What is the treatment for maxillary sinusitis?
Rather, treatment is based on topical nasal decongestants and saline irrigation of the nasal cavity. Topical decongestants such as ephedrine or xylometazoline constrict the nasal lining, widening the paranasal sinus ostia, facilitating drainage by ciliary activity.
What fungus causes sinusitis?
Saprophytic fungi of the order Mucorales, including Rhizopus,Rhizomucor,Absidia,Mucor,Cunninghamella,Mortierella,Saksenaea, and Apophysomyces species, cause acute invasive fungal sinusitis. A fumigatus is the only fungus associated with chronic invasive fungal sinusitis.
Can antibiotics cure chronic sinusitis?
The role of bacteria in the pathogenesis of chronic sinusitis remains debatable; however, an early diagnosis and intensive treatment with oral antibiotics, topical nasal steroids, decongestants, and saline nasal sprays results in symptom relief in a significant number of patients, many of whom can be cured.
What are the symptoms of a fungal sinus infection?
Symptoms of fungal sinusitis include:
- Decreased sense of smell or a bad smell in the nose.
- Fever.
- Inflammation (swelling) in the nose and sinuses.
- Nasal congestion and runny nose.
- Pain, tenderness and pressure in the sinus area. It may hurt when you touch your cheeks or forehead.
- Sinus headache.
What is a subacute sinus infection?
Subacute sinusitis represents a temporal progression of symptoms for 4-12 weeks. Recurrent acute sinusitis is diagnosed when 2-4 episodes of infection occur per year with at least 8 weeks between episodes, and, as in acute sinusitis, the sinus mucosa completely normalizes between attacks.
Is the upper nasal field preserved in chiasmal syndrome?
In general, the upper nasal visual field is often preserved even in advanced chiasmal syndromes. Conversely, superior chiasmatic compression may cause only an inferior hemianopic field loss. In most cases of bitemporal hemianopia, the visual acuity is normal.
How does chiasmal syndrome affect the visual field?
A chiasmal syndrome can also occur from exuberant packing of the sphenoid sinus with fat following transsphenoidal resection of a pituitary adenoma resulting in inferior compression of the chiasm. The visual field defect usually improves immediately after emergency removal of the fat.
Are there any published cases of traumatic chiasmal syndrome?
Results: All published cases of traumatic chiasmal syndrome appear to share some common features, such as injury to the frontal bone and fracture of the anterior skull base. Bitemporal hemianopia and visual acuity have a variable presentation, and do not appear to correlate with severity of injury.
What are the signs and symptoms of chiasmal disease?
The hallmark of chiasmal disease is a bitemporal hemianopia. Some form of visual field testing is essential. Inferior lesions have to grow large before signs of chiasmal compression appear. They compress the lower nasal fibers first and tend to give an upper bitemporal field defect.