Acute and Chronic Sinusitis

Question 1

Which meatus does the maxillary sinus drain to?

Answer 1

Middle

Question 2

Which meatus does the anterior ethmoidal sinus drain to?

Answer 2

Middle

Question 3

Which meatus does the middle ethmoidal sinus drain to?

Answer 3

Middle

Question 4

Which meatus does the posterior ethmoidal sinus drain to?

Answer 4

Superior

Question 5

Which meatus does the sphenoid sinus drain to?

Answer 5

Sphenoethmoidal recess

Question 6

Which meatus does the frontal sinus drain to?

Answer 6

Middle

Question 7

Which meatus does the nasolacrimal duct sinus drain to?

Answer 7

Inferior

Question 8

What is this a presentation of?
Discoloured discharge from nose, severe facial pain (worse when bending forward), fever, worsening after initial milder illness.

Answer 8

Bacterial acute rhinosinusitis

Question 9

What is the management of acute rhinosinusitis?

Answer 9

1. 98% viral, self-limiting, 2.5 weeks to resolve
2. Simple analgesia, nasal saline irrigation, intranasal decongestions.
3. Bacterial suspected/>5 days present - amoxicillin

Question 10

What is the main complication of acute rhinosinusitis?

Answer 10

Periorbital cellulitis - spread of infection from ethmoidal air cells to periorbital cavity, admit, IV Abx

Question 11

What are the intracranial complications of acute rhinosinusitis?

Answer 11

Meningitis, cerebral abscess, osteomyelitis.