The diagnosis of acute sinusitis or acute rhinosinusitis (ARS; simultaneous inflammation of the nasal mucosa (“rhinitis”) and inflammation of the mucosa of the paranasal sinuses (“sinusitis“)) is initially made clinically on the basis of typical symptoms and clinical findings. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics … Sinusitis: Diagnostic Tests
Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prophylaxis (prevention). Since sinusitis is an inflammatory process, vitamin C can have a preventive and immune-strengthening effect Zinc Probiotics Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for therapy. Probiotics Sinusitis may … Sinusitis: Micronutrient Therapy
In chronic rhinosinusitis (CRS), surgical intervention is indicated when symptom improvement cannot be achieved with conservative measures. In severe cases of disease, puncture of the maxillary sinus followed by irrigation may be required. Children who have chronic rhinosinusitis (CRS) but no longer respond to pharmacotherapy benefit from sinus balloon catheter dilation (SBCD) in the same … Sinusitis: Surgical Therapy
To prevent sinusitis (inflammation of the paranasal sinuses/mucosa) or rhinosinusitis (simultaneous inflammation of the nasal mucosa (“rhinitis”) and inflammation of the mucosa of the paranasal sinuses (“sinusitis“)), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Malnutrition and undernutrition – can lead to immunodeficiency (immune deficiency). Micronutrient deficiency (vital substances) – … Sinusitis: Prevention
The following symptoms and complaints may indicate acute sinusitis (sinusitis/inflammation of the mucosa of the paranasal sinuses) or acute rhinosinusitis (ARS; simultaneous inflammation of the nasal mucosa (“rhinitis”) and inflammation of the mucosa of the paranasal sinuses (“sinusitis”); or an episode of recent ARS): Anterior and/or posterior secretion (discharge of secretions via the pharynx and/or … Sinusitis: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Acute sinusitis usually develops due to obstruction of the ostia by mucosal swelling, usually referred from the nasal cavity. In rarer cases, sinusitis is caused odontogenically (“originating from the teeth”). The most common causative agents of sinusitis are viruses such as rhinoviruses or (para)influenza viruses, or bacteria such as Streptococcus pneumoniae, … Sinusitis: Causes
General measures Inhalation of chamomile If necessary, bed rest; raise head end of bed so head is elevated (reduces sinus pain) Observance of the general hygiene measures! Nicotine restriction (refrain from tobacco use). Alcohol restriction (abstaining from alcohol) Aim for normal weight!Determination of BMI (body mass index, body mass index) or body composition using electrical … Sinusitis: Therapy
Laboratory parameters of the 1st order – obligatory laboratory tests. Inflammatory diagnostics – in case of fever above 38.3 °C, severe symptoms, increase of symptoms during the course of the disease, threatening complications CRP (C-reactive protein); more appropriate is the determination of procalcitonin, which allows some differentiation of bacterial and viral infections. Leukocytes (white blood … Sinusitis: Test and Diagnosis
Therapeutic targets Elimination of the pathogens Avoidance of complications Therapy recommendations Sinusitis Acute bacterial sinusitis should be treated with antibiotics only in the presence of fever above 38.3°C, severe symptoms (alternatively, a secretion detection on imaging), increase in symptoms during the course of the disease, impending complications, and in immunosuppressed patients. The following therapy is … Sinusitis: Drug Therapy
The medical history (anamnesis) represents an important component in the diagnosis of sinusitis (sinusitis/inflammation of the mucous membrane of the paranasal sinuses) or rhinosinusitis (simultaneous inflammation of the nasal mucosa (“rhinitis”) and inflammation of the mucous membrane of the paranasal sinuses (“sinusitis“)). Family history Is there a history of frequent upper respiratory tract infections in … Sinusitis: Medical History
Respiratory System (J00-J99) Adenotonsillar hyperplasia – enlargement of the tonsils. Allergic rhinitis (common cold) Mucocele – sinus filled with mucus and thus dilated. Pyocele – sinus filled with pus and thus dilated. Eyes and eye appendages (H00-H59). Eye diseases such as glaucoma Blood, blood-forming organs – immune system (D50-D90). Defects of the immune system, unspecified. … Sinusitis: Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by acute sinusitis (inflammation of the nasal sinuses/inflammation of the mucosa of the paranasal sinuses)/rhinosinusitis (simultaneous inflammation of the nasal mucosa (“rhinitis”) and inflammation of the mucosa of the paranasal sinuses (“sinusitis”)): Respiratory System (J00-J99) Bronchial asthma (risk factor: chronic rhinosinusitis). Chronic … Sinusitis: Complications
