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]

• Pathologist

  Biopsy : The removal of cells or tissues so they can be viewed under a microscope by a pathologist to check for signs of cancer. [northshore.org]

  Cancer grading is a microscopic issue; the pathologist determines the degree of aggressiveness of the cancer. [encyclopedia.com]

  A speech pathologist treats: Voice loss Swallowing disorders Impaired speech Your speech pathologist will help you regain as much of your speech and swallowing as possible. [mskcc.org]

  Fungal infections are usually diagnosed by such biopsy procedures and tissue removed by a surgeon, or by fungal culture and microscopic identification by a microbiologist or pathologist trained to identify fungi. [medicinenet.com]

• Sore Throat

  throat earache fever Sinusitis can either be acute or chronic. [healthline.com]

  The 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 [childrensenthouston.com]

  Post nasal drip is mucus overproduction from sinusitis that flows to the throat and irritates throat tissue. Sore throat is inflammation of throat tissue by post nasal drip. [medicinenet.com]

  Drainage, therefore, drips constantly down the back of the throat, resulting in a continuously sore throat and bad breath. Diagnosis Diagnosis is sometimes tricky, because the symptoms so often resemble those of an uncomplicated cold. [medical-dictionary.thefreedictionary.com]

• Snoring

  Two of these patients had facial swelling and 2 had nasal obstruction and presented as snoring. Two patients presented with history of weight loss and these patients had malignant tumour of the paranasal sinuses. [ncbi.nlm.nih.gov]

  The patient shows difficulty in nasal breathing, which will therefore be associated with oral breathing, nocturnal snoring, frequent episodes of rhinitis and, in some cases, sinusitis, favoured by poor ventilation, which in turn determines one continuous [mariobussi.com]

• Pharyngitis

  […] degenerative nasal sinus (mucosa) J32.9 Pyocele turbinate J32.9 (bone) Sinusitis (accessory) (chronic) (hyperplastic) (nasal) (nonpurulent) (purulent) J32.9 ICD-10-CM Codes Adjacent To J32.9 J31.0 Chronic rhinitis J31.1 Chronic nasopharyngitis J31.2 Chronic pharyngitis [icd10data.com]

  […] reliable); frontal and maxillary tenderness (acute sinusitis); polyps and edema (chronic sinusitis) • DDx of Facial Pain: rhinogenic, migraines and other headaches, dental disease, neuralgias, temporomandibular joint disease, ocular disease, tonsillitis, pharyngitis [alpfmedical.info]

• 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]

• Epistaxis

  The most common symptoms of paranasal sinus cancers include: Nasal: A persistently blocked nose or bleeding per nose (epistaxis) Oral: loose teeth or dentures, bleeding from upper teeth sockets, swelling in the roof of the mouth, oral pain, or trismus [skullbaseinstitute.com]

  […] air-fluid levels, opacification, and bone destruction • high rate of false positives and false negatives to evaluate for chronic sinusitis CT of Paranasal Sinuses • Indications: severe acute sinusitis, medical failure of chronic sinusitis, diagnosis of epistaxis [alpfmedical.info]

  4: Some signs and symptoms that may be suspicions for maxillary sinus malignancy Figure 9: A non-healing upper right extraction site with a spindle cell squamous carcinoma arising from the maxillary sinus Figure 10: Left sided nasal obstruction with epistaxis [nature.com]

  It causes non-specific symptoms like nasal congestion or epistaxis. Biopsy is necessary to make the diagnosis and because more than 10% of inverted papillomas harbor a squamous cell carcinoma. [radiologyassistant.nl]

  Typically, this benign, vascular, locally invasive neoplasm occurs in pubescent males, presenting with nasal obstruction and epistaxis. [sajr.org.za]

• Dizziness

  Signs and symptoms include headache, nasal discharge, swelling in the face, dizziness, and breathing difficulties. [icd10data.com]

  These may be accompanied by a slight rise in temperature, dizziness, and a general feeling of weakness and discomfort. [medical-dictionary.thefreedictionary.com]

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]

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]