IN THE NAME OF ALLAH, THE MOST BENEFICENT, THE MOST MERCIFUL

Coryza Acute Rhinosinusitis Brigadier Nasir Ullah Khan Classified ENT Specialist CMH Rawalpindi

Rhinitis Rhinosinusitis

Coryza

Coryza

Classification of RS Allergic Infectious Other ( non allergic non infectious)

Infectious RS

Classification of bacterial RS Acute RS > 7 days to < 4 weeks Subacute 4 to 12 weeks Rec acute 4 or > episodes of ARS per year Chronic RS 12 or > 12 weeks Acute exacerbation of ch RS

Ac RS Sinus involved - maxillary, ethmoid, frontal, sphenoid Multisinusitis Pansinusitis Open / closed

Factors playing role in the development of ABRS Host Genetic Anatomic Systemic diseases Environmental Trauma Tobacco smoke Irritants iatrogenic

Aetiology Exciting factors Nasal infection Swimming/diving Trauma Dental infection

Pathophysiology Ac urti-mucosal swelling-obst of ostia-mucostasis-bacterial colonization-iinfection Bacteria

Symptoms / signs General Local

Symptoms and signs major minor Facial pain/pressure Facial congestion/fullness n/obst n/disch Hyposmia Purulence on nasal exam Fever (acute) Headache Fever (non acute) Halitosis Fatigue Dental pain Cough Ear pain

Investigations X rays CT scan Culture

X ray PNS

Diagnosis Symptoms and signs Nasoendoscopy Culture Radiographs

Treatment Medical Antibiotics Analgesics Decongestents Surgical

Complications Acute Local Distant Chronic

Complications Acute local Frontal sinus Subperiosteal abscess Intracranial complication Ethmoid – orbital cellulitis Maxillary – swelling of cheek Sphenoid Cav sinus thrombosis intracranial

Complications Acute distant Brain abscess Septicaemia Toxic shock syndrome

Complications chronic Subacute, chronic RS Mucocoele

Thank you