鼻窦炎英文版.ppt

;Anatomy of the nasal sinuses;Posterior sinus: posterior ethmoidal sinus :open in the superior meatus sphenoid sinus: open in sphenoethmoidal recess ; overview;Acute sinusitis;Aetiology of sinusitis in general;Exciting causes;Predisposing causes;local;1、nasal packing;2、deviated septum;3、hypertrophic turbinates;4、nasal polypi;5 、oedema of sinus ostia due to allergy or vasomotor rhinitis 6、 benign or malignant neoplasm ;General ;Bacteriology ;Pathology of sinusitis;Initially ,the exudate is serous; later it may become mucopurulent or purulent. Severe infections cause destruction of mucosal lining. Failure of ostium to drain results in empyema of the sinus and destruction of its bony walls leading to complications.;Acute maxillary sinusitis; Aetiology;Clinical features;Constitutional symptoms consist of fever, general malaise and body ache. They are the result of toxaemia. Headache Pain Tenderness Redness and oedema of cheek. Nasal discharge Post nasal discharge;Diagnosis ;Treatment;Medical;Antimicrobial drugs;Nasal decongestant drops;steroids;Steam inhalation;Analgesics;Hot fomentation;Surgical;complications;Acute frontal sinusitis ;Aetiology;Clinical features;Treatement ;Medical ;If patient shows response to medical treatment and pain is relieved ,treatment is continued for full 10 days to 2 weeks. ;Surgical ;Complications ;Acute ethmoid sinusitis ;Aetiology ;Clinical features ;Treatment ;Complications ;Acute sphenoid sinusitis;Aetiology ;Clinical features;Differential diagnosis;Treatment ;Chronic sinusitis ;In general;pathophysiology;pathology;Bacteriology ;Clinical features;Local pain and headache are often not marked . Some patients complain of nasal stuffiness and anosmia. ;Diagnosis ;Treatment ;Initial treatment of chronic sinusitis is conservative, including antibiotics, decongestants, antihistaminics and steroids . Some form of surgery is required either to provide free drainage and ventilation or radical surgery to remove all irreversibl