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Sinusitis

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Abstract

Sinusitis is an inflammation of the mucosa of the nose and paranasal sinuses due to viral or bacterial infection with symptoms of cough, headache, nasal drainage, and facial pain. Length of duration and frequency of symptoms classify sinusitis into five different categories: acute sinusitis, subacute sinusitis, recurrent acute sinusitis, chronic sinusitis, or acute exacerbation of chronic sinusitis. In children up to 8–10 % of pediatric upper respiratory tract infections are complicated by sinusitis. Recurrent episodes can be seen in patients with underlying diseases such as allergies, and immunodeficiency. If untreated, acute sinusitis may progress to chronic sinusitis. Optimal management involves appropriate antimicrobials against the most common pathogens, such as S. pneumoniae, H. influenzae, and M. catarrhalis, as well as treatment of underlying causes. While S. pneumoniae remains the principal pathogen in otherwise healthy children with acute disease, the microbiology of this disease is continuing to evolve. Medical and surgical treatment goals should be directed a normalizing sinus physiology and re-establishment of normal mucociliary function and clearance.

Keywords

Rhinosinusitis Acute sinusitis Chronic sinusitis Nasal polyposis Nasal obstruction Pathophysiology of sinusitis Microbiology of sinusitis Medical management of sinusitis Surgical management of sinusitis Complications of Sinusitis 

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© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Pediatrics, Section of Infectious DiseasesBaylor College of MedicineHoustonUSA
  2. 2.Department of OtolaryngologyMiami Children’s HospitalMiamiUSA

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