Rhinosinusitis natural history: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Rhinosinusitis}} | |||
{{CMG}}; {{AE}} {{DN}} | {{CMG}}; {{AE}} {{DN}} | ||
==Overview== | ==Overview== | ||
==Natural History== | Acute rhinosinusitis is a self-limiting disease. However, rarely acute and chronic rhinosinusitis can be complicated by extension of the infection to the surrounding structures, such as the eyes and brain. | ||
==Natural History, Complications and Prognosis== | |||
=== Natural History === | |||
Acute viral and bacterial rhinosinusitis are mostly self-limiting diseases, which resolve within 4 weeks. Rarely, acute bacterial sinusitis may be complicated by extension of the infection to the surrounding organs like the[[eye]] and the [[brain]].<ref name="pmid19336696">{{cite journal |vauthors=Hwang PH |title=A 51-year-old woman with acute onset of facial pressure, rhinorrhea, and tooth pain: review of acute rhinosinusitis |journal=JAMA |volume=301 |issue=17 |pages=1798–807 |year=2009 |pmid=19336696 |doi=10.1001/jama.2009.481 |url=}}</ref> If left untreated, chronic rhinosinusitis may be complicated by periorbital cellulitis, brain abscess and epidural abscess.<ref name="pmid16301376">{{cite journal |vauthors=Brook I |title=Microbiology of intracranial abscesses and their associated sinusitis |journal=Arch. Otolaryngol. Head Neck Surg. |volume=131 |issue=11 |pages=1017–9 |year=2005 |pmid=16301376 |doi=10.1001/archotol.131.11.1017 |url=}}</ref> | |||
=== Complications === | |||
*Acute viral rhinosinusitis: may be complicated by a secondary bacterial infection.<ref name="pmid21642737">{{cite journal |vauthors=Worrall G |title=Acute sinusitis |journal=Can Fam Physician |volume=57 |issue=5 |pages=565–7 |year=2011 |pmid=21642737 |pmc=3093592 |doi= |url=}}</ref> | |||
*Acute bacterial rhinosinusitis: rare complications include periorbital and orbital [[cellulitis]], [[meningitis]], orbital [[subperiosteal]] and intracranial [[abscesses]] and septic [[cavernous sinus thrombosis]].<ref name="pmid19249108">{{cite journal |vauthors=Brook I |title=Microbiology and antimicrobial treatment of orbital and intracranial complications of sinusitis in children and their management |journal=Int. J. Pediatr. Otorhinolaryngol. |volume=73 |issue=9 |pages=1183–6 |year=2009 |pmid=19249108 |doi=10.1016/j.ijporl.2009.01.020 |url=}}</ref><ref name="pmid19500861">{{cite journal |vauthors=Sultész M, Csákányi Z, Majoros T, Farkas Z, Katona G |title=Acute bacterial rhinosinusitis and its complications in our pediatric otolaryngological department between 1997 and 2006 |journal=Int. J. Pediatr. Otorhinolaryngol. |volume=73 |issue=11 |pages=1507–12 |year=2009 |pmid=19500861 |doi=10.1016/j.ijporl.2009.04.027 |url=}}</ref><ref name="pmid14519222">{{cite journal |vauthors=Heran NS, Steinbok P, Cochrane DD |title=Conservative neurosurgical management of intracranial epidural abscesses in children |journal=Neurosurgery |volume=53 |issue=4 |pages=893–7; discussion 897–8 |year=2003 |pmid=14519222 |doi= |url=}}</ref> | |||
*Chronic rhinosinusitis: complications include [[periorbital cellulitis]], [[epidural abscess]], [[subdural empyema]] and brain [[abscess]].<ref name="pmid16301376">{{cite journal |vauthors=Brook I |title=Microbiology of intracranial abscesses and their associated sinusitis |journal=Arch. Otolaryngol. Head Neck Surg. |volume=131 |issue=11 |pages=1017–9 |year=2005 |pmid=16301376 |doi=10.1001/archotol.131.11.1017 |url=}}</ref> | |||
=== Prognosis === | |||
The prognosis for acute viral and uncomplicated bacterial rhinosinusitis is excellent. The majority of morbidity and mortality seen in cases of rhinosinusitis result from its complications.<ref name="pmid19382497">{{cite journal |vauthors=Bayonne E, Kania R, Tran P, Huy B, Herman P |title=Intracranial complications of rhinosinusitis. A review, typical imaging data and algorithm of management |journal=Rhinology |volume=47 |issue=1 |pages=59–65 |year=2009 |pmid=19382497 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Otolaryngology]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Immunology]] | ||
Latest revision as of 00:01, 30 July 2020
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Rhinosinusitis Microchapters |
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Rhinosinusitis natural history On the Web |
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American Roentgen Ray Society Images of Rhinosinusitis natural history |
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Risk calculators and risk factors for Rhinosinusitis natural history |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
Acute rhinosinusitis is a self-limiting disease. However, rarely acute and chronic rhinosinusitis can be complicated by extension of the infection to the surrounding structures, such as the eyes and brain.
Natural History, Complications and Prognosis
Natural History
Acute viral and bacterial rhinosinusitis are mostly self-limiting diseases, which resolve within 4 weeks. Rarely, acute bacterial sinusitis may be complicated by extension of the infection to the surrounding organs like theeye and the brain.[1] If left untreated, chronic rhinosinusitis may be complicated by periorbital cellulitis, brain abscess and epidural abscess.[2]
Complications
- Acute viral rhinosinusitis: may be complicated by a secondary bacterial infection.[3]
- Acute bacterial rhinosinusitis: rare complications include periorbital and orbital cellulitis, meningitis, orbital subperiosteal and intracranial abscesses and septic cavernous sinus thrombosis.[4][5][6]
- Chronic rhinosinusitis: complications include periorbital cellulitis, epidural abscess, subdural empyema and brain abscess.[2]
Prognosis
The prognosis for acute viral and uncomplicated bacterial rhinosinusitis is excellent. The majority of morbidity and mortality seen in cases of rhinosinusitis result from its complications.[7]
References
- ↑ Hwang PH (2009). "A 51-year-old woman with acute onset of facial pressure, rhinorrhea, and tooth pain: review of acute rhinosinusitis". JAMA. 301 (17): 1798–807. doi:10.1001/jama.2009.481. PMID 19336696.
- ↑ 2.0 2.1 Brook I (2005). "Microbiology of intracranial abscesses and their associated sinusitis". Arch. Otolaryngol. Head Neck Surg. 131 (11): 1017–9. doi:10.1001/archotol.131.11.1017. PMID 16301376.
- ↑ Worrall G (2011). "Acute sinusitis". Can Fam Physician. 57 (5): 565–7. PMC 3093592. PMID 21642737.
- ↑ Brook I (2009). "Microbiology and antimicrobial treatment of orbital and intracranial complications of sinusitis in children and their management". Int. J. Pediatr. Otorhinolaryngol. 73 (9): 1183–6. doi:10.1016/j.ijporl.2009.01.020. PMID 19249108.
- ↑ Sultész M, Csákányi Z, Majoros T, Farkas Z, Katona G (2009). "Acute bacterial rhinosinusitis and its complications in our pediatric otolaryngological department between 1997 and 2006". Int. J. Pediatr. Otorhinolaryngol. 73 (11): 1507–12. doi:10.1016/j.ijporl.2009.04.027. PMID 19500861.
- ↑ Heran NS, Steinbok P, Cochrane DD (2003). "Conservative neurosurgical management of intracranial epidural abscesses in children". Neurosurgery. 53 (4): 893–7, discussion 897–8. PMID 14519222.
- ↑ Bayonne E, Kania R, Tran P, Huy B, Herman P (2009). "Intracranial complications of rhinosinusitis. A review, typical imaging data and algorithm of management". Rhinology. 47 (1): 59–65. PMID 19382497.