This paper presents the results of treatment of 81 children, aged 5 to 14 years, suffering from exudation ethmoid sinusitis; isolated ethmoid sinusitis was diagnosed in 17.8% and ethmoid sinusitis combined with maxillary sinusitis was detected in 61.7% cases. Most sinusitis cases (82.7%) were diagnosed in 5 to 10 year-old children. The ethmoidal labyrinth and maxillary sinus were treated by the puncture method, infection of other paranasal sinuses being excluded by the application of antibacterial, enzymic, corticosteroid drugs, immune agents, and adenotomy. Antibiotic therapy of 2 weeks in duration applied to the ethmoid labyrinth and maxillary sinus was more efficient when compared to the sinus treatment alone. The stable clinical effect was seen in 86.4% cases. This therapeutic approach can find application in practical otolaryngology.
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Eur J Case Rep Intern Med
February 2025
Department of General Practice, The Medical Centre, Roscommon, Ireland.
Unlabelled: Pott's puffy tumor, a rare complication of frontal sinusitis or trauma, presents with subperiosteal abscess and osteomyelitis of the frontal bone. Early diagnosis with imaging studies and prompt treatment with antibiotics and percutaneous drainage of the abscess requires in most cases for a successful outcome. We report a case of a 12-year-old boy who initially presented with left sided retro-orbital/frontal area headache associated with high grade temperature and painful localized small forehead swelling.
View Article and Find Full Text PDFTechnol Health Care
February 2025
The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang University of Chinese Medicine, Harbin, China.
Problem Statement: While CT (Computed Tomography) is commonly used, its diagnostic accuracy for chronic sinusitis remains uncertain. Moreover, the high cost of CT examinations limits its use as a routine diagnostic method. There is an urgent need to develop an AI-assisted diagnostic model for sinusitis.
View Article and Find Full Text PDFInt Forum Allergy Rhinol
March 2025
Department of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium.
Background: Chronic rhinosinusitis (CRS) poses significant challenges in surgical management due to the lack of clear guidelines, particularly in type 2 CRS. This review focuses on surgical approaches for primary diffuse type 2-dominant CRS, emphasizing preoperative and intraoperative strategies.
Methods: A consensus group, comprising experts from Europe, United Kingdom, Australia, South Africa, North and South America, was assembled.
Cureus
January 2025
Otorhinolaryngology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Objective Of Study: To determine the clinical, radiological and histopathological changes in maxillary antrum compared to ethmoid sinuses in patients with chronic sinusitis with nasal polyposis.
Study Design: This is a prospective observational study conducted in a tertiary care hospital.
Materials And Methods: A total number of 30 primary cases of inflammatory nasal polypi, not responding to conservative measures, were evaluated clinically and radiologically.
Immun Inflamm Dis
December 2024
Department of Otorhinolaryngology, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia.
Background/objectives: Tissue remodeling, including dense eosinophil infiltration, is essential for forming inflammatory nasal polyps (NPs) and the pathogenesis of chronic rhinosinusitis with nasal polyps (CRSwNP). Toxic eosinophil major basic protein (MBP) damages the sinus mucosa epithelium and lamina propria, which initiates reparative processes leading to tissue remodeling. MBP specifically binds to BMK-13 antibodies allowing immunohistochemical (IHC) tissue staining for eosinophils.
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