DD Rhinosinusitis

Definition :
Rhinosinusitis, is inflammation of the
paranasal sinuses due to infection,
allergy, or autoimmune problems

Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,

Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia
Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,
Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia
 Etiology :
- Virus
- Bacteria :
- Haemophilus influenzae
- Strep. Pneumoniae
- Staph. Aureus
- Moraxella catharralis
-Strep. Pyogenes

Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,

Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia
Classification based on onset :
-Acute rhinosinusitis
-Recurrent Acute rhinosinusitis
- Subacute rhinosinusitis
-Chronic rhinosinusitis
-Acute exacerbation of chronic
rhinosinusitis

Classification based on site of sinus

:
-Maxillary
-Ethmoidale
-Sphenoidale
-Frontalis
Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,
Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia
 Pathogenesis

Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,

Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia
 Clinical Manifestation
Congestion
Nasal discharge
Malodorous breath
Cough
Fever
Headache, etc

-Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,

Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia
 Diagnosis
Rhinoscopy
Radiology exam (Waters, Lateral, PA)
Culture organism

-Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,

Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia
 Treatment
Decongestant nasal spray
Antibiotics (amoxicilin-clavulanate,
etc)
Corticosteroids
Functional Endoscopic Sinus Surgery
Balloon sinuplasty

-Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,

Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia
 Baloon sinuplasty

-Mustafa, Murtaza, et al. 2015. Acute and Chronic Rhinosinusitis,

Pathophysiology and Treatment. Vol 4. International Journal of
Pharmaceutical Science Invention: Malaysia