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Article
Isolation of some microorganisms from Iraqi patients with chronic maxillary sinusitis.

Authors: Suhaila M. Al-Salloum --- Sarmad M. Zeiny
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 1 Pages: 138-143
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Maxillary sinusitis is one of the most common infections of humans. Sinusitis can be defined as an inflammation of the membrane lining of any sinus, especially one of the paranasal sinuses. Objective: To determine the causative microorganisms of chronic maxillary sinusitis. Patients: Forty five chronic sinusitis patients were involved in the present study. Methods: Sampling method were sinus specimens (aspiration or injection aspiration). Results: Haemophilus species, Streptococcus pneumoniae (S.pneumoniae) and Moraxella catarrhalis (M.catarrhalis) were the most frequent isolates; in addition Penicillium and Cladosporium species were isolated from some chronic sinusitis patients. Conclusion: Chronic sinusitis could be caused by either bacterial species or by fungal species; most bacterial isolates were Haemophilus species followed by S.pneumoniae and M.catarrhalis. The incidences of chronic sinusitis were more at patients age (20-29 years) old groups.


Article
CORRELATIONS BETWEEN SYMPTOMS, NASAL ENDOSCOPY AND COMPUTED TOMOGRAPHY IN PATIENTS WITH CHRONIC RHINOSINUSITIS

Author: Naser E. Naser ناصر عيدان ناصر
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2014 Volume: 12 Issue: 2 Pages: 108-113
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Rhinosinusitis is the inflammation of nasal and paranasal sinus mucosa and is associated with mucosal alteration ranging from inflammatory thickening to gross nasal polyp formation. Concha bullosa is the term used for an aerated middle turbinate or a cell found within the middle turbinate. These structures appear as a widened area of the middle turbinate, and they may obstruct the ostio meatal complex. In the absence of a history of sinusitis, the incidental finding of widened middle turbinate during endoscopy or concha bullosa on computed tomography (CT) does not mandate further investigation.Objectives:To determine the symptoms described at presentation, radiological findings, endoscopy and to compare endoscopy and computed tomography scan findings of the nose and paranasal sinuses in patients with chronic rhinosinusitis before endoscopic sinus surgery.Methods:Forty three patients with chronic rhinosinusitis were studied. Physical history, ear, nose and throat examinations plus endoscopic examinations of nose and paranasal sinuses were performed. Computed tomography scan of the sinuses and ostiomeatal complex were done for all patients.Results:The patients aged 17 to 53 years (32.44 ± 9.83 years), and male to female ratio was 1.15:1. Headache is the commonest symptom (69.76%). The duration of symptom was 1-5 years in 44.18% of patients. Septal deviation was the most common finding 46.51% by endoscopic examination. Mucosal thickening present in all patients (100%) by CT-scan. Between endoscopic and CT scan findings There is a significant statistical difference for enlarged ethmoid bulla but not for septal deviation, abnormal uncinate proces and hypertrophy of inferior turbinate.Conclusion:Endoscopy and CT-scan of the nose and paranasal sinuses are mandatory before endoscopic sinus surgery of nose and paranasal sinuses in patients with chronic rhinosinusitis.Keywords:Chronic sinusitis, endoscope, CT-scan


Article
Relieving Symptoms of Chronic Sinusitis in Children

Author: Hussein M. Hassan
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 1 Pages: 13-16
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: To determine the efficacy of adenoidectomy in relieving symptoms of chronic sinusitisin children.Patients and methods :A prospective study carried out on 35 patients who underwent adenoidectomyor Adeno-tonsillectomy between May 2004 and October 2005.The patient ages ranged from 3 to 12years.Five patients were unavailable for follow-up and did not complete the study so they are excludedfrom. The pre-operative symptoms were Rhinorrohea, Nasal congestion, Headache, Postnasaldrainage, Cough, Halitosis and Irritability.Also recorded was Mouth breathing, Fever and Frequent antibiotic use. Telephone interviews with thepatient's caregivers were conducted to collect information following the surgery regarding the presenceof the same symptoms as well as an estimate of overall improvement. Follow-up ranged from 5 monthsto 1 year.Results :The most frequently reported symptoms before surgery were Rhinorrhoea, Nasal congestion,Mouth breathing, and Frequent antibiotic use. (26, 28, 24, 30 patients respectively). These numbersdecreased following surgery to (11, 12, 6, 24 patients respectively)Complete or near complete symptom resolution was reported in 18 (60%) patients. Some improvementwas reported in 6 (20%) patients. Minimal or no improvement was reported in another 6 (20%) patients.Conclusion In the majority of cases, symptoms of chronic sinusitis in children are relieved byadenoidectomy.

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