Chronic Rhinosinusitis Flashcards
wht is the definition of chronic rhinosinusitis?
inflammatory disorder of the paranasal sinuses and linings of the nasal passages that lasts 12 weeks or longer
what are the predisposing factors for chronic rhinosinusitis?
- atopy
- nasal obstruction
- recent local infection
- swimming/diving
- smoking
what are the features of chronic rhinosinusitis?
- facial pain
- nasal discharge
- nasal obstruction (e.g. ‘mouth breathing’)
- post-nasal drip
what is a complication of post-nasal drip?
may produce chronic cough
how would you describe the facial pain experienced in chronic rhinosinusitis?
frontal pressure pain which is worse on bending forward
what are the signs that there might be a secondary bacterial infection on top of chronic rhinosinusitis?
thicker, purulent nasal discharge
what is the mangement of chronic rhinosinusitis?
- avoid allergen
- intranasal corticosteroids
- nasal irrigation with saline solution
what is the maximum course for intranasal corticosteroids?
3 months
what are the red flag symptoms for chronic rhinosinusitis?
- unilateral symptoms
- persistent symptoms despite compliance wiht 3 months of treatment
- epistaxis
