Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Diseases of the paranasal sinuses.

27,180 views

Published on

  • I have done a couple of papers through ⇒⇒⇒WRITE-MY-PAPER.net ⇐⇐⇐ they have always been great! They are always in touch with you to let you know the status of paper and always meet the deadline!
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • There is a useful site for you that will help you to write a perfect and valuable essay and so on. Check out, please ⇒ www.HelpWriting.net ⇐
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • You can hardly find a student who enjoys writing a college papers. Among all the other tasks they get assigned in college, writing essays is one of the most difficult assignments. Fortunately for students, there are many offers nowadays which help to make this process easier. The best service which can help you is ⇒ www.HelpWriting.net ⇐
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Sex in your area is here: ❶❶❶ http://bit.ly/39pMlLF ❶❶❶
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Diseases of the paranasal sinuses.

  1. 1. DISEASES OF THE PARANASAL SINUSES
  2. 2. Anatomy of the SINUSES
  3. 3. Sinusitis
  4. 4. SINUSITIS <ul><li>Sinusitis is the inflammatory condition of the mucous membrane lining of the sinuses. It may progress to pus formation. </li></ul><ul><li>Sinusitis may be acute and chronic. </li></ul><ul><li>inflammation of the maxillary sinus is called maxillitis; </li></ul><ul><li>inflammation of the ethmoidal sinus is called ethmoiditis; </li></ul>
  5. 5. SINUSITIS <ul><li>inflammation of the frontal sinus is called frontal sinusitis ; </li></ul><ul><li>inflammation of the sphenoid sinus is called sphenoiditis; </li></ul>
  6. 6. SINUSITIS <ul><li>hemisinusitis – the involvement all sinuses on one side into inflammation process; </li></ul><ul><li>pansinusitis – all sinuses are involved; </li></ul><ul><li>polisinusitis – several sinuses, but not all, are involved </li></ul>
  7. 7. SINUSITIS <ul><li>For their origination sinusitis </li></ul><ul><li>may be primary and secondary . Primary sinusitis are rare diseases , they appear as result of trauma or allergy. But usually infection spreads to sinuses from other focuses . </li></ul>
  8. 8. SINUSITIS <ul><li>Sinusitis may divided into: </li></ul><ul><li>R hinogenous – infection spreads from the nasal cavity. It is the most common way for infection and such sinusitis is the complication of the flu. </li></ul><ul><li>O dontogenic – infection spreads from upper teeth. This way is typical only for maxillary sinus. The pathologic process may spreads from 4,5,6 cheek-teeth apex to the inferior wall of the maxillary sinus </li></ul><ul><li>Traumatic </li></ul><ul><li>H ematogenic </li></ul><ul><li>Allergic . </li></ul>
  9. 9. PATHOGENESIS OF SINUSITIS <ul><li>There are three main factors lead to the sinusitis development: </li></ul><ul><li>The most important factor is the opening of sinus hole . It may be blocked due to different reasons . As a rule , the hole may be blocked by the swollen mucous membrane . The other reason may be an anomaly of anatomical structures . The retain of secret , decrease the pressure of oxygen contribute the bacteria multiplication. </li></ul>
  10. 10. PATHOGENESIS OF SINUSITIS <ul><li>The other important factor is the defect of self-cleaning mechanism of the mucous membrane of sinus. Bacteria, viruses damage the respiratory epithelium and cause the immobility of the cilia. </li></ul>
  11. 11. PATHOGENESIS OF SINUSITIS Changes of secret quality are taken place in the development of sinusitis . Secret becomes more concentrated and stick and therefore it can not be eliminated from the sinus .
  12. 12. PATHOGENESIS OF SINUSITIS <ul><li>There are two additional factors : </li></ul><ul><li>I mmunodeficiency . </li></ul><ul><li>Pathological changes of nose and nasopharynx that make difficulties for normal outflow from the sinuses (septum deviation, hypertrophic rhinitis, adenoids) . </li></ul>
  13. 13. SINUSITIS <ul><li>ACUTE sinusitis are divided into: </li></ul><ul><li>Catarrhal. </li></ul><ul><li>Purulent. </li></ul><ul><li>Necrotic. </li></ul><ul><li>CHRONIC: </li></ul><ul><li>Purulent </li></ul><ul><li>Polyps of sinuses </li></ul><ul><li>mixed </li></ul>
  14. 14. Diagnosis of Acute Rhinosinusitis, Major and Minor Factors   Fever Ear pain/ pressure/ fullness Purulence in nasal cavity on examination Cough Hyposmia/anosmia Dental pain Nasal discharge/ purulence/ discolored postnasal drainage Halitosis Nasal obstruction/blockage Fatigue Facial congestion/fullness Headache Facial pain/pressure Minor Factors Major Factors
  15. 15. SINUSITIS SYMPTOMS <ul><li>Common symptoms: </li></ul><ul><li>rise in temperature </li></ul><ul><li>bad appetite </li></ul><ul><li>sleep disturbances </li></ul><ul><li>changes of the blood (leukocytosis) </li></ul><ul><li>Local symptoms: </li></ul><ul><li>Pain located in the affected sinus . </li></ul><ul><li>Nasal obstruction . </li></ul><ul><li>Purulent discharge from the nose . </li></ul><ul><li>Oedema of facial tissues . </li></ul><ul><li>Watering . </li></ul><ul><li>Smell disturbances (hyposmia) . </li></ul>
  16. 16. DIAGNOSTICS
  17. 17. ONE-SIDED MAXILLARY SINUSITIS
  18. 18. ONE-SIDED ETHMOIDITIS
  19. 19. ONE-SIDED SPHENOIDITIS
  20. 22. CONSERVATIVE TREATMENT <ul><li>Antibiotics </li></ul><ul><li>Nasal decongestant </li></ul><ul><li>Mucoactive drugs </li></ul><ul><li>Symptomatic treatment </li></ul><ul><li>Puncture of the affected sinuses </li></ul><ul><li>Physiotherapy </li></ul><ul><li>Treatment of the affected tooth </li></ul>
  21. 23. PUNCTURE OF MAXILLARY SINUS
  22. 25. NASAL IRRIGATION
  23. 26. SURGICAL TREATMENT <ul><li>Necrotic sinusitis </li></ul><ul><li>Orbital complications ( abscess and phlegmon of orbit ) </li></ul><ul><li>Intracranial complications ( meningitis, brain abscess) </li></ul><ul><li>Rhinogenic sepsis </li></ul><ul><li>Odontogenic sinusitis combined with maxillary osteomielitis </li></ul>
  24. 27. SURGERY

×