Rhinosinusitis Primary Care: Clinics in Office Practice

Slides:



Advertisements
Similar presentations
Fig 1 Anatomy.
Advertisements

Chronic RhinoSinusitis- State of the Art
Frontal Sinus Surgery Babak Saedi
ADVANCES IN TREATMENT OF SINUS DISEASE ADVANCES IN TREATMENT OF SINUS DISEASE James V. Zirul, D.O. Peninsula Ear, Nose & Throat Clinic, Inc. Kenai, Alaska.
Radiological anatomy of Frontal sinus
NORMAL VARIANTS OF CT PARANASAL SINUSES
Chronic Sinusitis.
Endoscopic Sinus Surgery
Anatomy The lateral wall of nose: Maxillary bone Ethmoid bone
CERTIFICATE OF MERIT RSNA 2003 P. Loubeyre1 MD & J.S Lacroix2 MD, PhD
Sharp and chronic odontogenic sinusitis of upperjawal sinus
Radiology of Nasal Cavity and Paranasal Sinuses
Endoscopic Sinus Surgery
Amy Stinson, DO ENT PGY 2 Affinity Medical Center.
Anatomic Variations in paranasal sinus region and their clinical importance Reviewed articles by Jahanbakhsh Hashemi MD Associate prof of radiology (MUMS)
Sinus Imaging with CT By Erik Paulson, D.O..
Schematic diagram of motion of a single cilium during the rapid forward beat and the slower recovery phase.
Aleppo Univirsity Hospital Departement of ENT By:Dr.Tarek Shrayyef.
An Inflammatory condition involving the paranasal sinuses and linings of the nasal passages that lasts 12 week or longer This diagnosis requires objective.
Radiology of Nasal Cavity and Paranasal Sinuses
(A) Coronal noncontrast sinus CT section (same patient; Figure 9
Paranasal Sinuses: Anatomy and Function
Deeksha Seth1 Dr. Ashvini Kumar2
Sinonasal anatomy. In this coronal plane CT scan, several key sinonasal landmarks can be seen. M, maxillary sinus; IT, inferior turbinate; MT, middle turbinate;
S. Vaid, N. Vaid, S. Rawat, A.T. Ahuja  Clinical Radiology 
Basic Surgery in Acute-Chronic Rhinosinusitis
Allison K. Royer, MD, Mark C. Royer, MD 
Treatment of nasal polyposis and chronic rhinosinusitis with fluticasone propionate nasal drops reduces need for sinus surgery  Albertien A.C. Aukema,
Evaluation and treatment of allergic fungal sinusitis. II
Chronic sinusitis Prof. Ehab Taha Yaseen.
Nasal Cavity, Paranasal Sinuses, Pterygopalatine Fossa
Anatomical margins of uncinectomy in endoscopic sinus surgery
Chronic rhinosinusitis: Epidemiology and medical management
Endotype-driven care pathways in patients with chronic rhinosinusitis
Mediastinal lymph node staging of non-small-cell lung cancer: A prospective comparison of computed tomography and positron emission tomography  Walter.
Robert M. Naclerio, MD, Jayant Pinto, MD, Fuad Baroody, MD 
Volume 58, Issue 3, Pages (July 2014)
Chronic Rhinosinusitis
Treatment of chronic rhinosinusitis with intranasal amphotericin B: A randomized, placebo-controlled, double-blind pilot trial  Jens U. Ponikau, MD, David.
Evaluation and treatment of allergic fungal sinusitis. II
Diagnostic criteria for allergic fungal sinusitis
Criteria for the diagnosis of sinus mycetoma
Sorting Out “Sinus Headache”
Overview of the drainage pathways of the paranasal sinuses
Coronal CT scans showing variation in concha size wth preservation of nasal air channels.A, Coronal CT scan of the paranasal sinuses shows moderate-sized.
Complications of Allergic Fungal Sinusitis
Fungal disease of the nose and paranasal sinuses
Iliac vein compression in an asymptomatic patient population
Chronic rhinosinusitis: Epidemiology and medical management
VARIATIONS IN PARANASAL SINUSES
Decreased mucosal oxygen tension in the maxillary sinuses in patients with cystic fibrosis  Kasper Aanaes, Lars Fledelius Rickelt, Helle Krogh Johansen,
Allison K. Royer, MD, Mark C. Royer, MD 
Case 2. Case 2. Organized hematoma arising from antrochoanal polyp in a 12-year-old girl. A, Contrast-enhanced axial CT scan shows marked irregular nodular.
Diagnostic criteria for sarcoidosis of the sinuses
Community-acquired pneumonia in adults
Coronal CT scan of the paranasal sinuses shows a moderate-sized left concha bullosa with moderate deviation of the nasal septum convexity to the right.
Chronic sinusitis Journal of Allergy and Clinical Immunology
Nasal Airflow in Sleep-Disordered Breathing
C. L. Vreede, M. C. Berkhout, A. J. Sprij, W. J. Fokkens, H. G. M
Henry L. Lew, MD, PhD, Jay Han, MD, Lawrence R
A, Coronal CT scan of the paranasal sinuses in a 45-year-old women with difficulty breathing shows the typical appearance of crista galli pneumatization.
Biology of nasal polyposis
Prognosis and prediction of response to surgery in allergic patients with chronic sinusitis  François Lavigne, MDa, Cong Thu Nguyen, MDa, Lisa Cameron,
Sonja A. Grundmann, MD, Pia B. Hemfort, MD, Thomas A
Rhinitis and sinusitis
The superior compartment of the FSDP
Charcot-Leyden crystal concentration in nasal secretions predicts clinical response to glucocorticoids in patients with chronic rhinosinusitis with nasal.
Jens U. Ponikau, MD, David A. Sherris, MD, Hirohito Kita, MD, Eugene B
Figure 13b.  Medium-energy injuries to the left orbital floor and zygomatic complex in a 10-year-old girl after a motor vehicle accident. (a) Axial CT.
A, Coronal sinus CT examination performed on a 27-year-old woman with symptoms of chronic sinusitis demonstrates prominent sinonasal mucosal thickening.
Presentation transcript:

Rhinosinusitis Primary Care: Clinics in Office Practice Welby Winstead, MD, FACS  Primary Care: Clinics in Office Practice  Volume 30, Issue 1, Pages 137-154 (March 2003) DOI: 10.1016/S0095-4543(02)00058-1

Fig. 1 Schematic diagram of the anterior ethmoid sinus–middle meatus region in a coronal projection. The shaded area is the OMC, which includes the middle turbinate (MT), middle meatus, maxillary ostium (O), and anterior ethmoid (B). Blockage in this critical area can cause secondary obstruction in the frontal (F) and maxillary (M) sinuses. Also shown are the inferior turbinate (IT) and septum (S). Primary Care: Clinics in Office Practice 2003 30, 137-154DOI: (10.1016/S0095-4543(02)00058-1)

Fig. 2 Classification of rhinosinusitis. Primary Care: Clinics in Office Practice 2003 30, 137-154DOI: (10.1016/S0095-4543(02)00058-1)

Fig. 3 Nasal endoscopic views of the OMC region demonstrating anatomic variations that may predispose to chronic rhinosinusitis. (A) The right middle turbinate (MT) is enlarged by pneumatization (concha bullosa). (B) This view shows the left middle turbinate (∗) and deviation of the septum (S) with a spur (double arrows) impacted into the inferior turbinate (IT). (C) This view shows a deformity of the uncinate process (U). Primary Care: Clinics in Office Practice 2003 30, 137-154DOI: (10.1016/S0095-4543(02)00058-1)

Fig. 4 Coronal CT scan through the anterior ethmoid region demonstrating concha bullosa of the middle turbinate (white arrow). Also note the septal deviation and mucosal disease in both maxillary sinuses. Primary Care: Clinics in Office Practice 2003 30, 137-154DOI: (10.1016/S0095-4543(02)00058-1)

Fig. 5 Schematic diagram of the OMC region demonstrating the situation after functional endoscopic sinus surgery on the right side. The uncinate process (U) has been removed, and the natural ostium (O) of the maxillary sinus (M) has been widened. The anterior ethmoid cells (B) are opened, and the frontal sinus (F) drainage pathway is enlarged. The middle turbinate (MT) is preserved intact. Also shown are the inferior turbinate (IT) and septum (S). Primary Care: Clinics in Office Practice 2003 30, 137-154DOI: (10.1016/S0095-4543(02)00058-1)

Fig. 6 Coronal CT scan in a patient with allergic fungal rhinosinusitis. Flocculent calcifications (black arrows) within the opacified sinus are typical of fungal disease. Primary Care: Clinics in Office Practice 2003 30, 137-154DOI: (10.1016/S0095-4543(02)00058-1)