Rhinosinusitis natural history
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
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 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. Majority of morbidity and mortality seen in the cases of rhinosinusitis are due to 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.