Rhinosinusitis

Question 1

What is Rhinosinisitus

Answer 1

Inflammatory response involving:
Mucous membranes of nose and paranasal sinuses
Fluid within cavities
+/- underlying bone infection

Question 2

acute

Answer 2

less than 1 month

Follows Upper RTI 2ary bacteria infection

Question 3

Clinical presentation

Answer 3

Preceding URTI
Nasal congestion
Mucopus ant or post
Facial pains 
Examination inflamed mucosa or pus

Question 4

Chronic rhinosinutsutis CRS

Answer 4

> 12 weeks
Often preceded by acute episode
Causes - strep

Question 5

CRS investigations

Answer 5

Nasoendoscopy, allergy screen RAST blood test
No reason to XRAY
CT Scanning excellent bob do not her you make a diagnosis only used to plan a surgery

Question 6

CRS Manag

Answer 6

1. Topical steroid spray
2. • topics steroid drops
3. • oral steroids
4. Surgery (FESS/Polypectomy)
   NB Antihistamine and antibiotics

Question 7

FESS

Answer 7

functional endoscopy sinsus surgery

Question 8

Complications of Rhinosinusitis

Answer 8

Acute- Orbital, Intracranial, Bony (osteomyelitis), Toxic Shock
Chronic - Muccoele/pyocelle

Question 9

Orbital cellulitis

Answer 9

Sick, silo-is, poppotis,

Question 10

Muccocele

Answer 10

Chronic collection of mucus or fluid in sinus