there is a lack of references that point to paranasal sinus pathology as an etiology, as well as the prognosis and timeline for resolution. [arizona.pure.elsevier.com]

In certain circumstances, the etiology of these two causes may be found within the nasal cavity itself. Septal deviation and inferior turbinate hypertrophy have been found to contribute to obstructive sleep apnea (OSA) in some people. [care.american-rhinologic.org]

Force duction test can distinguish between the causes of which the results of the test will be positive if the etiology is due to mechanical restrictions. [transbiomedicine.com]

Research Article, J Otol Rhinol Vol: 4 Issue: 6 Abdulaziz Alrasheed 1 *, Alipasha Rassouli 1, Muhammad AS Mullah 2 and Marc Tewfik 1 1 Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Canada 2 Department of Epidemiology [scitechnol.com]

Epidemiology and burden of nasal congestion. Stewart M, Ferguson B, Fromer L. Int J Gen Med. 2010 Apr 8;3:37-45. 28. De la rhinite allergique aux pathologies sinusiennes (sinusite/polypose) : les liens épidémiologiques et expérimentaux. P. Demoly. [passeportsante.net]

The epidemiology of chronic rhinosinusitis in Canadians. Laryngoscope. 2003;113(7):1199–205. [PubMed] [Google Scholar] 2. Joe SA, Thambi R, Huang J. A systematic review of the use of intranasal steroids in the treatment of chronic rhinosinusitis. [ncbi.nlm.nih.gov]

Abstract The enhanced understanding of the pathophysiology of cystic fibrosis (CF) has advanced significantly the management of this disorder, resulting in both an increased longevity and an improved quality of life. [ncbi.nlm.nih.gov]

Introduction Pathophysiology • Anatomical (compromised patency of ostia causes hypooxygenation and impairment of sinus drainage) • Dysfunction of Cilia Motility • Change in Quality of Secretions • Immune Dysfunction Pathogens Acute • Viral: rhinovirus [alpfmedical.info]

We postulate different pathophysiologic mechanisms of ON in our three patients: compression of optic nerve due to sphenoid mucocele in the first patient; extension of bacterial infection to the optic nerve in the second patient; and invasion of aspergillosis [link.springer.com]

Chronic rhinosinusitis: Clinical manifestations, pathophysiology, and diagnosis. UpToDate Inc., Waltham, MA. Last reviewed May 2018. [aetna.com]

Prevention/Solution As the old adage says, “Prevention is the best medicine.” Preventing paranasal sinus disease is similar to preventing other types of illnesses. Make sure to wash your hands frequently, especially before eating. [healthfully.com]

Zileuton is a 5-lipoxygenase inhibitor that prevents the formation of leukotrienes and can also result in the prevention of leukotriene activity. [ncbi.nlm.nih.gov]

Preventing Sinusitis As always, an ounce of prevention is worth a pound of cure. [childrensenthouston.com]

A timely operation could possibly have prevented permanent blindness in cases 1 and 3 as well. [link.springer.com]

Appropriate treatment of sinus infections is necessary to prevent complications and decrease morbidity. Your ENT is the best qualified physician or surgeon to diagnose and treat sinus problems. [tcmwell.com]