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

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

4. Rhinitis
Rhinosinusitis

5. Coryza

6. Coryza

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

8. Infectious RS

9. 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

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

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

12. Aetiology Exciting factors
Nasal infection
Swimming/diving
Trauma
Dental infection

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

14. Symptoms / signs
General
Local

15. 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

16. Investigations
X rays
CT scan
Culture

17. X ray PNS

19. Diagnosis
Symptoms and signs
Nasoendoscopy
Culture
Radiographs

20. Treatment
Medical
Antibiotics
Analgesics
Decongestents
Surgical

21. Complications
Acute
Local
Distant
Chronic

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

23. Complications Acute distant
Brain abscess
Septicaemia
Toxic shock syndrome

24. Complications chronic
Subacute, chronic RS
Mucocoele

25. Thank you