Acute maxillary sinusitisAetiology1. Most commonly , it is viral rhinitis whichspreads to involvethe sinus mucosa.This is followed by bacterial invasion.2. Divingand swimming in contaminatedwater.3. Dental infections are important source ofmaxillarysinusitis
Acute maxillary sinusitis • Aetiology 1. Most commonly , it is viral rhinitis which spreads to involve the sinus mucosa. This is followed by bacterial invasion. 2. Diving and swimming in contaminated water. 3. Dental infections are important source of maxillary sinusitis
Acute maxillary sinusitisClinicalfeatures1. Constitutional symptoms consist of fever,general malaise and body ache. Theyare the result of toxaemia.2. Headache.3. Pain.4. Tenderness
Acute maxillary sinusitis • Clinical features 1. Constitutional symptoms consist of fever, general malaise and body ache. They are the result of toxaemia. 2. Headache. 3. Pain. 4. Tenderness
Clinical feature>localgeneralNasal obstructionchilinghyposmiafeverPurulent dischargeanorexiaheadacheuncomfortablesickDiarrhoeacough
Clinical feature ➢ general ❑chiling ❑fever ❑anorexia ❑uncomfortable ❑sick ❑Diarrhoea ❑cough ➢ local ❑Nasal obstruction ❑hyposmia ❑Purulent discharge ❑headache
Characterastic of headache额窦卖筛窦0筛上领实上领卖
Characterastic of headache
Maxillary antral pain-from inner canthusdownwards across the cheek,upper alveolus onthe affected sideEthmoidal pain-overbridgeof thenose&inner canthus behind the eye.Frontal painforehead, periodicity, persistfor an hour or tow after getting up in themorning,and clear during the afternoon-occipital or verticalSphenoidal painheadache
Maxillary antral pain——from inner canthus downwards across the cheek, upper alveolus on the affected side. Ethmoidal pain——over bridge of the nose & inner canthus behind the eye. Frontal pain——forehead, periodicity, persist for an hour or tow after getting up in the morning, and clear during the afternoon. Sphenoidal pain——occipital or vertical headache