maxillary sinusitis

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inflammation of one or more of the paranasal sinuses, often occurring during an upper respiratory tract infection when infection in the nose spreads to the sinuses (sometimes encouraged by excessively strong blowing of the nose). It also may be a complication of tooth infection, allergy, or certain infectious diseases, such as pneumonia and measles. There are many other causes, including air pollution, diving and underwater swimming, sudden extremes of temperature, and structural defects of the nose that interfere with breathing, such as deviated septum.

As the mucous membranes of the sinus become inflamed and swollen, the openings that lead from each sinus into the nasal passages become partially or wholly blocked. The mucus that accumulates in the sealed-off sinus causes pressure on the sinus walls, resulting in discomfort, fever, pain, and difficult breathing.
Symptoms. The common symptoms of sinusitis are headache, usually located near the sinuses most involved, and nasal discharge. These may be accompanied by a slight rise in temperature, dizziness, and a general feeling of weakness and discomfort.

When sinusitis is suspected as the cause of such symptoms, the health care provider may use a light to evaluate the patency of the sinuses. A bright light is held against the forehead and cheeks to determine the amount of light transmitted through the sinuses in these areas. If a sinus is filled with fluid and inflamed it will transmit little or no light. Radiologic tests also are used to confirm a diagnosis of sinusitis and to locate the extent of involvement. Specialized techniques such as multiple x-ray exposures (polytomography) and computed tomography are sometimes used to pinpoint the nature and scope of a sinus disorder.

The American Academy of Pediatrics has developed clinical practice guidelines called Management of Sinusitis, applicable for anyone up to age 21. They note that imaging studies are not necessary to confirm a diagnosis of clinical sinusitis in children younger than age 6. They further recommend that CT scans be used only for those patients in whom surgery is a likely management strategy.
Treatment. Acute sinusitis usually responds to antibiotic therapy and increased drainage from the sinuses through the use of decongestants, which are applied locally in the form of nosedrops and also taken systemically. Inhalation of steam or warm moisturized air and local applications of heat encourage drainage and help relieve discomfort. Because of the severe pain associated with inflamed and swollen sinus membranes, potent analgesics may be needed for the first few days to provide relief and permit rest.

Chronic sinusitis often develops following a particularly resistant case of acute sinusitis. The mucous membranes in the sinuses thicken and normal drainage is obstructed. If medical management such as that described previously for acute sinusitis does not relieve the condition, surgical intervention may be necessary. In some cases, repair of a deviated nasal septum or removal of nasal polyps may be all that is necessary to eliminate the source of the problem. Others may need to have a new outlet created in the sinus to allow for drainage into the nose. More extensive surgery involves removal of the thickened membranous lining of the sinus or obliteration of the sinus itself in order to prevent refilling with purulent drainage.

Since sinusitis can lead to more serious infections in nearby tissues, such as the bones of the ear and mastoid or the brain, it is important that it be treated aggressively to eliminate infection. Though a change of climate can sometimes help in cases of chronic sinusitis, it rarely is a necessity. Creating a better indoor climate with such devices as air conditioners and humidifiers often is equally beneficial in reducing the number and severity of sinus attacks. Psychotherapy may be of help to some patients with disabling, chronic sinusitis because continual emotional strain is one of the factors that can intensify the symptoms.
ethmoid sinusitis inflammation of an ethmoid cell (ethmoid sinus); called also ethmoiditis.
maxillary sinusitis inflammation of a maxillary sinus; called also antritis.
sphenoid sinusitis inflammation of a sphenoid sinus; called also sphenoiditis.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

maxillary sinusitis

A nonspecific term for inflammation of the maxillary sinus, which is divided into:
• Acute maxillary sinusitis, see there.
• Chronic maxillary sinusitis, see there.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
References in periodicals archive ?
Conclusion: Ultrasonography had low sensitivity but high specificity in diagnosis of maxillary sinusitis.
Komune, "Endonasal endoscopic surgery with combined middle and inferior meatal antrostomies for fungal maxillary sinusitis," The Journal of Laryngology & Otology, vol.
Kaneda, "Maxillary sinusitis caused by dental implants: report of two cases," Journal of Oral and Maxillofacial Surgery, vol.
Martinez-Gonzolez, "Metaanalisis of the etiology of odontogenic maxillary sinusitis," Medicina Oral Patologia Oral y Cirugia Bucal, vol.
Odontogenic maxillary sinusitis accounts for 10- 12% of the total cases.1 Maxillary sinus is prone to odontogenic infections due to expansion of long- term chronic apical periodontitis radicular cyst odontogenic jaw cyst intrusion of apparatus or root canal filling materials invasion of surgical dental extraction-induced residual tooth root dental implant-induced maxillary sinus augmentation and even Le-fort" maxillary osteotomy.12
Varonen H, Rautakorpi UM, Nyberg S, Honkanen PO, Klaukka T, Palva E, et al (2007) Implementing guidelines on acute maxillary sinusitis in general practice-a randomized controlled trial.
Conclusion: Antral irrigation with metronidazole after antral washout procedure in patient with chronic maxillary sinusitis is very effective in early recovery from the disease.
An accessory maxillary sinus ostium may be congenital or secondary to the disease processes due to obstruction of the primary ostium by maxillary sinusitis or due to pathological or anatomical reasons in the middle meatus resulting in the rupture of the membranous region known as the fontanel (18).
OMC block with maxillary sinusitis is present in 96.1% of cases.
Siquet, "Healing of maxillary sinusitis of odontogenic origin following conservative endodontic retreatment: case reports," Acta Oto-Rhino-Laryngologica Belgica, vol.
(1) Over time, the merits of inferior and middle meatal antrostomies in the surgical treatment of maxillary sinusitis were described and debated.