黄江菊《耳鼻咽喉科学》2sinusitis鼻部肿瘤ppt课件.ppt

Sinusitis;The paranasal sinuses are a group of air containing spaces that surround the nasal cavity (four pairs) Each sinus is name 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) ; The drainage of the sinuses Frontal, maxillary, anterior ethmiod ? middle meatus Posterior ethmoid ? superior meatus Sphenoid ? sphenoethmoidal recess ;EPOS 2012;Sinusitis/ Rhinosinusitis;Acute rhinosinusitis: 12 weeks; Acute viral rhinosinusits/Common cold； duration of symptoms for less than 10 days; Acute post-viral rhinosinusitis : increase of symptoms after 5 days or persistent symptoms after 10 days with less than 12 weeks duration. Acute bacterial rhinosinusitis (ABRS) Acute bacterial rhinosinusitis is suggested by the presence of at least 3 symptoms/signs of . ? Discoloured discharge (with unilateral predominance) and purulent secretion in cavum nasi, ? Severe local pain (with unilateral predominance) ? Fever (38℃) ? Elevated ESR/CRP ? ‘Double sickening’ (i.e. a deterioration after an initial milder phase of illness).;Chronic Rhinosinusitis without nasal polyps (CRSsNP) Chronic Rhinosinusitis with nasal polyps (CRSwNP) ;Causes and Pathogenesis;Predisposing factors of ARS;Predisposing factors of CRS;Inflammatory mechanisms CRSwNP or CRSsNP;Symptoms and Signs of Acute Sinusitis;B. Local Symptoms and signs: a. a stuffy or runny nose b. colored discharge: from the nose c. Pain or headache: persistent dull pain or swelling around the eyes or around the cheekbones, or sensation of pressure in head d. smells bad;Maxillary sinusitis may in the maxillary area of the face, toothache, and frontal headache. Frontal sinusitis causes frontal pain and headache. Ethmoid sinusitis cause pain behind the eyes a