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         Sinusitis:     more books (102)
  1. NEBULIZED ANTIBIOTIC THERAPY PROMISING FOR CHRONIC SINUSITIS.: An article from: Biotech Business
  2. Breathe Easy: Self-help for Respiratory Ailments...including Sinusitis, Allergies, Asthma, Colds, and More by Editors of Prevention Magazine, 1994
  3. Sinusitis; Overview.(Disease/Disorder overview): An article from: NWHRC Health Center - Sinusitis by Gale Reference Team, 2005-06-09
  4. Antibiotics Recommended for Bacterial Sinusitis.(Brief Article): An article from: Pediatric News by Nancy Walsh, 2001-09-01
  5. The FPEN Guide to Diagnosis and Treatment of Respiratory Tract Intections: Sinusitis, Bronchitis, and Community-acquired Pneumonia by Illinois Academy of Family Physicians, 2004
  6. Contemporary Diagnosis and Management of Sinusitis by MD GEORGE A. PANKEY, CHARLES W. GROSS. MD, et all 1998
  7. Asthma, Catarrh, Hay Fever and Sinusitis by Health Research, 1988-11-01
  8. 21st Century Ultimate Medical Guide to Sinusitis - Authoritative Clinical Information for Physicians and Patients (Two CD-ROM Set) by U.S. Government, 2009-07-01
  9. Sinusitis; Key Q&A.: An article from: NWHRC Health Center - Sinusitis by Gale Reference Team, 2005-06-09
  10. 2000 PDR SINUSITIS DISEASE MANAGEMENT GUIDE by Michael & Kennedy, David W. Kaliner, 2000
  11. Streptococcus Pneumoniae: Streptococcus, Pathogenic Bacteria, Pneumonia, Pneumococcal Infection, Sinusitis, Otitis Media, Streptococcus Viridans
  12. A study of the link between gastric reflux and chronic sinusitis in adults.: An article from: Ear, Nose and Throat Journal by Robert L. Pincus, Harold H. Kim, et all 2006-03-01

101. Sinusitis Center - Education Resource For Sinus Infection Sufferers
sinusitis Center welcome page with information on the center and sinusitis orsinus infections.
http://www.sinusitiscenter.com/
Updated guidelines released by the Sinus and Allergy Health Partnership (SAHP) highlight their belief in the importance of accurate diagnosis and treatment of acute bacterial rhinosinusitis (ABRS), more commonly known as sinusitis ... more info... Sinusitis: Sinusitis is an acute or chronic inflammation of the nasal sinuses-the hollow cavities found within the cheek bones and near the eyes. The inflammation is usually triggered by inadequate draining due to allergies, infections or structural problems of the nose such as narrow drainage passages or a deviated septum. (source: AAAAI) Welcome to Sinusitis Center
Sinusitis affects tens of millions of Americans each year. At the Sinusitis Center, we are dedicated to providing you with the latest educational information available on this condition. Please rely on Sinusitis Center when you want to find out about sinusitis related news, studies, and treatment options. Sinusitis Center's goal is to provide accurate and useful information about sinus infections, providing the latest news on treatment options and insight into current and future sinusitis research.

102. AllRefer Health - Sinusitis (Acute Sinusitis, Sinus Infection, Sinusitis - Acute
sinusitis (Acute sinusitis, Sinus Infection, sinusitis Acute) information centercovers causes, prevention, symptoms, diagnosis, treatment, incidence,
http://health.allrefer.com/health/sinusitis-info.html

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Alternate Names : Acute Sinusitis, Sinus Infection, Sinusitis - Acute Definition Sinusitis refers to inflammation of the sinuses. This is generally caused by a viral, bacterial, or fungal infection. The sinuses are air-filled spaces around the forehead, cheeks, and eyes that are lined with mucous membranes. Healthy sinuses are sterile (meaning that they contain no bacteria or other organisms) and open, allowing mucus to drain and air to circulate in the nasal passages. When inflamed, the sinuses become blocked with mucus and can become infected. Each year, over 30 million people (adults and children alike) get sinusitis.

103. AllRefer Health - Chronic Sinusitis (Chronic Sinus Infection, Chronic Sinusitis)
sinusitis Chronic (Chronic Sinus Infection, Chronic sinusitis) informationcenter covers causes, prevention, symptoms, diagnosis, treatment, incidence,
http://health.allrefer.com/health/sinusitis-chronic-info.html

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Web health.allrefer.com You are here : AllRefer.com Health Chronic Sinusitis
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Alternate Names : Chronic Sinus Infection, Chronic Sinusitis Definition Chronic sinusitis is a prolonged or recurrent infection and/or inflammation of the sinuses of the head.
Sinuses
Sinusitis
Chronic Sinusitis The sinuses are openings in the bones around the nose. There are 4 pairs of sinuses connected to the nasal cavity by small openings. Normally, air passes in and out of the sinuses, and mucus and fluid drain from the sinuses into the nose.
Sinusitis occurs when there is infection or inflammation due to allergies in one or more of the sinuses. Acute sinusitis is often associated with upper respiratory infections, as inflammation of the nasal passages prevents drainage of fluid from the sinuses, which allows infection of the sinuses to occur.

104. Acute Sinusitis- Pulmonology
Acute sinusitis is a bacterial infection in one or more sinuses, which includethe maxillary, ethmoid, and frontal sinuses. Acute sinusitis is typically
http://www.pulmonologychannel.com/sinusitis/
Home Search SiteMap Contact Us ... Physician Board
ACUTE SINUSITIS
Overview

Symptoms

Diagnosis

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CONDITIONS
Anemia

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Asthma

Bronchitis
... Solitary Pulmonary Nodule Tuberculosis DIAGNOSTIC TESTS
CT Scan MRI Scan RESOURCES Anatomy Clinical Trials Glossary Links ... What Is a Pulmonologist? ABOUT US Healthcommunities.com Pressroom Testimonials Overview Acute sinusitis is a bacterial infection in one or more sinuses, which include the maxillary, ethmoid, and frontal sinuses. Acute sinusitis is typically preceded by a viral upper respiratory infection (URI), such as the common cold. Incidence and Prevalence Approximately 15% of people in the United States suffer from sinusitis, and about 30 million seek treatment each year. One-third of people who experience a URI develop acute sinusitis. Causes and Risk Factors Acute sinusitis usually occurs following a viral URI and may also occur with allergies and fungal infection that causes inflammation of the mucous membranes. Swollen mucous membranes trap and promote the growth of bacteria that cause infection, such as Haemophilus influenzae , streptococci, pneumococci, and staphylococci, because swelling prevents normal drainage from the sinus opening (ostium). Maxillary sinusitis is also associated with chronic dental infection.

105. NEJM -- Tsunami Sinusitis
Images in Clinical Medicine from The New England Journal of Medicine Tsunamisinusitis.
http://content.nejm.org/cgi/content/full/352/25/e23
HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Volume 352:e23 June 23, 2005 Number 25 Tsunami Sinusitis
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A 35-year-old man was brought to the hospital after sustaining injuries associated with the tsunami in Southeast Asia on December 26, 2004. The patient had inhaled seawater when he nearly drowned. In addition, he had sustained multiple injuries, including a scalp laceration and torn right anterior cruciate and medial collateral ligaments. He had sinus discomfort but no difficulty breathing. Computed tomographic scanning showed fluid and opaque material in the ethmoid (Panel A, arrowhead), maxillary (Panel B, arrowhead), and sphenoid sinuses (Panel C, arrowhead). (For comparison, normally aerated sinuses from another patient can be seen in the Supplementary Appendix , available with the full text of this article at www.nejm.org.) The patient underwent bilateral antral washout, during which green-colored purulent material and sand were removed. Culture of material obtained from the maxillary sinuses showed Aeromonas veronii, Klebsiella pneumoniae

106. Sinusitis, Treatment Options, UPMC | University Of Pittsburgh Medical Center, Pi
sinusitis. Treatment Options. Prevention Treatment at UPMC. Treatment for sinusitisoften involves selfhelp measures, such as increasing your fluid intake
http://sinusitis.upmc.com/Treatment.htm
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Treatment for sinusitis often involves self-help measures, such as increasing your fluid intake to help keep your nasal secretions thin as well as steam treatments (e.g., using a humidifier or breathing in steam from a bowl filled with hot water). When necessary, medications may include:
  • mucous thinners
    Thick postnasal discharge is a common allergy symptom. A mucous thinner allows the mucus to drain better by thinning it so that the patient is less aware of the discharge. Having postnasal discharge is not abnormal. The average person's nose and sinus cavities produce as much as a liter of discharge each day. The discharge is transported as a thick mucous blanket to the back of the nose. The mucous usually goes down the throat during swallowing.
    antihistamines
    The body releases histamine during an allergy attack. Histamine causes sneezing, itching, and wheezing. An antihistamine, by blocking histamine receptors, blocks allergic reactions.

107. Auckland Allergy Clinic - Sinusitis
Auckland Allergy Clinic offers information about diagnosis, management andtreatment of asthma, allergies, anaphylaxis, bronchitis, dermatitis, eczema,
http://www.allergyclinic.co.nz/guides/31.html
Sinusitis Sinus disease is frequently encountered in general practice, and it has been estimated that 0.5% of viral upper respiratory tract infection result in acute sinusitis. Chronic sinusitis is also a very common condition and affects 31 to 35 million Americans. The most frequent underlying cause is obstruction of the ostiomeatal complex (the area in the nose where the paranasal sinuses drain to) due to allergic rhinitis. In general, any one with recurrent disease (2 or more episodes of sinusitis for 2 or more years) should be evaluated for an underlying problem, which may predispose to recurring infections. The commonest underlying causes of sinusitis are shown below: Conditions that predispose to chronic sinusitis: Allergic rhinitis (50 to 60% of cases) Non-allergic rhinitis (vasomotor) (20-30%) Anatomic abnormality, including septal deviation (20-30%)

108. InteliHealth: Chronic Sinusitis
InteliHealth Featuring Harvard Medical School s consumer health information.For more than 550 diseases and conditions, learn What Is It?, Symptoms,
http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10414.html
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Chronic Sinusitis (in Adults)
  • What Is It? Symptoms Diagnosis Expected Duration ... Additional Info
  • What Is It? Chronic sinusitis also can be seen in people whose sinuses or nasal passages are structurally abnormal and easily blocked because of nasal polyps,

    109. Sinusitis ( Sinus Infections) - DrGreene.com
    Read an article that addresses the levels of infection in the lining of the sinuscavity.
    http://www.drgreene.com/21_1188.html
    QUICK SEARCH A - Z Guide ADHD Allergy Care Guide Allergies Asthma Care Guide Asthma Bedwetting Breastfeeding Childhood Obesity Diabetes Care Guide Ear Infections Environmental Health Genetics Infectious Diseases Medical Treatment Mental Health Multimedia Library Potty Training Rashes Safety Sleep About DrGreene.com Archives About Us Context Reviews Awards Readers Comments Press Room Partners and Supporters Children's Health Topic Centers Contact Us Professional Resources Dr. Greene's Welcome Analytical Chemistry Business: Healthcare Cardiology Clinical Pharmacology Clinical Trials Mgmt Cosmetic Surgery Dermatology Diabetes Drug Discovery Emergency Medicine Endocrinology Family Practice Gastroenterology Geriatrics HIV/AIDS Infectious Disease Internal Medicine Managed Care Neurology Nursing Ob/Gyn Oncology Ophthalmology Orthopedics Pediatrics Pharma Marketing Pharma Sales Pharma Science/Tech Pharmacy Psychiatry Pulmonology Radiology Residents / Students Rheumatology Surgery Urology Pediatric Information A-Z Guide Allergy Care Guide Asthma Care Guide Diabetes Care Guide Discussion Boards Dr. GreeneĀ“s Chats

    110. JHBMC: Sinusitis
    If you are one of the more than 31 million people who have sinusitis, you knowit s nothing sinusitis is the most common chronic illness in the country.
    http://www.jhbmc.jhu.edu/OPA/baynews/sp1997/sinus.html
    Bayview News Sinusitis: Nothing to Sneeze At
    by Sandy Reckert-Reusing
    If you are one of the more than 31 million people who have sinusitis, you know it's nothing to sneeze at. Sinusitis is the most common chronic illness in the country. Many people suffer for years with sinusitis, unaware that help is available. They lose time from work and school and endure painful symptoms, such as a headache, runny or stuffy nose and ears and facial pain that over-the-counter decongestants and antihistamines don't seem to help. Often, people bear sinusitis in silence because its symptoms are often difficult to distinguish from colds or allergies. In fact, many acute bacterial sinusitis infections are usually preceded by a cold or allergy attack. Most sufferers never see a doctor for proper diagnosis and treatment with an antibiotic to prevent future complications. "If your cold lasts longer than a week and doesn't get better, there's a good chance bacteria has moved in, causing a sinus infection," says Donald Leopold, M.D., chairman of the department of otolaryngology – head & neck surgery at Hopkins Bayview. According to Dr. Leopold, sinusitis occurs when mucous membranes in the nasal cavity become swollen. Mucous backs up, resulting in a build-up of bacteria in the sinuses. "Air can't enter the sinuses and mucous doesn't drain. It's like a stagnant pond–warm, dark, moist–the perfect environment for bacteria to set up shop and multiply." When one sinus region is infected, membranes near it become inflamed and their adjacent regions then become infected. In a healthy nose, sinuses drain naturally through a small opening called the ostia. Someone with sinus problems experiences a complete closure of the ostia, which, over time, causes sinus membranes to become scarred and swollen.

    111. Allergy Prevention - The Connection Between Allergies And Sinusitis
    article on connection between sinusitis and allergies, where allergic reactionscause sinuses to swell, similar treatments, sinusitis symptoms, and allergic
    http://www.allergypreventioncenter.com/articles/allergiesandsinusitis.html
    Home Articles The Connection Between Allergies and Sinusitis Allergies and Sinusitis
    Hay fever and other allergic reactions can be contributing factors to sinusitis. Allergies can trigger swelling in the sinus and nasal mucous linings. The swelling can cause sinus passages to close up, trapping bacteria in the upper respiratory tract. Bacteria in the sinuses can develop into a sinus infection. Sinusitis is an inflammation of the hollow cavities around the eyes and nose known as the nasal sinuses. While allergic rhinitis (hay fever) is an inflammation of the mucous membranes of the nose, sinusitis is an inflammation of the sinuses. Symptoms of sinusitis can vary depending on the level of inflammation and the area inflamed. Allergy and Sinusitis Symptoms
    Frequent allergic reactions, resulting in sinusitis, can cause sinusitis to become a chronic condition. Chronic sinusitis sufferers have frequent and ongoing inflammation of the sinus membranes. The National Institute of Allergy and Infectious Diseases lists several symptoms that are associated with sinusitis. Some symptoms include:
    • Headache in the morning Pain when pressure is applied to the forehead over the frontal sinuses Aching in the upper jaw and teeth along with tender cheeks

    112. Dr. Grossan, The ENT On-Line Consultant - Sinusitis, Allergies, Colds & Preventi
    sinusitis, ear, nose, throat, and SCUBArelated problem advice by Dr. Grossan,a specialist and author. Treatment without drugs. Special advice is offered
    http://www.ent-consult.com/
    Dr. Grossan
    *On-line* Consultant
    . . . Prevention, Natural Cures, Drugless Relief, Avoiding Surgery . . .
    Drug-Free Relief of Sinusitis and Ear, Nose, and Throat Problems
    [For Divers] [Ear] [Throat] [Miscellaneous] ...
    How to Prevent Colds While Flying
    Did you know that sinus irrigation prevents the common cold
  • Sinus Headaches
    Post-Nasal Drip (a runny nose)

    Sinusitis for Patients
    (A Drug-Free Approach)
    Sinus Disease: More on sinusitis and other sinus problems (for health professionals too)
    Empty Nose Syndrome (Look here if your sinus surgery went bad.)

    What to do about Allergies or Hay Fever
    Seasonal Allergies Can Be Prevented ...
    Additives and preservatives in saline and nasal sprays. Do you use saline spray or saline for irrigation? Do you use nosedrops? Check the ingredients - the additives could be worse than the nose problem.
    Does your Partner Complain of Your snoring?

    Chronic Cough with Asthma or Allergy
    Chicken Soup for Asthma and Allergies (check out the full article in the November 1998 issue of Coping with Asthma and Allergies
  • Cystic Fibrosis and Sinusitis New Research Suggests Ways of Avoiding Sinus Surgery (Wall Street Journal)
  • Do I need sinus surgery?
  • 113. Cystic Fibrosis And Sinusitis
    Dr. Grossan, an ENT specialist and author gives special advice on ear, nose,throat, problems for Cystic Fibrosis (CF) patients.
    http://www.ent-consult.com/cystic_fibrosis.html
    Dr. Grossan's Ear, Nose and Throat Consultant Pages
    Cystic Fibrosis and Sinusitis
    Medicine has advanced the treatment of Cystic Fibrosis (CF) significantly in the past 10 years. Various measures that clear the lungs are becoming standardized. The Cystic Fibrosis Foundation as well as other support groups have been contributing not only to uncovering a cure but in helping the patient and their families as well. In 1989 the gene etiology of this condition was recognized and gene therapy is now being actively pursued. The CF patient fails to have normal mucus clearance. Thick tenacious mucus keeps bacteria from being cleared and prevents antibiotics from being effective. Clearance of mucus from the chest therefore is a paramount treatment objective. Various physical therapy methods include chest percussion, forceful exhalation, various dilators, postural drainage. The flutter device uses sound vibration to help reduce the thickness of the mucus. Inhalation of drugs that break down the structure of the mucus are in use. A similar thick fluid causes sinus infections. Nasal polyps are common. This is a type of bag of water where the liquid is maintained within the cell so that the cell expands and blocks the nose. A mucocele can develop, often in the frontal sinus. This is a similar bag of water within a membrane that expands and puts pressure on the sinus wall. Headaches in the frontal sinus area - above the eyes - is a common sign.

    114. Diseases - Sinusitis - National Jewish Medical And Research Center
    They may be prone to developing sinusitis because their smaller sinus passages The symptoms of chronic sinusitis may vary greatly and last for months or
    http://www.nationaljewish.org/disease-info/diseases/allergy/about/conditions/sin
    Skip to Content
    You are here:
    National Jewish Home Disease Information Diseases We Treat Allergy ... Related Allergic Conditions What is Sinusitis More About:
    Related Allergic Conditions
    Questions?
    Talk to a LUNG LINE nurse at
    1-800-222-LUNG or
    e-mail us
    Sinusitis
    What are Sinuses?
    Sinuses are a part of the upper respiratory system. Adults and older children have four groups of sinus cavities located within the bones surrounding the nose. Very young children have small sinus passages rather than fully formed sinuses. They may be prone to developing sinusitis because their smaller sinus passages become obstructed more easily. To work properly, the sinuses need adequate mucus drainage and a functioning immune system to fight off infections.
    What is Sinusitis?
    Sinusitis is an inflammation (swelling) of the mucous membranes that line the sinus cavities. This can interfere with normal sinus drainage and cause increased mucus production. Untreated and prolonged sinus inflammation can lead to infection and increased symptoms. The drainage from the nose and sinuses is known as post-nasal drip.
    Who Develops Sinusitis?

    115. MEEI-Rhinology(Sinus)
    sinusitis (or infection of the sinuses) may involve one or more of the sinuses, When the drainage and ventilation of the sinuses are blocked, sinusitis
    http://www.meei.harvard.edu/shared/oto/rhino.php
    Find a Disease/Condition Employment Contact Us Site Map The menu has downgraded. It is at the bottom of this page. home > otolaryngology department > sinuses
    The Sinuses
    The sinuses are mucosa-lined cavities in the skull bones. Normally, their secretions drain into the nasal cavities through openings or ducts. These ducts also ensure their necessary ventilation. There are four sinuses on each side of the face, housed in the skull bones that carry the same names: the frontal sinuses are located above the eyes, the maxillary sinuses below the eyes, the ethmoid sinuses between the eyes, and the spheroid sinuses behind the eyes.
    Causes of Sinusitis
    Sinusitis (or infection of the sinuses) may involve one or more of the sinuses, on one or both sides. When the drainage and ventilation of the sinuses are blocked, sinusitis usually sets in. The most common causes of blockage include nasal allergies; the common cold; or anatomic blockage related to large or deviated structures, such as a deviated septum, polyps, or other rare lesions. Sinusitis may be acute, chronic or recurrent.
    Symptoms
    Symptoms vary. They include pressure pains or discomfort over the involved sinuses, nasal discharge, post-nasal drip, nasal blockage, and even cough. A feeling of malaise may be present. Complicated cases may exhibit more severe or other symptoms.

    116. Pediatrics In Review -- Sign In Page
    Describe the clinical presentation of acute and chronic sinusitis. Describe themicrobiology of acute bacterial sinusitis.
    http://pedsinreview.aappublications.org/cgi/content/full/22/4/111
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    Sinusitis
    Nash and Wald Pediatrics in Review.
    This Article Full Text (PDF) Author Disclosures Rapid Responses: Submit a response ... Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Nash, D. Articles by Wald, E. To view this item, select one of the options below: Sign In: Please use your AAP ID Number or Temporary Activation Code for your User Name. User Name Sign in without cookies.
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    117. AAAAI Patient/Public Resource Center - Tip 23: Sinusitis
    sinusitis may be acute or chronic, lasting for months or years if inadequately sinusitis, which also adversely affects the nose, eyes, or middle ear,
    http://madang.ajou.ac.kr/~ydpark/archive/allergy/tip23.html
    Tip 23: Sinusitis Sinusitis is an inflammation of the nasal sinuses. Nasal sinuses are hollow cavities within the cheek bones found around and behind the nose. Researchers believe that the primary functions of these sinuses are to warm, moisten and filter the air in the nasal cavity. They also play a role in our ability to vocalize certain sounds. Sinusitis may be acute or chronic, lasting for months or years if inadequately treated.
    Symptoms
    Sinusitis, which also adversely affects the nose, eyes, or middle ear, may be indicated by fever, cough, tiredness, a plugged up nose, and bad tasting post-nasal drip. Additional evidence is colored, thick nasal drainage, feelings of facial fullness, head congestion, headache, and toothache. These signs and symptoms vary depending on the severity of the inflammation and which sinuses are involved only a few signs or all signs may be present. You should consult your physician promptly if these symptoms develop.
    Causes of Sinusitis
    There are two types of sinusitis. The first is acute sinusitis, which is caused by bacterial infection in most cases, and usually occurs as a late complication of a viral respiratory infection such as the common cold. The second type is chronic sinusitis, which may be caused by bacterial infection, but more often is an autoimmune disorder similar to bronchial asthma. Although colds are the most common cause of acute sinusitis, those with allergies may also be predisposed to the development of sinusitis. Immunologic problems or structural problems also may lead to chronic sinus infections.

    118. Diagnosis And Treatment Of Uncomplicated Acute Sinusitis In Children, Supplement
    Acute sinusitis in Children, Supplement. October 2000. Please Note This evidencereport has not been updated within the past 5 years and is therefore no
    http://www.ahrq.gov/clinic/tp/sinuschtp.htm
    Acute Sinusitis in Children, Supplement
    October 2000 Please Note: This evidence report has not been updated within the past 5 years and is therefore no longer considered current. It is maintained for archival purposes only View or download Summary/Report Clinical Focus*
    • What is the evidence for the efficacy of various antibiotics in children with a diagnosis of acute sinusitis? What is the evidence for the efficacy of various ancillary regimens that do not include antibiotics in the treatment of children with acute sinusitis? What is the diagnostic accuracy and concordance of clinical symptoms, radiography and other imaging methods, and aspiration for the diagnosis of acute sinusitis in children?
    *Addressed in the summary or evidence report. Diagnosis and Treatment of Uncomplicated Acute Sinusitis in Children, Supplement
    Summary
    (Publication No. 01-E007)
    Evidence Report
    (Publication No. 01-E005)
    Evidence-based Practice Center: New England Medical Center
    Topic Nominators: American Academy of Otolaryngology, American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians Return to Quick Menu: Archived Evidence Report Topics
    Return to Evidence-based Practice

    119. Sinusitis - Lucile Packard Children's Hospital
    sinusitis is an infection of the sinuses near the nose. acute sinusitis occurs quickly and improves with the appropriate treatment.
    http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/respire/sinusiti.html
    Day Hospital
    Pulmonary Function Laboratory

    Pulmonary Medicine and Cystic Fibrosis

    Respiratory Care Services
    ...
    Sleep Service at Packard Children's Hospital Encourages Sweet Dreams
    Respiratory Disorders
    Sinusitis
    What are sinuses?
    The sinuses are cavities, or air-filled pockets, near the nasal passage. Like the nasal passage, the sinuses are lined with mucous membranes. There are four different types of sinuses:
    • ethmoid sinus - located inside the face, around the area of the bridge of the nose. This sinus is present at birth, and continues to grow.
      maxillary sinus - located inside the face, around the area of the cheeks. This sinus is also present at birth, and continues to grow.
      frontal sinus - located inside the face, in the area of the forehead. This sinus does not develop until around 7 years of age.
      sphenoid sinus - located deep in the face, behind the nose. This sinus does not develop until adolescence.
    What is sinusitis?
    Sinusitis is an infection of the sinuses near the nose. These infections usually occur after a cold or after an allergic inflammation. There are three types of sinusitis:
    • acute sinusitis - occurs quickly and improves with the appropriate treatment.

    120. Probability Of Sinusitis
    Clinical evaluation for sinusitis. Making the diagnosis by history and physical Outcome sinusitis. Definition 4 radiographic views showing air fluid
    http://www.mssm.edu/medicine/general-medicine/ebm/CPR/sinusitis.html
    Probability of Acute Bacterial Sinusitis Williams, J. W., Jr., D. L. Simel, et al. (1992).
    "Clinical evaluation for sinusitis. Making the diagnosis by history and physical examination."
    Ann Intern Med 117(9): 705-10. Important CPR Information Maxillary Toothache
    History of colored nasal discharge
    No improvement with decongestants
    Abnormal transillumination
    Purulent secretions on examination
    Probability of acute sinusitis: Return
    Critical Appraisal of CPR Return
  • Outcome: Sinusitis
    • Definition: 4 radiographic views showing air fluid level, or mucous membrane thickening of at least 6mm. Prevelance: 38% Blinded assessment Potential weakness: Actual gold standard is sinus aspiration with bacteriologic culture. Potential weakness: CT may be more sensitive, but is less specific.
    Predictive Variables
    • Assessed the sensitivity/specificty of 16 symptoms and 5 signs Blind assessment
    Patient Population
    • 247 consecutive male patients, median age=50 years, median duration of symptoms=11.5 days. Inclusion criteria: facial pain (not related to trauma)
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