sinusities

1. Submitted by,
S.Gnanadhanasekar,
B.Sc(N)

2. Sinusities is inflammation of the mucous
membrane that lines the paranasal
sinuses sinusities also known as
rhinosities

3.  Sinusities can be classified by the location of
sinus cavity.
 The four paranasal sinuses,
 Frontal
 Maxillary
 Ethmoidal
 Spnenoidal

4. FRONTAL SINUS

8.  There are 3 types of sinusities,
Acute sinusities
Sub-acute sinusities
Chronic sinusities

9. ACUTE SINUSITIES:
 A infection or inflammation of the paranasal
sinuses of less than 4 weeks duration.

10. SUB-ACUTE SINUSITIES:
 A inflammation that last between 4 to 12 weeks
and represents a transition between acute and
chronic infection.

11. CHRONIC SINUSITIES:
 When signs and symptoms last for more than 12
weeks is called chronic sinusities.

12.  Swimming & bathing in infected ponds and
pools.
 The secretions that accumulation provide a rich
medium for growth of bacteria,viruses & fungi
all of which may cause infection.
 Infection
 Nasal infection
 Pharyngeal infection
 Tooth infection

13.  Trauma to the sinuses
 Compound fracture of the sinuses
 Contusion of the sinuses
 Foreign bodies

14.  Chemical irritation can also trigger sinusities
commonly from cigarette smoke and chlorine
fumes.
CIGARETTE SMOKE
CHLORINE FUMES

15.  Asthma
 Cystic fibrosis
 Poor immune function

16. POOR IMMUNE FUNCTION
FRONTAL SINUS
CYSTIC FIBROSIS

17.  General symptoms like malasie , headache,
fever, sorethorat, facial pain
 Halitosis (bad breath)
 Infection of eye socket
 Confusion, tension
 Middle ear problems

21. Stages Description
1 Preseptal cellulities
2 Orbital cellulities
3 Sub periorbital
cellulitis
4 Orbital cellulitis
5 Septic thrombosis

22.  Blood test
 Culture sensitivity test
 Transillumination test
 X-ray
 CT Scan

23.  For chronic or recurring sinusities referral to an
otolarngologist may be indicated and treatment
options may include nasal surgery.
 Recently developed treatment is balloon
sinuplasty.this method similar to balloon
angioplasty.
 Maxillary antral wash out involes puncturing the
sinus and flushing with saline to clear the
mucus.
SURGICAL MANAGEMENT:

24.  Access the sinuses and these have generally
shifted from external/Internal nasal the benefit
of functional endoscobic sinus surgery (FESS)
that’s reducing tissue disruption and minimizing
post-operative complications.

25.  ANTIBIOTICS:
 Amoxicillin 10 days is a reasonable antibiotic for
first treatment
MEDICAL MANAGEMENT:

26.  Fluoroquinolones
 Clarithromycin
Corticosteroids:
o For unconfirmed acute sinusities, nasal sprays
using corticosteroids have not been found to be
better than a placebo either alone

27.  Provide to patient good ventilation and proper
humidity.
 Avoid flying and swimming with cold.
 Local decogestants, saline nasal drops followed
by steam inhalaton.
NURSING MANAGEMENT:

28.  Give health education about vitamins rich diet,
avoid smoking, proper hand washing.