Functional Endoscopic Sinus Surgery (FESS) in Chronic Rhinosinusitis
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Questions and Answers

What is the most common predisposing factor for acute rhinosinusitis?

  • Pre-existing rhinitis (correct)
  • Debilitation
  • Dental extraction or infection
  • Nasal tumour

    • Which sinuses are clinically the most commonly affected in acute rhinosinusitis?

  • Maxillary and sphenoid sinuses (correct)
  • Maxillary and ethmoid sinuses
  • Frontal and sphenoid sinuses
  • Ethmoid and frontal sinuses

    • What is the usual causative organism in acute rhinosinusitis?

  • Escherichia coli
  • Streptococcus pyogenes
  • Staphylococcus aureus
  • Haemophilus influenzae (correct)

    • What is the characteristic facial pain associated with acute rhinosinusitis?

    <p>Pain around the eyes</p> Signup and view all the answers

    What is the recommended medical treatment in the acute stages of acute rhinosinusitis?

    <p>Broad-spectrum antibiotics</p> Signup and view all the answers

    When are investigations such as CT scans of paranasal sinuses rarely necessary in the management of acute rhinosinusitis?

    <p>When complications of acute sinusitis are suspected</p> Signup and view all the answers

    Which of the following is a typical finding of cavernous sinus thrombophlebitis?

    <p>Bilateral eye pain and vision impairment</p> Signup and view all the answers

    What is the common treatment for cavernous sinus thrombophlebitis?

    <p>Anticoagulation therapy</p> Signup and view all the answers

    Which condition may lead to cavernous sinus thrombophlebitis as a complication?

    <p>Chronic invasive fungal rhinosinusitis</p> Signup and view all the answers

    What distinguishes cavernous sinus thrombophlebitis from orbital cellulitis?

    <p>+_ impaired extraocular muscles (EOM)</p> Signup and view all the answers

    What is the typical presentation of cavernous sinus thrombophlebitis?

    <p>Severe exophthalmos, chemosis, complete ophthalmoplegia, and visual impairment</p> Signup and view all the answers

    What is the appropriate management for cavernous sinus thrombophlebitis?

    <p>Intravenous antibiotics and anticoagulation therapy</p> Signup and view all the answers

    What distinguishes cavernous sinus thrombophlebitis from preseptal cellulitis?

    <p>+_ impaired vision</p> Signup and view all the answers

    In cavernous sinus thrombophlebitis, which of the following is commonly found?

    <p>+_ proptosis</p> Signup and view all the answers

    What distinguishes cavernous sinus thrombophlebitis from subperiosteal abscess?

    <p>+_ swollen eyelids and normal vision</p> Signup and view all the answers

    What is a distinguishing feature of cavernous sinus thrombophlebitis compared to orbital abscess?

    <p>+_ exophthalmos, chemosis, ophthalmoplegia, and visual impairment common</p> Signup and view all the answers

    What differentiates cavernous sinus thrombophlebitis from osteomyelitis?

    <p>Impaired extraocular muscles (EOM)</p> Signup and view all the answers

    Which symptom differentiates cavernous sinus thrombophlebitis from mucocoeles?

    <p>Swollen eyelids and normal vision</p> Signup and view all the answers

    Which type of sinusitis may lead to the formation of a pyocoele if superadded with infection?

    <p>Chronic invasive fungal rhinosinusitis</p> Signup and view all the answers

    What is the most extensive and dangerous type of osteomyelitis in the sinuses?

    <p>Frontal bone osteomyelitis in adolescents and adults</p> Signup and view all the answers

    Which imaging techniques are used to illustrate the extent of osteomyelitis in the sinuses and to exclude intracranial complications?

    <p>High-resolution CT scan and MRI</p> Signup and view all the answers

    Which condition may develop when the outlet from the sinus becomes permanently blocked?

    <p>Mucocoeles</p> Signup and view all the answers

    What is the typical finding in orbital cellulitis?

    <p>Diffuse orbital edema; impaired EOM; normal vision</p> Signup and view all the answers

    Which type of fungal sinusitis is characterized by a crumbly, dirt-like mass in the sinus?

    <p>Fungal ball sinusitis</p> Signup and view all the answers

    What is the treatment for isolated sinus disease with a crumbly, dirt-like mass (fungal ball) in the sinus?

    <p>Oral and nasal corticosteroids</p> Signup and view all the answers

    Which condition presents with an accumulation of sterile mucous that becomes increasingly viscous?

    <p>Mucocoeles</p> Signup and view all the answers

    Which type of sinusitis is characterized by unilateral or bilateral polyposis and tenacious allergic mucin?

    <p>Allergic fungal sinusitis</p> Signup and view all the answers

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