21. Sinusitis Treatment: What Is New Is Old A simple inexpensive treatment using saline (salt solution) may be just what you need for treating chronic sinusitis. http://seniorhealth.about.com/cs/respiratorycond/a/sinus_treatment.htm

zGCID=" test0" zGCID+=" test4" zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zDO=0 You are here: About Health Senior Health Senior Health ... Submit to Digg Suggested Reading Sinusitis Sinusitis Symptoms Is It a Cold or the Flu? Suggested Reading Chronic Sinusitis Breakthrough Asthma And Sinusitis Alternative Allergy Treatments Start a discussion on the Senior Health forums Most Popular Gas Cause toenail fungus Fallen Arches Rotator Cuff ... Home Blood Pressure Monitors Related Sites Arthritis Retirement Planning Sinusitis Treatment: What Is New Is Old From Apply Now Your Guide to Senior Health FREE Newsletter. Sign Up Now! About.com Health's Disease and Condition content is reviewed by our Medical Review Board Feel Better and Save Money Millions of dollars are spent annually on both prescription and non prescription treatment for chronic sinusitis. Sinusitis can be either acute or chronic. Sinusitis can be caused by various factors such as viral or bacterial infection, fungal infection or allergic reactions. Acute sinusitis becomes chronic if lasts for longer than 3 weeks. The symptoms of chronic sinusitis include nasal congestion, anterior rhinorrhea (thin watery discharge from the nose), post-nasal drainage (nasal drainage that drains down the back of your throat), headache, facial pain, halitosis (bad breath) and cough.

22. Hardin MD : Sinus Infection The URL for this page is http//www.lib.uiowa.edu/hardin/md/sinusitis.html Last updated Thursday, Aug 30, 2007 signs symptoms of sinus infection, http://www.lib.uiowa.edu/hardin/md/sinusitis.html

Sinus Infection Return to Hardin MD : Home Medical Pictures People interested in this subject often clicked these ... Allergies Bronchitis Chronic Fatigue Cold or Flu? ... Free Articles (PubMed) MEDLINE plus Sinusitis Karolinska : Sinusitis Google Directory : Sinusitis Wikipedia : Sinusitis Yahoo Directory : Sinus infection Sinus Infection Pictures Sinusitis in children Complications of sinusitis Sinus anatomy Patient information , Amer Rhinologic Soc MEDLINEplus Health Encyclopedia : Sinusitis A.D.A.M. / National Library of Medicine Chronic sinusitis : Clinical microbiology case JC Fowler, MJ Becich, Univ Pittsburgh, Pennsylvania Sinusitis Fungal sinusitis Michele M. Carr, Michael Hawke, Univ Toronto Sinus congestion Univ Michigan / McKesson Health (Scroll to "Acute sinusitis") Baylor college of medicine, Texas Sinus Infection Symptoms Sinusitis symptoms Univ Maryland / A.D.A.M. Sinusitis symptoms Dana L Rowett, HealthWise / Yahoo health Mayo clinic, Rochester, Minnesota

23. Acute Sinusitis - - Overview, Symptoms, Diagnosis, Treatment - Pulmonologychanne Acute sinusitis is a bacterial infection in one or more sinuses, which include the maxillary, ethmoid, and frontal sinuses. Acute sinusitis is typically http://www.pulmonologychannel.com/sinusitis/index.shtml

Home Search SiteMap Contact Us ... email this var addthis_pub = 'healthcommunities.com'; Stay Updated: Sinusitis Overview, Symptoms, Diagnosis, Treatment Physician developed and monitored. Original source: www.pulmonologychannel.com Original Date of Publication: 03 Jun 2000 Reviewed by: Stanley J. Swierzewski, III, M.D. Last Reviewed: 01 Dec 2007 Important Facts Bacterial sinus infections are a common complication of the common cold Other sinusitis risk factors include allergies and exposure to cigarette smoke Sinusitis causes congestion, cough, and pain and pressure in the face and head Treatment for a sinus infection includes antibiotics and increased fluid intake Home Sinusitis Overview, Symptoms, Diagnosis, Treatment Overview Acute sinusitis is a bacterial infection in one or more sinuses, which include the maxillary, ethmoid, and frontal sinuses. Acute sinusitis is typically preceded by a viral upper respiratory infection (URI), such as the common cold. Incidence and Prevalence Causes and Risk Factors Acute sinusitis usually occurs following a viral URI and may also occur with allergies and fungal infection that causes inflammation of the mucous membranes. Swollen mucous membranes trap and promote the growth of bacteria that cause infection, such as

24. Sinusitis Diagnosis Trouble with sinusitis? Wonder why your nose is blocked? Annoyed by headaches, too? Around the world, physicians continue to increase their understanding of http://www.american-rhinologic.org/patientinfo.diagnosis.phtml

dmbHighlightTBItem(1,'ARTICLES'); Sinusitis Diagnosis Howard Levine, M.D. Mt. Sinai Nasal-Sinus Center, Cleveland, OH Trouble with sinusitis? Wonder why your nose is blocked? Annoyed by headaches, too? Around the world, physicians continue to increase their understanding of sinusitis. In spite of the many new methods of diagnosing and managing true sinusitis, the most important thing is being certain you actually have obtained the correct diagnosis! Sinusitis: Difficult to Determine Sinusitis may give you some of the same symptoms as a cold or allergy. In order to get to the true source of the problem, several things might be needed: Physician asks you many questions to learn your history; In office nasal exam is performed with a small nasal telescope; Computed tomographic (CT) scan of the nose and sinus is taken. Exact diagnosis. Proper treatment. Sinusitis can best be defined by determining the duration and types of symptoms. Because sinus symptoms overlap with allergy and cold symptoms, the following symptom combinations help lead one to to the correct diagnosis. Symptoms are divided into two categories: Very important Less important Very Important symptoms include the following: Facial pain or pressure Facial congestion or fullness Nasal obstruction Change in taste or smell Less important symptoms include the following: Headache Fatigue Bad breath Fever Tooth pain Cough Ear pressure For an individual to have any type of sinusitis, one of the following combinations is needed:

25. Sinusitis - Definition From The Merriam-Webster Online Dictionary Definition of sinusitis from the MerriamWebster Online Dictionary with audio pronunciations, thesaurus, Word of the Day, and word games. http://www.merriam-webster.com/dictionary/sinusitis

Home Visit Our Sites Unabridged Dictionary Learner's Dictionary ... Contact Us Also Visit: Unabridged Encyclopedia Britannica Visual ESL: Learner's for Kids: Spell It! Word Central Dictionary Thesaurus Spanish/English Medical Search "sinusitis" in: Thesaurus Spanish/English Medical Dictionary Open Dictionary Browse words next to: sinusitis Browse the Dictionary: A B C D ... Z sinusitis One entry found. sinusitis Main Entry: Pronunciation: Function: noun Date:  inflammation of a sinus of the skull Learn more about "sinusitis" and related topics at Britannica.com Find Jobs in Your City Pronunciation Symbols Share this entry: Link to this page: Cite this page: Products Premium Services Company Info Contact Us ... Merriam-Webster, Incorporated

26. Sinusitis - The Body Articles provide general background on this condition, with particular emphasis on HIV/AIDS patients. http://www.thebody.com/index/treat/sinus.html

@import url(/css/thebody.css); @import url(/css/subtopic.css); @import url(/css/treatment.css); var zflag_nid="362"; var zflag_cid="1"; var zflag_sid="0"; var zflag_width="728"; var zflag_height="102"; var zflag_sz="26"; Entire Site Articles/Fact Sheets Ask the Experts Conference Coverage BROWSE TOPICS IN HIV TREATMENT: HIV Treatment: Home Page Just Diagnosed HIV Medications First Steps to Treatment ... HIV Treatment in the Developing World Sinusitis Sinusitis: All Stuffed Up and Nowhere To Go (February/March 2001) In GMHC Treatment Issues , from Gay Men's Health Crisis Otolaryngologic Manifestations of HIV: Sinusitis (August 1998) A chapter from the HIV InSite Knowledge Base. From HIV InSite Sinusitis: Helpful Background, Treatment Article (April 19, 1996) In AIDS Treatment News , from AIDS Treatment News Sinusitis Symptoms And Relief (Summer 1995) Compiled from "STEP" And "Being Alive". In Women Alive Newsletter , from Women Alive var zflag_nid="362"; var zflag_cid="1"; var zflag_sid="0"; var zflag_width="120"; var zflag_height="612"; var zflag_sz="29"; Our Mission and Team Content Policy Advertising and Sponsorship Link to Us The Body is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through The Body should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.

27. Acupuncture.Com - Acupressure For Sinusitis - Traditional Chinese Medicine Some general points for sinusitis are Bladder 7, Bladder 10, Governor Vessel 20, and GV 26. The third eye point also can be helpful. (GV 24.5) http://www.acupuncture.com/conditions/sinus.htm

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28. DB’s Medical Rants » Blog Archive » More On Sinusitis Most patients who think that they have sinusitis do not, therefore these data give support for withholding antibiotics when patients really do not have http://www.medrants.com/index.php/archives/3510

Contemplating medicine and the health care system Home Contact db db Media recommendations ... Web articles Latest Posts Latest Comments Heart failure guidelines Memorial Day Answer to 30 year old jaundiced man A jaundiced 30 year old man ... I would say acute A or C are m Search More on sinusitis By rcentor on Mar. 20, 2008. I received my issue of Lancet and have perused the article on sinusitis.  Several comments are appropriate. 1. The inclusion criteria for this study are not precise - they refer to rhinosinusitis. 2. It is not clear to me that the patients in the meta-analysis often really had sinusitis. 3. I cannot use this study to make decisions about patients who really have sinusitis. 4. Most patients who think that they have sinusitis do not, therefore these data give support for withholding antibiotics when patients really do not have sinusitis. 5. Never believe newspaper headlines. Category: Medical Rants You are completely on target about not believing everything you read. However, much of what is in the media is either the latest miracle cure or the latest horrible threat or dangerous drug side effect. By Matthew Mintz on Mar 20, 2008

29. AAP Policy Redirect Technical Report Evidence for the Diagnosis and Treatment of Acute Uncomplicated sinusitis in Children A Systematic Overview http://www.aap.org/policy/0106.html

alert("This page has permanently moved to the new AAP Policy Site. Please update your bookmarks"); window.location = "http://aappolicy.aappublications.org";

30. Sinus Problems And Chronic Sinusitis Sinus problems are among the most popular chronic ailments. Learn about natural remedies for sinus congestion and other sinus problems. http://altmedicine.about.com/cs/allergiesasthma/a/SinusCongestion.htm

zGCID=" test0" zGCID+=" test4" zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zDO=0 You are here: About Health Alternative Medicine Alternative Medicine ... Submit to Digg Most Popular Detox Quiz The Detox Diet Stress Effects Quiz Foods to Eat Related Sites Holistic Healing Yoga Exercise Stress Management Sinus Congestion and Chronic Sinusitis From Cathy Wong Your Guide to Alternative Medicine FREE Newsletter. Sign Up Now! About.com Health's Disease and Condition content is reviewed by our Medical Review Board Chronic sinusitis affects between 30 and 40 million people in the United States alone each year, making it one of the most frequently diagnosed chronic conditions. Symptoms may include trouble breathing through the nose, headache, aching behind the eye area, tenderness in the cheeks, sinus congestion, nasal discharge, or post nasal drip. If sinusitis lasts less than four weeks, it's acute sinusitis. Most cases start with a common cold, which is caused by a virus. Chronic sinusitis, which recurs or lasts longer than 12 weeks, can be caused by upper respiratory tract infection, allergies, deviated septum or other anatomical conditions, and fungi. Sinus Congestion and Chronic Sinusitis Remedies If you think you have sinusitis, it's important to see your healthcare provider. Untreated acute sinusitis can lead to serious infection or the condition may become chronic. Also, some people may be be prone to sinus infections because they have depressed immune function, another reason why it's important to see your healthcare provider.

31. N C H S - FASTATS - Sinus Conditions Chronic sinusitis. (Data are for U.S. for year indicated). Morbidity. Number of noninstitutionalized adults with diagnosed sinusitis 29.5 million http://www.cdc.gov/nchs/fastats/sinuses.htm

A B C D ... I J K L M N ... P Q R S T U ... W X Y Z Faststats Home NCHS Home Accessibility Search NCHS ... Contact us Chronic Sinusitis (Data are for U.S. for year indicated) Morbidity Number of noninstitutionalized adults with diagnosed sinusitis: 30.7 million Percent of noninstitutionalized adults with diagnosed sinusitis: 14 Source: Summary Health Statistics for U.S. Adults, 2006, Table 3 and 4 Health care use Ambulatory care Number of visits to office-based physicians: 12.6 million Source: National Ambulatory Medical Care Survey: 2005 Summary, Table 13 Number of hospital outpatient visits: 1.2 million Source: National Hospital Ambulatory Medical Care Survey: 2005 Outpatient Department Summary, Table 11 Related links National Ambulatory Medical Care Survey National Health Interview Survey National Hospital Ambulatory Medical Care Survey National Center for Chronic Disease Prevention and Health Promotion ... I J K L M N ... P Q R S T U ... W X Y Z Faststats Home NCHS Home Accessibility Search NCHS ... Health Topics A-Z This page last reviewed April 07, 2008

32. Requested Page Not Found In September 2007 the Academy issued a new multidisciplinary, evidence-based practice guideline for treating adult sinusitis, the common ailment that http://www.entlink.net/qualityimprovement/Adult-Sinusitis.cfm

Login/Register Help Community Health Information ... About Us Requested Page Not Found AAO-HNS Press Room Member Benefits Staff Directory Requested Page Not Found Sorry, the page you have requested does not exist at this address. If you are trying to reach a www.entnet.org or www.entlink.net page from a bookmark, the address may have changed or the page may have been eliminated. Please use the navigation options above to browse for the page or start from our home page If you need assistance, please contact us. We are sorry for the inconvenience. Contact Us Sitemap Help Donate One Prince Street, Alexandria, VA 22314-3357 Phone: 1-703-836-4444

33. Sinusitis - Acute Sinusitis, Chronic Sinusitis, Sinuses, Causes, Symptoms, Treat sinusitis information relating to acute sinusitis, chronic sinusitis, sinuses, causes, symptoms, and treatment. http://www.patienthealthinternational.com/article/501571.aspx

Skip to content Home Body map List of conditions ... Home Sinusitis Sinusitis What is Sinusitis? Sinusitis is an inflammation of the cavities called sinuses. Sinuses are air-filled spaces in the bones of the skull which open into the nose. How do you get Sinusitis? Acute sinusitis may follow an infection such as a cold or influenza, an allergy such as hayfever, an infection of the teeth, or changes in air pressure, for example when swimming underwater or travelling by air. Sinusitis can also result from a defect in the structure of the nose. When the lining of the nostrils is swollen, the openings from the sinuses to the nose may be blocked, and the fluid in the sinuses cannot drain away, resulting in pressure, pain, headache and fever. If the acute attack fails to clear up completely, then chronic sinusitis might develop. How serious is Sinusitis? Sinusitis is not serious but it can be very uncomfortable and painful while it lasts. How long does Sinusitis last? Sinusitis may last for several days during an episode when pain, headache and fever may be experienced. Afterwards, the nasal stuffiness and other symptoms may persist for one or two weeks. How is Sinusitis treated?

34. Sinusitis: When To Call The Doctor sinusitis is an inflammation or infection of the lining of one or more of the airfilled cavities around the nose. The infection may be acute or chronic. http://healthlink.mcw.edu/article/924452495.html

Search Articles: search tips Please Take the HealthLink Survey Email this article Print this article Find related articles: By topic: Allergies/Asthma By keywords: Receive Health Link via email! Subscribe now >> Sinusitis: When to Call the Doctor Sinusitis is an inflammation or infection of the lining of one or more of the air-filled cavities (sinuses) located in the head around the nose. Causes Sinuses are normally sterile and self-cleaning. Mucus drains freely from the sinuses through narrow holes into the nasal cavities. Air passes through these small holes as well. But a common cold or pharyngitis, allergies, an anatomical abnormality or, infrequently, an infected tooth, can lead to sinusitis. Symptoms Facial pains or pressure, especially near affected sinuses. Nasal congestion and discharge (could be green, yellow, sometimes blood-tinged) Headache Fever (sometimes) Cheek pain that may resemble toothache In the later stages, complete blockage of the sinus openings, blocking the discharge and increasing pain. How long does it last?

35. Dr. Divyang Trivedi Dr. Trivedi s clinic in Norwalk and Pomona, California. http://www.8004asthma.com/

Home Inquiry / Contact Us Allergy Asthma Sinusitis Medical Clinic Inc. Dr. Divyang Trivedi MD (ALLERGIST) (Allergy, Asthma and Sinusitis Specialist for all Ages.) Call Now : Cure of Disease Facts About Allergy Allergy Tips Related Links Are You Suffering From ? NOSE ALLERGY Itchy, Stuffy, Runny, Bleeding, Blocked, Frequent Sneezing SINUS Frequent Headaches, Sore Throats, Frequent Clearing of Throat, Mucus, Postnasal Drip SKIN ALLERGY Itchy, Dry Skin, Frequent Hives, Eczema and Itchy Skin Rashes EYES ALLERGY : Itchy, Watery, Swollen Eyes, Bags Under Eyes ASTHMA Cough, Shortness of Breath, Wheezing, Asthma Attacks WELCOME ! Contact Details : Address : Norwalk 13330 Bloomfield Ave., #210 CA 90650. Pomona 180 W. Willow Street CA 91768 Contact Number : 800-300-ASMA (2762) 800-4-ASTHMA (427-8462) E-mail : allergist@hotmail.com Most Private Insurance , Medicare and Medi-Cal Accepted Evening Appointments Available Cure of Disease Facts About Allergy Allergy Tips Related Links ... Designed By Minfo

36. Acute Sinusitis (Mar.1997) Both local and systemic factors can contribute to sinusitis. Local causes predominantly result in impaired mucociliary clearance. http://www.utmb.edu/otoref/grnds/Sinusitis-acute-9703/sinus-acute-9703.htm

TITLE: Acute Sinusitis SOURCE: Grand Rounds Presentation, UTMB, Dept. of Otolaryngology DATE: March 19, 1997 RESIDENT PHYSICIAN: , Michael E. Prater, M.D. FACULTY: Francis B. Quinn, Jr., M.D. SERIES EDITOR: Francis B. Quinn, Jr., M.D. Return to Grand Rounds Index "This material was prepared by resident physicians in partial fulfillment of educational requirements established for the Postgraduate Training Program of the UTMB Department of Otolaryngology/Head and Neck Surgery and was not intended for clinical use in its present form. It was prepared for the purpose of stimulating group discussion in a conference setting. No warranties, either express or implied, are made with respect to its accuracy, completeness, or timeliness. The material does not necessarily reflect the current or past opinions of members of the UTMB faculty and should not be used for purposes of diagnosis or treatment without consulting appropriate literature sources and informed professional opinion." ANATOMY: There are eight paranasal sinuses, four on each side of the midline. They are the paired frontal, ethmoidal (anterior and posterior), maxillary and sphenoidal sinuses. They are lined with a pseudostratisfied columnar (respiratory) epithelium which is continuous with the nasal mucosa. The lining provides a mucous secretion which traps bacteria and subsequently extrudes the mucous and bacteria through the sinus ostia to be swallowed or expectorated. Under normal conditions, the sinuses are air filled and communicate directly with the nasal passages through patent ostia.

37. McKinley Health Center - Sinusitis - University Of Illinois Health information discussing sinusitis, which is an inflammation of the mucosal lining of one or more of the sinuses. http://www.mckinley.uiuc.edu/Handouts/sinusitis.html

Sinusitis WHAT IS IT? Sinusitis is an inflammation of the mucosal lining of one or more of the sinuses. The sinuses are air cavities in the bones of the skull and face, which connect with the nose through small openings. There are four pairs of sinuses: the frontal sinuses sit above the eyes in the forehead, the maxillary sinuses lie behind the cheekbones, the sphenoid pair rests behind the nose, and the ethmoid sinuses are located between the eyes and the bridge of the nose. WHAT CAUSES IT? Sinusitis can be caused by viral, bacterial or fungal infection, or allergy. Inflammation produces swelling of the mucosal lining; this blocks the small openings preventing normal drainage of the sinuses. Accumulation of mucus and secretions within the cavities turns them into an ideal breeding ground for further infection. Sinusitis frequently occurs with or after a cold. WHAT ARE ITS COMMON SYMPTOMS? Pain over the infected sinuses, thick opaque yellow-green nasal discharge, fever, fatigue, and headache that lasts all day. Depending on the sinus involved there may be swelling around the eyes, increased pain with bending, coughing and throat irritation due to a post-nasal drip, or dizziness. The throat pain may be severe with some swelling of the lymph nodes in the neck. Pain can also occur behind the eyes or around the teeth. IS IT CONTAGIOUS?

38. Sinusitis Related Treatment & Medication | Drugs.com Compare sinusitis related medications. Comprehensive sinusitis information for consumers and professionals including user ratings, reviews and drug dosage http://www.drugs.com/condition/sinusitis.html

close Username Password Forgotten your password? liveSearchInit('livesearch_main'); Or click the first letter of a drug name: A B C D ... Forums Welcome Guest Register or Sign In My Viewing History My Drug List My Interactions Lists ... Member Offers Drugs by Condition A to Z Respiratory Tract Disease Colds Sinusitis Definition: Sinusitis is a disorder of the sinuses surrounding the nose, where one or more of these sinuses are inflamed. Acute sinusitis typically lasts 3 to 8 weeks, whereas chronic sinusitis lasts longer. Drugs associated with Sinusitis The following drugs and medications are in some way related to, or used in the treatment of Sinusitis. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. See sub-conditions Drug Name ( View by: Brand Generic Reviews Ratings Augmentin Pro More... generic name: amoxicillin/clavulanate class: beta-lactamase inhibitors 0 Review(s) Rate It! Avelox ... More... generic name: moxifloxacin class: quinolones 3 Review(s) Rate It!

39. Sinusitis - WrongDiagnosis.com sinusitis information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and prognosis. http://www.wrongdiagnosis.com/s/sinusitis/intro.htm

About Us Boards Bookmark this page HOME ... External links relating to Sinusitis RESEARCH Search the latest treatment information here. Choose... Asthma Allergies Breast Cancer Cancer Diabetes Headache Heartburn Heart Disease High Cholesterol Hypertension Migraine Reflux Thyroid Disease All Diseases... Dr. Huntley's Diagnosis Checklist Have a symptom? See what questions a doctor would ask. Choose... Rash Fever Pain Headache Fatigue Diarrhea All checklists Next Diseases Sinusitis Sinusitis Contents: Sinusitis Introduction: Sinusitis Full Text Books Online Symptoms Misdiagnosis ... Full Contents list Introduction: Sinusitis Sinusitis is any infection or inflammation of the sinus cavities behind the nose and eyes. It is very common with an estimated 37 million cases annually in the USA. Symptoms vary according to which sinus cavity is infected; some are similar to cold or flu but other infections are not. Some sinus infections may also occur as a complication of a cold or flu. There may be various other underlying conditions causing sinusitis such as allergies hay fever , or asthma Symptoms of Sinusitis click here Coughing Sneezing Tiredness ... See full list of 37 symptoms of Sinusitis Medical Textbooks Online about Sinusitis 16 MEDICAL BOOKS ONLINE! Full text.

40. Complications Of Sinusitis In the treatment of sinusitis, local and systemic decongestion play an important role. Surgical intervention is frequently required and should be considered http://www.bcm.edu/oto/grand/71395.html

Complications of Sinusitis July 13, 1995 Carla M. Giannoni, M.D. Orbital complications Sinonasal disease accounts for the majority of orbital infections (up to 85%). Ethmoid sinuses are almost always implicated in orbital disease; maxillary and frontal sinuses may also be involved. Spread may be direct with erosion of the lamina or through a prior fracture or by thrombophlebitic spread into the orbit. Orbital complications as staged by Chandler (1970) are: preseptal cellulitis, orbital cellulitis, subperiosteal abscess, orbital abscess, and cavernous sinus thrombosis (dural thrombophlebitis). Preseptal cellulitis is an inflammation and infection of the eyelids, outside the orbital septum. Orbital cellulitis is a diffuse infiltration of bacteria and inflammatory cells in the orbit. A subperiosteal abscess is a collection of pus between the periorbita and the bony orbit walls. Orbital abscess refers to a discrete collection of pus within the orbital tissues; systemic symptoms are common and orbital apex syndrome may occur. Cavernous sinus thrombosis is a late stage and highly morbid disease. Infection is spread posteriorly through the venous channels; patients have proptosis, ophthalmoplegia, decreased visual acuity, paplliedema, dilated pupil, mental status decline, and superior orbital fissure syndrome; bilateral symptoms herald this entity. Intracranial complications Intracranial (CNS) complications, namely, meningitis, subdural empyema, epidural abscess and cerebral abscess may all complicate acute and chronic sinusitis. The ethmoids, frontal, and sphenoid sinusitis primarily responsible. Infection is spread via thrombophlebitis or less commonly via direct extension of infection. Common symptoms of increased intracranial pressure (ICP) (headache, altered mental status, fever, vomiting, and stiff neck) as well as systemic toxicity usually occur. However, the infection may be "silent" in the frontal lobes with only subtle personality changes until late in the process. High morbidity and mortality despite antibiotics and aggressive treatment still exist. The offending organisms are the same ones implicated in sinusitis (Strep, Staph, anaerobes and GNR). Streptococcal species are most commonly responsible for CNS complications. Exceptions include cerebral abscess and epidural abscess near a focus of osteomyelitis when Staph is more common.

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