INFLAMMATION OF THE NOSE RHINITIES SINUSITIS EPISTAXIS Dr

INFLAMMATION OF THE NOSE RHINITIES SINUSITIS EPISTAXIS Dr. Rowaaalam, , , , svu

INFLAMMATION OF THE NOSE Vestibule: furunculosis Vestibulities Nasal mucos: acute chronic

FURNCULOSIS Staphylococcal infection Diabetics nose scrache Cp : Complication: septal abcess, Cavernous sinus thrombosis Dangeros area of the face Vestibulities : diffuse inflammation After commoncold Cp ttt

CORYZA , COMMON COLD Def : Cause Predisposing factor Cp: INFLUENZA RHINITIES More severe symptoms, , high grade fever, bone ache

CHRONIC HYPERTROPHIC RHINITIES

CHRONIC ATROPHIC RHINITIS(OZAENA)

Causes 1 ry , 2 ry atrophic rhinities very imp

1 RHINOSCLEROMA Rhinoscleroma: Organism Site pathology Cp Ttt No septal perforation

LUPUS VULGARIS OF THE NOSE Cartilagenous Apple septum perforation jelly nodule……. ulcerate

SYPHILI S Bony septum perforation gumma

ALLERGIC RHINITIS Sneezing Itching Obstruction rhinorhea

NASAL POLYPS allergic nasal polyps Antrochanal polyp:

DD of nasal polyps Chronic rhinosinusitis polyp. Asthma. Seven per cent of the patients with asthma of show nasal polypi. Aspirin intolerance. Thirty-six per cent of the patients with aspirin intolerance may show polypi. Samter’s triad consists of nasal polypi, asthma and aspirin intolerance. Allergic fungal sinusitis. Almost all cases of fungal sinusitis form nasal polypi.

Cystic fibrosis. Twenty per cent of patients with cystic fibrosis form polypi. It is due to abnormal mucus. Kartagener syndrome. This consists of bronchiectasis sinusitis, situs inversus and ciliary dyskinesis. Granuloma: Churg–Strauss syndrome. Consists of asthma, fever, eosinophilia, vasculitis and granuloma. Tumour: inverted papilloma, adenocarcinoma, malignant melanoma Pseudopolyp: meningocele

ALLERGIC FUNGAL SINUSITIS Due to allergy to fungs C. P nasal polyp , mud Ct. mottled TTT: Steroid FESS

MUCOURMYCOSIS Uncontrolled diabetes Immundeficiency Hospitalization TTT : antifungal

ACUTE SINUSITIES Ae Predisposing factor Causative organism Cp Inves TTT

CHRONIC SINUSITIS

COMPLICATION Orbital Cranial(potspuffy tumour) Intracranial other

ORBITAL COMPILICATION Orbital edema Orbital cellulities Subperiosteal abcess Orbital abcess Cavernous sinus syndrome

Orbital cellulities

Subperiosteal abcess

Orbital abcess

Cavernous sinus thrombosis General Edema of eyelid Chemosis Proposis pulsating Ophthalmoplegia Diminution of vision , blindness

POTTS PUFFY TUMOUR Osteomyelities of frontal bone:

MUCOCELE

EPISTAXIS

PACKING EMBOLIZATION SURGICAL LIGATION