Presentation
Ethmoidal sinuses are the most complex of the sinuses and they are present at birth and attain adult size by the age of 12 years. 2.2. [intechopen.com]
Rhinosinusitis is one of the most common diseases present in patients with antibody deficiency. [worldallergy.org]
If a common intervention group was present, we planned to split the sample size and mark this on the data extraction sheet. [cochranelibrary.com]
Cystic fibrosis, primary ciliary dyskinesia, Young's syndrome, and α-1 antitrypsin deficiency are diseases in which bronchiectasis and rhinosinusitis are both present. [archbronconeumol.org]
Entire Body System
- Pain
Also, when considering specific types of pain such as unilateral facial pain (De Sutter 2002), pain on bending forward (De Sutter 2002; Stalman 1997), pain in upper teeth or when chewing (De Sutter 2002; Stalman 1997), facial pain, pressure, or tenderness [cochranelibrary.com]
Symptoms: Symptoms suggestive of ARS include nasal congestion or obstruction, facial or dental pain, purulent rhinorrhea, post nasal drainage, headache and cough. [worldallergy.org]
Acupuncture--a therapeutic concept in the treatment of painful conditions and functional disorders. Report on 971 cases. Acupunct Electrother Res, 1984;9(1):11-29. 21. Pothman R, Yeh HL. [passeportsante.net]
Reviewed: December 20th 2018 Published: February 14th 2019 DOI: 10.5772/intechopen.83689 Abstract The term rhinosinusitis is defined as inflammation of nose and paranasal sinuses characterised by nasal blockage, nasal discharge, post-nasal drip, facial pain [intechopen.com]
- Fatigue
Additional signs associated with ABRS can include fever, fatigue, hyposmia, ear fullness or pressure. Physical examination: A head, ears, eyes, nose, and throat examination should be done. Pulmonary evaluation may also be needed. [worldallergy.org]
Side effects The side effects described in the trials were nausea, vomiting, abdominal pain, stomach pain, diarrhoea, skin rash, dizziness, fatigue, hot flushes, jittery feeling, dry mouth, headache, epistaxis, and vaginal discharge or pruritus. [cochranelibrary.com]
- Fever
Fever may or may not be present. Attention should be paid to the periorbital and cheek areas of the face to look for cellulitis or extra sinus involvement. Culture from the nasal cavity is not useful. [worldallergy.org]
Implications for research Despite the availability of several studies and meta‐analyses, there is still insufficient clinical data to enable subgroup analysis of people who probably could benefit more from antibiotics, for example people with high fever [cochranelibrary.com]
- High Fever
Implications for research Despite the availability of several studies and meta‐analyses, there is still insufficient clinical data to enable subgroup analysis of people who probably could benefit more from antibiotics, for example people with high fever [cochranelibrary.com]
Respiratoric
- Rhinitis
Common modifying factors associated with rhinosinusitis Allergic rhinitis: Although no direct causality between RS and allergic rhinitis (AR) has been found, they often coexist. [worldallergy.org]
Keywords: Rhinitis Sinusitis Bronchiectasis Article These are the options to access the full texts of the publication Archivos de Bronconeumología Member Si es usted socio de la SEPAR siga los siguientes pasos: Diríjase desde aquí a la web de la >>>SEPAR [archbronconeumol.org]
The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol. 2008;122(2 Suppl):S1-84. doi: 10.1016/j.jaci.2008.06.003 Krauss K, Nazar R, Naser A, Cabrera N. [revista.acorl.org.co]
The combined term is more apt than individual rhinitis or sinusitis as it is unusual for having sinus inflammation alone in the absence of nasal inflammation. [intechopen.com]
The authors concluded that there was insufficient evidence to warrant the use of antibiotics for common cold or for persisting acute purulent rhinitis in children or adults (Kenealy 2013). [cochranelibrary.com]
- Cough
Symptoms: Symptoms suggestive of ARS include nasal congestion or obstruction, facial or dental pain, purulent rhinorrhea, post nasal drainage, headache and cough. [worldallergy.org]
One study prescribed cough syrup (dextromethorphan hydrobromide or guaifenesin) for all participants (Garbutt 2012). [cochranelibrary.com]
- Pneumonia
Only about 2% of VRS become ABRS. 4 Most common bacteria responsible for ABRS are Streptococcus pneumoniae, Hemophilus influenzae, and Moraxella catarrhalis. Staphylococcus aureus is also isolated in adults with ABRS. [worldallergy.org]
Kaiser 2001 reported the mean illness duration for participants with or without Streptococcus pneumoniae,Haemophilus influenzae, orMoraxella catarrhalis in their nasopharyngeal secretions (with bacteria: five days in the azithromycin group versus seven [cochranelibrary.com]
- Rhinorrhea
Symptoms: Symptoms suggestive of ARS include nasal congestion or obstruction, facial or dental pain, purulent rhinorrhea, post nasal drainage, headache and cough. [worldallergy.org]
According to the European Position Paper on rhinosinusitis and nasal polyps, CRS is diagnosed when a person presents having lived for 12 weeks with one of: nasal obstruction or congestion and/or rhinorrhea; and one of facial pain or pressure and/or reduction [cochranelibrary.com]
- Hyposmia
Additional signs associated with ABRS can include fever, fatigue, hyposmia, ear fullness or pressure. Physical examination: A head, ears, eyes, nose, and throat examination should be done. Pulmonary evaluation may also be needed. [worldallergy.org]
Face, Head & Neck
- Facial Pain
Also, when considering specific types of pain such as unilateral facial pain (De Sutter 2002), pain on bending forward (De Sutter 2002; Stalman 1997), pain in upper teeth or when chewing (De Sutter 2002; Stalman 1997), facial pain, pressure, or tenderness [cochranelibrary.com]
Symptoms: Symptoms suggestive of ARS include nasal congestion or obstruction, facial or dental pain, purulent rhinorrhea, post nasal drainage, headache and cough. [worldallergy.org]
pain, pressure and reduction/loss of smell with corresponding endoscopic appearance and CT scan changes. [intechopen.com]
Workup
Associated disorders that predispose patients to chronic sinusitis are discussed, as well as the diagnostic evaluation that should be performed in the workup of these patients. The role of systemic and topical therapies is also reviewed. [de.coursera.org]
Microbiology
- Staphylococcus Aureus
Staphylococcus aureus is also isolated in adults with ABRS. ABRS is primarily a clinical diagnosis and radiographic imaging with a sinus computed tomography (CT) scan is recommended only if a complication or alternative diagnosis is suspected. [worldallergy.org]
Pseudomonas aeruginosa, Staphylococcus aureus, Haemophilus influenzae, Burkholderia cepacia, Achromobacter xylosoxidans and Stenotrophomonas maltophilia are bacteria which commonly cause infection and inflammation (Brook 2016; Ramsey 1992). [cochranelibrary.com]
- Streptococcus Pneumoniae
Only about 2% of VRS become ABRS. 4 Most common bacteria responsible for ABRS are Streptococcus pneumoniae, Hemophilus influenzae, and Moraxella catarrhalis. Staphylococcus aureus is also isolated in adults with ABRS. [worldallergy.org]
Kaiser 2001 reported the mean illness duration for participants with or without Streptococcus pneumoniae,Haemophilus influenzae, orMoraxella catarrhalis in their nasopharyngeal secretions (with bacteria: five days in the azithromycin group versus seven [cochranelibrary.com]
Treatment
+ quiz) Week 3 - Module 2: Acute Rhinosinusitis: Diagnosis and Treatment (17 min. + quiz) Week 4 - Module 3: Chronic Rhinoinusitis: Diagnosis and Treatment (18 min. + quiz) Week 5 - Module 4: The Role of Surgery for Sinusitis and Activity Evaluation [de.coursera.org]
We planned to include comparisons of combinations of the treatments listed above. Concurrent treatments were allowed if they are used in both treatment arms. [cochranelibrary.com]
The effects of treatment with antibiotics, laser and acupuncture upon chronic maxillary sinusitis in children. Am J Chin Med, 1982;10(1-40):55-8. 23. Yarnell E, Abascal K, Hooper CG. [passeportsante.net]
Testing for allergy and immune function: Allergy testing allows identification and treatment of allergic rhinitis that often coexists with and may modify CRS. [worldallergy.org]
Etiology
ARS is further classified based on duration and presumed etiology as Viral rhinosinusitis (VRS) Acute bacterial rhinosinusitis (ABRS) Recurrent acute rhinosinusitis (RARS) consists of 3 or more episodes of acute bacterial rhinosinusitis (ABRS) in a year [worldallergy.org]
Epidemiology
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]
Pathophysiology
The pathophysiology of mucostasis (a mass of thick mucus over the mucosa which cannot be pushed away by cilia), infection and inflammation is the same for upper and lower airway. [cochranelibrary.com]
Prevention
Biofilms overlying the adenoid pad may prevent antibiotic therapy from clearing the infection. Adenoidectomy surgically removes this reservoir for chronic infection [ 17 ]. [intechopen.com]