(耳鼻咽喉头颈外科学)2.1Acute and Chronic Sinusitis讲解材料.pptVIP

Symptoms of chronic sinusitis Blocked nose (nasal obstruction): the most prominent symptom , usually a One or more of the following may also occur: Runny nose: the discharge may be green/yellow. Reduced sense of smell. Pain: over the affected sinus. However, pain is often not a main feature of chronic sinusitis (unlike acute sinusitis). In many cases, it is more of a feeling of facial fullness or mild discomfort rather than pain. Physical Examination Endoscopy: Purulent secretions or nasal polyps in the meatus. CT scan : to find which sinuses have inflammation. Sinusitis ARS CRS Diagnosis Symptoms and history Endoscopic examination Computerized tomography (CT): CT scanning is preferred as the initial study of choice. It is extremely sensitive. Sinusitis Acute and Chronic Sinusitis (Rhinosinusitis) 杨玉成 博士 主任医师 副教授 硕士生导师 重庆医科大学第一临床学院耳鼻咽喉科 重庆市耳鼻咽喉质量控制中心 卫生部临床重点专科 2016 （急慢性鼻窦炎/鼻-鼻窦炎） The paranasal sinuses are a group of air containing spaces that surround the nasal cavity (four pairs) Each sinus is named for the bone in which it is located: Maxillary (one sinus located in each cheek) Ethmoid (approximately 6-12 small sinuses per side, located between the eyes) Frontal (one sinus per side, located in the forehead) Sphenoid (one sinus per side, located behind the ethmoid sinuses, near the middle of the skull) Anatomy The drainage of the sinuses Frontal, maxillary, anterior ethmiod ? middle meatus Posterior ethmoid ? superior meatus Sphenoid ? sphenoethmoidal recess ostiomeatal complex, OMC (窦口鼻道复合体) EPOS 2012 CPOS 2012 Rhinology. 2012 Mar;50(1):1-12. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, Cohen N, Cervin A, Douglas R, Gevaerts P, Georgalas C, Goossens H, Harvey R, Hellings P, Hopkins C, Jones N, Joos G, Kalogjera L, Kern B, Kowalski M, Price D, Riechelmann H, Schlosser R, Senior B, Thomas M, Toskala E,