Otolaryngology Book

http://www.fpnotebook.com/

Chronic RhinosinusitisAka: Chronic Sinusitis

Advertisement

  1. Definition
    1. Persistent symptoms despite 2 months treatment
  2. Etiology
    1. Results from repeated cases of Acute Sinusitis
    2. Mucus membrane loses normal function
    3. Mixed bacterial flora
      1. Staphylococcus aureus
      2. Haemophilus Influenzae
      3. Anaerobes (ID)
    4. Fungal organisms in immunocompromised patients
    5. Inadequately treated Allergic Rhinitis
    6. Allergic Fungal Sinusitis
  3. Radiology
    1. Sinus CT
  4. Management
    1. Antibiotics (See Acute Sinusitis)
    2. Surgery
      1. Septaplasty with or without turbinate reduction
      2. Endoscopic performed outpatient
        1. Removal of anatomic sinus block
        2. Improves symptoms in 85%
    3. Allergy Consultation
    4. Consider Immunologic work-up
  5. Reference
    1. Chester (1996) Am Fam Physician 53(3):877

Chronic sinusitis NOS (C0149516)

ConceptsDisease or Syndrome (T047)
ICD9473, 473.9, 473.9
EnglishChronic infection of sinus, Chronic rhinosinusitis, Chronic sinusitis, Chronic unspecified sinusitis
Spanishsinusitis cronica
Parent ConceptsOther upper respiratory infections (C0810016), Chronic sinusitis NOS (C0149516), [X]Other diseases of the upper respiratory tract (C0155839), Sinusitis (C0037199), Chronic disease of respiratory system (C0264220), Chronic inflammatory disorder (C1290886), Duplicate concept (C1274013)
SourcesCCS, COSTAR, DXP, ICD9CM, MTHICD9, NCI, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree