Rhinosinusitis

Question 1

What are the features of Rhinosinusitis?

Answer 1

nasal congestion and nasal discharge.
Other symptoms include having facial pain or heaviness and reduced olfaction.

Question 2

What is rhinosinusitis?

Answer 2

inflammation of the nose and paranasal sinuses

Question 3

What are the complications of Rhinosinusitis?

Answer 3

Persistent infection
Orbital cellulitis
Intracranial involvement: meningitis and encephalitis
Mucoceles
Osteomyelitis
Pott’s puffy tumour (subperiosteal abcess)

Question 4

What is the management for Rhinosinusitis?

Answer 4

Conservative management
Symptomatic relief-oral analgesics, saline nasal irrigation or intranasal corticosteroids
If symptoms >10 days, consider prescribing a high dose nasal corticosteroid for 14 days

In immunocompetent patients with ABRS, watchful waiting for 7 days may be more prudent than early antibiotic use. However, if these patients do not improve within 7 days or experience worsening of symptoms at any time, prescribe appropriate antibiotics. Current guidelines for empiric management of ABRS recommend amoxicillin first-line.

Question 5

How long is acute and chronic rhinosinusitis?

Answer 5

.Acute rhinosinusitis (ARS) lasts up to 4 weeks, while chronic rhinosinusitis (CRS) persists for more than 12 weeks.1 Sinusitis persisting between 4 and 12 weeks is termed subacute sinusitis.

Question 6

What are the causative organism for rhinosinusitis?

Answer 6

Rhinovirus
Influenza virus
Parainfluenza virus