ODONTOGENIC SINUSITIS

ODONTOGENIC SINUSITIS

DEFINITION Sinusitis that originates from dental origin usually originates from the upper molar teeth extending into the maxillary sinus.  It is unilateral and accounts for more than 10% for all sinusitis cases.  It usually occurs in patients in the 50’s and accounts...
COMPLICATIONS OF SINUSITIS

COMPLICATIONS OF SINUSITIS

GENERAL Acute bacterial sinusitis can complicate especially is untreated or if the patient has poor immunity. Spread can occur to neighbouring structures, namely the eye, the brain, the bone and the skin, and can affect other systems. ORBITAL COMPLICATIONS. The...
SEPTAL PERFORATION

SEPTAL PERFORATION

The septum divides the nose into cavities and is made up predominantly of cartilage towards the front of the nose and some bone towards the back.  The blood supply comes in from the lining of the septum and any insult on both sides opposite each other will...
CHOANAL ATRESIA

CHOANAL ATRESIA

A: GENERAL This is the In-Utero failure to open the airway at the back of the nose.  It can present in adults or children and if in the adult, it is usually one side.  In children it can be unilateral (more common and often on the right) or bilateral. ...
Fungal Rhinosinusitis

Fungal Rhinosinusitis

We all inhale fungal spores every day and these are usually trapped in the mucous and cleared not resulting in any sequelae. However, there are times when sinusitis is caused and this can be divided into two groups, the invasive and the non-invasive form.  In the...
Management of Septal Deviation

Management of Septal Deviation

The nose is first examined using a headlight which will also assess the external nose.  A rigid or a flexible telescope is then used to assess the inside of the nose including the back of the nose and sinus openings.  Investigations may then be required, for instance,...