Chronic sinusitis: Difference between revisions

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== Background ==
==Background==


* Sinusitis lasting for at least 12 weeks
*Sinusitis lasting for at least 12 weeks
* May or may not be infectious
*May or may not be infectious


=== Microbiology ===
===Microbiology===


* The microbiology is of unclear significant
*The microbiology is of unclear significant
* The same bacteria as in [[acute bacterial sinusitis]] may be present, especially during acute exacerbations
*The same bacteria as in [[acute bacterial sinusitis]] may be present, especially during acute exacerbations
* Other bacteria include [[Staphylococcus aureus]], [[Gram-negative bacteria]], [[anaerobes]], [[coagulase-negative staphylococci]], and [[Corynebacterium]]
*Other bacteria include [[Staphylococcus aureus]], [[Gram-negative bacteria]], [[anaerobes]], [[coagulase-negative staphylococci]], and [[Corynebacterium]]


=== Risk Factors ===
===Risk Factors===


* Systemic factors: viral infection, allergic inflammation, cystic fibrosis, immune disorders, ciliary dyskinesia, tobacco smoke
*Systemic factors: viral infection, allergic inflammation, cystic fibrosis, immune disorders, ciliary dyskinesia, tobacco smoke
* Mechanical factors: choanal atresia, deviated septum, nasal polyps, foreign body, tumour, ethmoid bullae
*Mechanical factors: choanal atresia, deviated septum, nasal polyps, foreign body, tumour, ethmoid bullae
* Local factors: facial trauma, swimming and diving, rhinitis medicamentosa, nasal intubation
*Local factors: facial trauma, swimming and diving, rhinitis medicamentosa, nasal intubation

== Clinical Manifestations ==

* Symptoms of rhinosinusitis lasting for more than 12 weeks
* Can include nasal discharge, nasal obstruction, facial pain, hyposmia or anosmia, and dysgeusia


[[Category:Infectious]]
[[Category:Infectious]]

Revision as of 00:44, 16 August 2020

Background

  • Sinusitis lasting for at least 12 weeks
  • May or may not be infectious

Microbiology

Risk Factors

  • Systemic factors: viral infection, allergic inflammation, cystic fibrosis, immune disorders, ciliary dyskinesia, tobacco smoke
  • Mechanical factors: choanal atresia, deviated septum, nasal polyps, foreign body, tumour, ethmoid bullae
  • Local factors: facial trauma, swimming and diving, rhinitis medicamentosa, nasal intubation

Clinical Manifestations

  • Symptoms of rhinosinusitis lasting for more than 12 weeks
  • Can include nasal discharge, nasal obstruction, facial pain, hyposmia or anosmia, and dysgeusia