Clinical and Endoscopic Findings

Rhinorrhea Middle Turbinate

Patients with acute rhinosinusitis commonly complain of nasal obstruction, rhinorrhea, headache, facial pain, and dysosmia. The occurrence of an orbital complication may be suspected when fever, exacerbation of headache, and ocular symptoms appear Younis et al. 2002a . In the presence of preseptal cellulitis, erythema and edema of the eyelid without ophthalmoplegia or visual loss are observed. When proptosis, chemosis, and impairment of extraocular movement occur, a subperiosteal or...

Unilateral Watery Rhinorrhea

Csf Meningocele Nasal Cavity

Unilateral bilateral watery persistent or intermittent rhinorrhea, a previous history of head trauma or surgery on the sinonasal tract, middle ear mastoid or skull base, and recurrent meningitis are the clinical findings which should alert the physician to the diagnosis of CSF leak. Nasal discharge usually increases or may be elicited by maneuvers elevating CSF pressure i.e., compression of the internal jugular veins, Valsalva maneuver . In case of a leak through the temporal bone, CSF reaches...

Antrochoanal Polyp Ct

Posterior Ethmoids

The pattern of nasal polyposis is characterized in most cases by bilateral involvement of middle meati, ethmoid infundibula often widened , and paranasal cavities. Inflammatory polyps most frequently arise in the middle meatus from the mucosa investing the middle turbinate, the ethmoid infundibu-lum, and the uncinate process. They also originate from the anterior part of ethmoid bulla or frontal recess. At CT, they appear as solid lobulated lesions filling the ethmoid, nasal fossae and sinusal...

Can You Get Pain At The Glabella With Sinusitus

Inferior Turbinate Meatus

Many patients with chronic rhinosinusitis present nasal obstruction as the primary complaint. Other symptoms include nasal discharge, postnasal drip, facial pain, dysosmia, chronic cough, and headache. Headache is usually dull and radiating to the top of the calvarium or bitemporal for sphenoid or posterior ethmoid disease. Pain at the glabella, inner can-thus, or between the eyes suggests anterior ethmoid or frontal rhinosinusitis. Pain over the cheeks most frequently suggests maxillary...

Sarcoid And Maxillary Sinus

Sinonasal Wegener Granulomatosis

Wegener granulomatosis. Plain SE T1 a and enhanced VIBE b in the axial plane. On plain SE T1, relevant thickening of the mucosa lining the right maxillary sinus is seen, combined with soft tissue signal within the pterygopalatine fossa 1 . b Marked enhancement of both the tissue in the pterygopalatine fossa and along the maxillary sinus walls is demonstrated. The fat suppressed sequence clearly shows the relevant enhancement of parapharyngeal spaces and nasopharyngeal walls 2 ....