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GROUP 9
Case review
Male, 18 y/o
Smelling reduced ( 6 months ago)
Nasal congestion
Thick & sometime smelly mucus that are ingested into the
throat
Headache
No sneezing & nasal itching
Previous history of same disease
No family history of atopy
Diagnosis:
Bilateral anterior ethmoidal sinusitis, left posterior ethmoidal
sinusistis, bilateral frontal sinusitis and bilateral maxillary
sinusitis chronic
PHYSICAL EXAMINATIONS
Otoscopy Normal
Faringoscopy Normal
CXR Normal
Definisi
Radang mukosa sinus paranasalis
Berlangsung lebih dari 3 bulan
Etiologi
Anaerobic microorganism
Peptostreptococcus
Gram negative bacili
Staphylococcus aureus
Fungal infection
Aspergillus
Faktor prediposisi
Sumbatan mekanis
Kelainan anatomi
Penurunan ventilasi sinus
Kegagalan drainase
Nasal polip
Pengobatan yang tidak memadai ketika fase
akut
Alergi, defisiensi imunitas tubuh
Polusi dan zat kimia
Symptoms and signs of smelling
disturbance
Symptoms:
Hiposmia
Hiperosmia
Anosmia
Parosmia
Dysosmia
Signs:
Decrease appitite
Add more spice/ flavouring to foos
Weight loss
Symptoms and signs
(2 major criteria/1 major +2 minor)
Major Minor
Sinus/ facial pain Headache
Nasal obstruction Tooth pain
Purulent discharge Fever
Smell disturbace Ear pain
Post nasal drip Productive cough
Halitosis
Pathogenesis Of Chronic Sinusitis
Negative Transudate
Etiology
pressure
(Infection) (serous)
increase
Osteomeatal Obstruct of
Bacterial
complex ostium
infection
edema paranasal
Swollen of
Purulent
nasal mucous Immobile cilia
discharge
membrane
a) Nasal congestion
Obstruction of nasal sinus
Swollen of mucosa
Edema
Breathing obstruction
b) Postnasal drip
Obstruction or
stenosis of the
sinus
Impaired
ventilation of the
osteomeatal unit
Hampers drainage
of the dependent
sinus system
Nasopharyngeal
drainage
(postnasal drip)
c) Smelling reduced
Feeling of pressure
Bonum/ good
Avoid allergens and prompt tratment
Prone to relaps
Vigorous preventive regimen is essential
Categories
Type I One sinus involved
Simple chronic infective sinusitis
sinusitis >1 sinuses
Type II multisinusitis
Mixed infective allergic All sinuses
vasomotor chronic
sinusitis pansinusitis
Differential diagnosis
Sinusitis akut
Polip hidung
Hipertrofi concha nasalis
Tumor jinak(fibroma)
Tumor ganas