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SINUSITISNASAL MASSES PowerPoint Presentation
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SINUSITISNASAL MASSES

SINUSITISNASAL MASSES

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SINUSITISNASAL MASSES

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    1. SINUSITIS+NASAL MASSES DR. FAHAD ALFAWWAZ

    2. Acute Sinusitis Acute inflammation of sinus mucosa The sinus most commonly involved is the maxillary followed by ethmoid, frontal and sphenoid

    3. Aetilogy Predisposing Causes Nasal packing Deviated septum Hypertrophic turbinates Oedema of sinus ostia due to allergy or vasomotor rhinitis Nasal polyp Structural abnormality of ethmoidal air cells Benign or malignant neoplasm

    4. pathogen Viral infections followed soon by bacterial invasion The bacteria most often responsible for acute suppurative sinusitis are Strept. pneumoniae H. influenzae Moraxella catarrhalis Strept. pyogenes Staph.aureus Kleb. pneumoniae Anaerobic organisms and mixed infections are seen in sinusitis of dental origin

    5. P/E Constitutional symptoms : consist of fever, general malaise and body ache Headache Pain Tenderness : pressure or tapping over the anterior wall of antrum produces pain Redness and oedema of cheek : commonly seen in children, lower eyelid may become puffy Nasal discharge Post nasal discharge

    6. Diagnosis CT-scan Sinus tap Endoscopic guided cultures