eMedicine Specialties > Radiology > Head/Neck

Sinusitis: Follow-up

Author: Rochita V Ramanan, MD, Consultant in charge, Department of Radiology, The Apollo Heart Centre, Chennai, India
Coauthor(s): Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP, Chairman of Medical Imaging, Professor of Radiology, NGHA, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia; Durre Sabih, MBBS, MSc, Visiting Faculty, Department of Nuclear Medicine, Pakistan Institute Applied Sciences and Nishtar Medical College, Director, Multan Institute of Nuclear Medicine and Radiotherapy
Contributor Information and Disclosures

Updated: Feb 20, 2007

Intervention

Sinus puncture may be undertaken with the patient under local anesthetic to aspirate a small amount of fluid from the sinuses. The fluid is then cultured to determine what type of bacteria is causing sinusitis. Sinus puncture is performed only if a reasonable diagnosis cannot be made by using noninvasive techniques.

Medicolegal Pitfalls

  • Invasive forms of sinusitis and malignancy must be differentiated.
  • Infection of the ethmoid air-cells when associated with bone erosion should be regarded as an ears, nose, and throat emergency because of the risk of spreading infection to the intracranial structures and orbit.
  • Sinus infection in an immunocompromised patient needs aggressive emergency treatment.
 


More on Sinusitis

Overview: Sinusitis
Imaging: Sinusitis
Follow-up: Sinusitis
Multimedia: Sinusitis
References

References

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Further Reading

Keywords

rhinosinusitis, functional endoscopic sinus surgery, FESS

Contributor Information and Disclosures

Author

Rochita V Ramanan, MD, Consultant in charge, Department of Radiology, The Apollo Heart Centre, Chennai, India
Disclosure: Nothing to disclose.

Coauthor(s)

Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP, Chairman of Medical Imaging, Professor of Radiology, NGHA, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia
Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP is a member of the following medical societies: American Institute of Ultrasound in Medicine, Radiological Society of North America, Royal College of Physicians, Royal College of Physicians and Surgeons of the United States, Royal College of Radiologists, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Durre Sabih, MBBS, MSc, Visiting Faculty, Department of Nuclear Medicine, Pakistan Institute Applied Sciences and Nishtar Medical College, Director, Multan Institute of Nuclear Medicine and Radiotherapy
Disclosure: Nothing to disclose.

Medical Editor

Barton F Branstetter IV, MD, Assistant Professor of Radiology and Otolaryngology, University of Pittsburgh; Director of Head and Neck Imaging, Associate Director of Informatics, Department of Radiology, Division of Neuroradiology, University of Pittsburgh Medical Center
Barton F Branstetter IV, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Roentgen Ray Society, American Society of Neuroradiology, Pennsylvania Medical Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

C Douglas Phillips, MD, Professor, Departments of Radiology, Neurosurgery, and Otolaryngology, University of Virginia Health Sciences Center
C Douglas Phillips, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Society of Head and Neck Radiology, American Society of Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

L Gill Naul, MD, Professor and Head, Department of Radiology, Texas A&M University College of Medicine; Chair, Department of Radiology, Chief, Section of Magnetic Resonance Imaging, Scott and White Memorial Hospital and Clinic
L Gill Naul, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Roentgen Ray Society, Radiological Society of North America, and Texas Medical Association
Disclosure: Nothing to disclose.

 
 
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